"""P11 interpretability: train TriFuse-AD on one representative fold, then run Grad-CAM on the shared CNN encoder for a few correct + incorrect test cases. Qualitative only. We do NOT claim the model localizes specific structures; we report that attended regions overlap with anatomy known to be relevant in AD (medial temporal lobe, ventricles, cortical atrophy). Needs the GPU, so run this AFTER the main grid finishes (TriFuse-AD is the last config in the grid and holds the GPU until then). """ from __future__ import annotations import sys from pathlib import Path import numpy as np import pandas as pd import torch import torch.nn as nn import matplotlib matplotlib.use("Agg") import matplotlib.pyplot as plt # noqa: E402 ROOT = Path(__file__).resolve().parents[1] sys.path.insert(0, str(ROOT / "src")) RESULTS = ROOT / "results" FIGURES = RESULTS / "figures" SUBJECTS_CSV = ROOT / "data/metadata/subjects_clean.csv" from trifuse.data.datasets import SliceDataset, collate, fit_tab_stats # noqa: E402 from trifuse.data.splits import make_folds, split_for # noqa: E402 from trifuse.models.registry import build_model # noqa: E402 from trifuse.training.config import TrainConfig # noqa: E402 from trifuse.training.trainer import fit # noqa: E402 from trifuse.analysis.gradcam import GradCAM, overlay_heatmap # noqa: E402 from trifuse.eval.metrics import CLASS_NAMES # noqa: E402 from torch.utils.data import DataLoader # noqa: E402 TRI = ("axial", "coronal", "sagittal") SEED, FOLD = 7, 0 class _SlicesOnly(nn.Module): """Adapt TriFuse-AD's (slices, tab) forward to the single-input API Grad-CAM expects.""" def __init__(self, model: nn.Module, tab: torch.Tensor): super().__init__() self.model = model self.tab = tab def forward(self, slices: torch.Tensor) -> torch.Tensor: return self.model(slices, self.tab) def _target_layer(model: nn.Module) -> nn.Module: """Last conv stage of the timm ConvNeXt encoder (outputs B,C,H,W).""" enc = model.encoder if hasattr(enc, "stages"): return enc.stages[-1] # fallback: last Conv2d convs = [m for m in enc.modules() if isinstance(m, nn.Conv2d)] return convs[-1] def _train_fold(device: str) -> tuple[nn.Module, pd.DataFrame, dict, TrainConfig]: df = pd.read_csv(SUBJECTS_CSV) folds = make_folds(df) tr, va, te = split_for(folds, df, SEED, FOLD) train_df = df[df.subject_id.isin(tr)] val_df = df[df.subject_id.isin(va)] test_df = df[df.subject_id.isin(te)] cfg = TrainConfig(name="trifuse_interp", model="trifuse", modality="multimodal", n_slices=9, planes=TRI, epochs=70, batch_size=6, lr=3e-4, backbone_lr=3e-5, freeze_epochs=6, seed=SEED) tab_stats = fit_tab_stats(train_df, cfg.tab_features) counts = np.bincount(train_df["class_id"], minlength=3).tolist() def loader(sub, shuffle, aug): ds = SliceDataset(sub, cfg.tab_features, tab_stats, planes=TRI, n_slices=cfg.n_slices, modality="multimodal", augment=aug) return DataLoader(ds, batch_size=cfg.batch_size, shuffle=shuffle, num_workers=cfg.num_workers, collate_fn=collate, pin_memory=True) model = build_model(cfg, n_tab_features=len(cfg.tab_features), pretrained=True) fit(model, loader(train_df, True, True), loader(val_df, False, False), cfg, counts, device=device) return model, test_df, tab_stats, cfg def _gradcam_for_subject(model, target, batch, device, n_slices, planes): """Return {plane: (gray_center, heat_center)} for the argmax class, center slice per plane. TriFuse-AD flattens the 27 slices into the CNN batch dim, so the target layer's captured activations/grads are (T, C, H', W') — one per slice. We compute a per-token Grad-CAM here rather than using GradCAM.__call__'s single-map return. """ import torch.nn.functional as F slices = batch["slices"].to(device) # (1, T, 3, H, W) tab = batch["tab"].to(device) wrapper = _SlicesOnly(model, tab) cam = GradCAM(wrapper, target) _ = cam(slices, class_idx=None) # triggers fwd+bwd, fills cam._acts/_grads acts, grads = cam._acts, cam._grads # (T, C, H', W') cam.remove() H, W = slices.shape[-2:] weights = grads.mean(dim=(2, 3), keepdim=True) # (T, C, 1, 1) heat = F.relu((weights * acts).sum(dim=1)) # (T, H', W') heat = F.interpolate(heat.unsqueeze(1), size=(H, W), mode="bilinear", align_corners=False)[:, 0] # (T, H, W) heat = heat.detach().cpu().numpy() out = {} center = n_slices // 2 for p_idx, plane in enumerate(planes): tok = p_idx * n_slices + center gray = slices[0, tok, 0].detach().cpu().numpy() h = heat[tok] h = (h - h.min()) / (np.ptp(h) + 1e-8) # per-slice normalize out[plane] = (gray, h) return out def main(): device = "cuda" if torch.cuda.is_available() else "cpu" FIGURES.mkdir(parents=True, exist_ok=True) print(f"training TriFuse-AD on seed={SEED} fold={FOLD} ({device}) for interpretability...", flush=True) model, test_df, tab_stats, cfg = _train_fold(device) model.eval() target = _target_layer(model) ds = SliceDataset(test_df, cfg.tab_features, tab_stats, planes=TRI, n_slices=cfg.n_slices, modality="multimodal", augment=False) dl = DataLoader(ds, batch_size=1, shuffle=False, collate_fn=collate) cases = [] # (subject_id, y_true, y_pred, {plane:(gray,heat)}) for batch in dl: with torch.no_grad(): logits = model(batch["slices"].to(device), batch["tab"].to(device)) pred = int(logits.argmax(1)[0]) yt = int(batch["y"][0]) maps = _gradcam_for_subject(model, target, batch, device, cfg.n_slices, TRI) cases.append((batch["subject_id"][0], yt, pred, maps)) correct = [c for c in cases if c[1] == c[2]][:6] wrong = [c for c in cases if c[1] != c[2]][:3] picked = correct + wrong if not picked: print("no test cases produced; aborting figure") return n = len(picked) fig, axes = plt.subplots(n, 3, figsize=(9, 3 * n)) if n == 1: axes = axes[None, :] for r, (sid, yt, yp, maps) in enumerate(picked): tag = "OK" if yt == yp else "WRONG" for c, plane in enumerate(TRI): gray, heat = maps[plane] axes[r, c].imshow(overlay_heatmap(gray, heat)) axes[r, c].axis("off") if c == 0: axes[r, c].set_ylabel(f"{sid}\nT:{CLASS_NAMES[yt]} P:{CLASS_NAMES[yp]} [{tag}]", fontsize=8, rotation=0, ha="right", va="center") axes[r, c].set_title(plane if r == 0 else "", fontsize=9) fig.suptitle("TriFuse-AD Grad-CAM (shared CNN encoder, center slice per plane)") fig.tight_layout() out = FIGURES / "fig_gradcam_trifuse.png" fig.savefig(out, dpi=150) plt.close(fig) print(f"wrote {out} ({len(correct)} correct + {len(wrong)} wrong cases)") if __name__ == "__main__": main()