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Chris Rorden

Publications and source records attributed to Chris Rorden.

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Perturbation-based Regional Interpretability through Subtraction Mapping (PRISM): naming-error dissociations in language models and post-stroke aphasia

Mechanistic interpretability of large language models lacks spatially resolved, falsifiable tools for testing whether internal components are specialized for distinct cognitive operations. We adapt subtraction analysis, the standard framework of human neuroimaging, from biological brains to perturbed transformers, and apply the same logic to both substrates in parallel. Building on the Brain-LLM Unified Model (BLUM), which showed that layer-perturbed LLaVA-1.6-Vicuna-13B error profiles match the lesion patterns of aphasic patients, we develop PRISM (Perturbation-based Regional Interpretability through Subtraction Mapping). PRISM maps the seven clinical Philadelphia Naming Test categories, subtracts error classes pairwise, and treats each perturbation seed as a subject in a group analysis with threshold-free cluster enhancement along the layer axis. We run a structurally matched analysis on 213 chronic post-stroke aphasia patients using correlation-difference lesion-symptom mapping, and replicate both sides on held-out splits. The designs match in subject dimension (seeds, patients), spatial dimension (layers, atlas-parcellated cortex) and thresholding, but the contrast operator differs: a within-subject error-proportion difference for the LLM, a between-subject correlation difference for the cortex. Both substrates recover a robust phonemic-favoring dissociation, a deep layer cluster and a frontal-perisylvian cortical cluster, both replicating; the semantic-favoring direction is a consistently signed but non-significant trend on both. PRISM thus gives a falsifiable, spatially resolved test of functional-specialization claims in transformer language models. A confirmatory ROI-level intervention (PRISM Stage 3) licensing the strongest causal-mechanism claim is left to subsequent work.

cs.LG

Stroke Lesions as a Rosetta Stone for Language Model Interpretability

Large language models (LLMs) have achieved remarkable capabilities, yet methods to verify which model components are truly necessary for language function remain limited. Current interpretability approaches rely on internal metrics and lack external validation. Here we present the Brain-LLM Unified Model (BLUM), a framework that leverages lesion-symptom mapping, the gold standard for establishing causal brain-behavior relationships for over a century, as an external reference structure for evaluating LLM perturbation effects. Using data from individuals with chronic post-stroke aphasia (N = 410), we trained symptom-to-lesion models that predict brain damage location from behavioral error profiles, applied systematic perturbations to transformer layers, administered identical clinical assessments to perturbed LLMs and human patients, and projected LLM error profiles into human lesion space. LLM error profiles were sufficiently similar to human error profiles that predicted lesions corresponded to actual lesions in error-matched humans above chance in 67% of picture naming conditions (p < 10^{-23}) and 68.3% of sentence completion conditions (p < 10^{-61}), with semantic-dominant errors mapping onto ventral-stream lesion patterns and phonemic-dominant errors onto dorsal-stream patterns. These findings open a new methodological avenue for LLM interpretability in which clinical neuroscience provides external validation, establishing human lesion-symptom mapping as a reference framework for evaluating artificial language systems and motivating direct investigation of whether behavioral alignment reflects shared computational principles.

cs.LG

MindGrab for BrainChop: Fast and Accurate Skull Stripping for Command Line and Browser

Deployment complexity and specialized hardware requirements hinder the adoption of deep learning models in neuroimaging. We present MindGrab, a lightweight, fully convolutional model for volumetric skull stripping across all imaging modalities. MindGrab's architecture is designed from first principles using a spectral interpretation of dilated convolutions, and demonstrates state-of-the-art performance (mean Dice score across datasets and modalities: 95.9 with SD 1.6), with up to 40-fold speedups and substantially lower memory demands compared to established methods. Its minimal footprint allows for fast, full-volume processing in resource-constrained environments, including direct in-browser execution. MindGrab is delivered via the BrainChop platform as both a simple command-line tool (pip install brainchop) and a zero-installation web application (brainchop.org). By removing traditional deployment barriers without sacrificing accuracy, MindGrab makes state-of-the-art neuroimaging analysis broadly accessible.

eess.IV

False Discovery Rate and Localizing Power

False discovery rate (FDR) is commonly used for correction for multiple testing in neuroimaging studies. However, when using two-tailed tests, making directional inferences about the results can lead to a vastly inflated error rate, even approaching 100% in some cases. This happens because FDR controls the error rate only globally, over all tests, not within subsets, such as among those in only one or another direction. Here we consider and evaluate different strategies for FDR control in such cases, using both synthetic and real imaging data. Approaches that separate the tests by direction of the hypothesis test, or by the direction of the resulting test statistic, more properly control the directional error rate and preserve FDR benefits, albeit with a doubled risk of errors under complete absence of signal. Strategies that combine tests in both directions, or that use simple two-tailed p-values, can lead to invalid directional conclusions, even if these tests remain globally valid. A solution to this problem is through the use of selective inference, whereby positive and negative tails are treated as sets (families), which are screened locally, then subjected to FDR at a modified level that controls average FDR over those that survive the initial screening. Moreover, the BKY procedure can be used in place of the well-known Benjamini-Hochberg, yielding additional power. These methods are easy to implement. Finally, to enable valid thresholding for directional inference, we suggest that imaging software should allow the user to set asymmetrical thresholds for the two sides of the statistical map. While FDR continues to be a valid, powerful procedure for multiple testing correction, care is needed when making directional inferences for two-tailed tests, or more broadly, when making any localized inference.

stat.ME

Go Figure: Transparency in neuroscience images preserves context and clarifies interpretation

Visualizations are vital for communicating scientific results. Historically, neuroimaging figures have only depicted regions that surpass a given statistical threshold. This practice substantially biases interpretation of the results and subsequent meta-analyses, particularly towards non-reproducibility. Here we advocate for a "transparent thresholding" approach that not only highlights statistically significant regions but also includes subthreshold locations, which provide key experimental context. This balances the dual needs of distilling modeling results and enabling informed interpretations for modern neuroimaging. We present four examples that demonstrate the many benefits of transparent thresholding, including: removing ambiguity, decreasing hypersensitivity to non-physiological features, catching potential artifacts, improving cross-study comparisons, reducing non-reproducibility biases, and clarifying interpretations. We also demonstrate the many software packages that implement transparent thresholding, several of which were added or streamlined recently as part of this work. A point-counterpoint discussion addresses issues with thresholding raised in real conversations with researchers in the field. We hope that by showing how transparent thresholding can drastically improve the interpretation (and reproducibility) of neuroimaging findings, more researchers will adopt this method.

q-bio.NC

State-of-the-Art Stroke Lesion Segmentation at 1/1000th of Parameters

Efficient and accurate whole-brain lesion segmentation remains a challenge in medical image analysis. In this work, we revisit MeshNet, a parameter-efficient segmentation model, and introduce a novel multi-scale dilation pattern with an encoder-decoder structure. This innovation enables capturing broad contextual information and fine-grained details without traditional downsampling, upsampling, or skip-connections. Unlike previous approaches processing subvolumes or slices, we operate directly on whole-brain $256^3$ MRI volumes. Evaluations on the Aphasia Recovery Cohort (ARC) dataset demonstrate that MeshNet achieves superior or comparable DICE scores to state-of-the-art architectures such as MedNeXt and U-MAMBA at 1/1000th of parameters. Our results validate MeshNet's strong balance of efficiency and performance, making it particularly suitable for resource-limited environments such as web-based applications and opening new possibilities for the widespread deployment of advanced medical image analysis tools.

eess.IV

Quantifying predictive uncertainty of aphasia severity in stroke patients with sparse heteroscedastic Bayesian high-dimensional regression

Sparse linear regression methods for high-dimensional data commonly assume that residuals have constant variance, which can be violated in practice. For example, Aphasia Quotient (AQ) is a critical measure of language impairment and informs treatment decisions, but it is challenging to measure in stroke patients. It is of interest to use high-resolution T2 neuroimages of brain damage to predict AQ. However, sparse regression models show marked evidence of heteroscedastic error even after transformations are applied. This violation of the homoscedasticity assumption can lead to bias in estimated coefficients, prediction intervals (PI) with improper length, and increased type I errors. Bayesian heteroscedastic linear regression models relax the homoscedastic error assumption but can enforce restrictive prior assumptions on parameters, and many are computationally infeasible in the high-dimensional setting. This paper proposes estimating high-dimensional heteroscedastic linear regression models using a heteroscedastic partitioned empirical Bayes Expectation Conditional Maximization (H-PROBE) algorithm. H-PROBE is a computationally efficient maximum a posteriori estimation approach that requires minimal prior assumptions and can incorporate covariates hypothesized to impact heterogeneity. We apply this method by using high-dimensional neuroimages to predict and provide PIs for AQ that accurately quantify predictive uncertainty. Our analysis demonstrates that H-PROBE can provide narrower PI widths than standard methods without sacrificing coverage. Narrower PIs are clinically important for determining the risk of moderate to severe aphasia. Additionally, through extensive simulation studies, we exhibit that H-PROBE results in superior prediction, variable selection, and predictive inference compared to alternative methods.

stat.ME

The Past, Present, and Future of the Brain Imaging Data Structure (BIDS)

The Brain Imaging Data Structure (BIDS) is a community-driven standard for the organization of data and metadata from a growing range of neuroscience modalities. This paper is meant as a history of how the standard has developed and grown over time. We outline the principles behind the project, the mechanisms by which it has been extended, and some of the challenges being addressed as it evolves. We also discuss the lessons learned through the project, with the aim of enabling researchers in other domains to learn from the success of BIDS.

q-bio.OT