A comprehensive review of neuroimaging-based AI models for autism classification

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Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition characterized by challenges in social interaction, communication, and behavior. Traditional diagnostic methods rely heavily on behavioral assessments, such as the Autism Diagnostic Observation Schedule (ADOS) and Autism Diagnostic Interview-Revised (ADI-R), which are often subjective and limited by the absence of definitive biomarkers. Recent advances in neuroimaging techniques, including structural MRI (sMRI), functional MRI (fMRI), and positron emission tomography (PET), have provided valuable insights into the structural and functional abnormalities associated with ASD. However, the analysis of neuroimaging data is complex, requiring sophisticated machine learning (ML) and artificial intelligence (AI) models. This paper reviews state-of-the-art machine learning approaches, such as Random Forests, Support Vector Machines (SVM), and deep learning models, aimed at improving the diagnostic accuracy of ASD. We particularly focus on multimodal deep learning models that integrate neuroimaging data with behavioral assessments. In this review, we critically evaluate the strengths and limitations of these approaches, and how emerging AI tools not only enhance classification accuracy but also hold potential for identifying biomarkers and tracking the disorder's progression. Our analysis underscores the need for advanced methods that exploit both spatial and temporal features of brain data to better understand ASD, paving the way for improved diagnostics and personalized treatments.