AI-Deep Learning Framework for Predicting Neuropsychiatric Outcomes Following Toxic Effects of Drugs on The Brain

Authors

DOI:

https://doi.org/10.62486/agmu2025222

Keywords:

Deep learning, Neurotoxicity, Predictive modeling, Neuropsychiatry

Abstract

Introduction: drug-induced neurotoxicity represents a significant clinical challenge, with neuropsychiatric complications affecting treatment outcomes and patient quality of life. Current predictive tools lack both accuracy and interpretability, limiting their clinical utility. Methods: We developed a hybrid CNN-LSTM deep learning framework with attention mechanisms, trained on multimodal clinical data including electronic health records, neuroimaging, and biomarker profiles. Model interpretability was achieved through SHAP value analysis, with performance evaluated via 5-fold cross-validation.
Results: The model achieved 92 %  accuracy (AUC-ROC 0,93), significantly outperforming traditional approaches. Key predictors included drug dosage (SHAP=0,15), treatment duration (SHAP=0,12), and age. High-risk subgroups (patients >60 years) showed 2,5× increased risk of cognitive decline (p<0,01).
Conclusions: This interpretable AI framework enables precise, clinically actionable prediction of neuropsychiatric outcomes following drug-induced neurotoxicity, supporting personalized treatment decisions and risk mitigation strategies.

References

Wahed , Salma Abdel, and Mutaz Abdel Wahed. "Machine learning-based prediction and classification of psychiatric symptoms induced by drug and plants toxicity." Gamification and Augmented Reality 3 (2025): 3. DOI: https://doi.org/10.56294/gr2025107

Wahed, Salma Abdel Wahed Abdel, Rama Shdefat Shdefat, and Mutaz Abdel Wahed. "A Machine Learning Model for Diagnosis and Differentiation of Schizophrenia, Bipolar Disorder and Borderline Personality Disorder." LatIA 3 (2025): 133-133. DOI: https://doi.org/10.62486/latia2025133

Cunha-Oliveira T, Rego AC, Oliveira CR. Cellular and molecular mechanisms involved in the neurotoxicity of opioid and psychostimulant drugs. Brain Res Rev. 2008;58(1):192-208. doi:10.1016/j.brainresrev.2008.03.002 DOI: https://doi.org/10.1016/j.brainresrev.2008.03.002

Mina SG, Alaybeyoglu B, Murphy WL, Thomson JA, Stokes CL, Cirit M. Assessment of Drug- Induced Toxicity Biomarkers in the Brain Microphysiological System (MPS) Using Targeted and Untargeted Molecular Profiling. Front Big Data. 2019;2:23. Published 2019 Jun 26. doi:10.3389/fdata.2019.00023 DOI: https://doi.org/10.3389/fdata.2019.00023

Geibprasert S, Gallucci M, Krings T. Addictive illegal drugs: structural neuroimaging. AJNR Am J Neuroradiol. 2010;31(5):803-808. doi:10.3174/ajnr.A1811 DOI: https://doi.org/10.3174/ajnr.A1811

Liu, A., Tu, Q. & Huang, M. Feasibility study of PET/CT for the detection and localization of nervous system damage caused by trimethyltin chloride. Sci Rep 15, 1353 (2025). https://doi.org/10.1038/s41598-024-82473-w DOI: https://doi.org/10.1038/s41598-024-82473-w

Baratto, Lucia, Shashi B. Singh, Sharon E. Williams, Sheri L. Spunt, Jarrett Rosenberg, Lisa Adams, Vidyani Suryadevara, Michael Iv, and Heike Daldrup-Link. "Detecting High-Dose Methotrexate–Induced Brain Changes in Pediatric and Young Adult Cancer Survivors Using [18F] FDG PET/MRI: A Pilot Study." Journal of Nuclear Medicine 65, no. 6 (2024): 864-871. DOI: https://doi.org/10.2967/jnumed.123.266760

Tamrazi, Benita, and Jeevak Almast. "Your brain on drugs: imaging of drug-related changes in the central nervous system." Radiographics 32, no. 3 (2012): 701-719. DOI: https://doi.org/10.1148/rg.323115115

Wahed, Mutaz Abdel, Mowafaq Salem Alzboon, Muhyeeddin Alqaraleh, Mohammad Al-Batah, Ahmad Fuad Bader, and Salma Abdel Wahed. "Enhancing Diagnostic Precision in Pediatric Urology: Machine Learning Models for Automated Grading of Vesicoureteral Reflux." In 2024 7th International Conference on Internet Applications, Protocols, and Services (NETAPPS), pp. 1-7. IEEE, 2024. DOI: https://doi.org/10.1109/NETAPPS63333.2024.10823509

Wahed, Salma Abdel, and Mutaz Abdel Wahed. "AI-Driven Digital Well-being: Developing Machine Learning Model to Predict and Mitigate Internet Addiction." LatIA 3 (2025): 73. DOI: https://doi.org/10.62486/latia202573

Wahed, Salma Abdel, and Mutaz Abdel Wahed. "Predicting Post-Surgical Complications using Machine Learning Models for Patients with Brain Tumors." International Journal of Open Information Technologies 13, no. 4 (2025): 43-48.

Wahed, Mutaz Abdel, and Salma Abdel Wahed. "Assessing Internet Addiction Levels Among Medical Students in Jordan_ Insights from a Cross-Sectional Survey." International Journal of Advanced Health Science and Technology 5, no. 1 (2025): 12-18. DOI: https://doi.org/10.35882/ijahst.v5i1.428

Wahed, Mutaz Abdel, Muhyeeddin Alqaraleh, Mowafaq Salem Alzboon, and Mohammad Subhi Al-Batah. "Evaluating AI and Machine Learning Models in Breast Cancer Detection: A Review of Convolutional Neural Networks (CNN) and Global Research Trends." LatIA 3 (2025): 117-117. DOI: https://doi.org/10.62486/latia2025117

Abdel Wahed S, Abdel Wahed M. Optimizing Antibiotics Prophylaxis in Neurosurgery through Machin Learning: Predicting Infections and Personalizing Treatment Strategies. Gamification and Augmented Reality [Internet]. 2025 Apr. 4 [cited 2025 Apr. 20];3:108. Available from: https://gr.ageditor.ar/index.php/gr/article/view/108 DOI: https://doi.org/10.56294/gr2025108

Downloads

Published

2025-04-25

How to Cite

1.
Wahed SA, Wahed MA. AI-Deep Learning Framework for Predicting Neuropsychiatric Outcomes Following Toxic Effects of Drugs on The Brain. Multidisciplinar (Montevideo) [Internet]. 2025 Apr. 25 [cited 2025 Jun. 13];3:222. Available from: https://multidisciplinar.ageditor.uy/index.php/multidisciplinar/article/view/222