RECA-PD: A Robust Explainable Cross-Attention Method for Speech-based Parkinson's Disease Classification

Fuente: arXiv
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Autores principales: Zhong, Terry Yi, Tejedor-Garcia, Cristian, Larson, Martha, Bloem, Bastiaan R.
Formato: Preprint
Publicado: 2025
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author Zhong, Terry Yi
Tejedor-Garcia, Cristian
Larson, Martha
Bloem, Bastiaan R.
author_facet Zhong, Terry Yi
Tejedor-Garcia, Cristian
Larson, Martha
Bloem, Bastiaan R.
contents Parkinson's Disease (PD) affects over 10 million people globally, with speech impairments often preceding motor symptoms by years, making speech a valuable modality for early, non-invasive detection. While recent deep-learning models achieve high accuracy, they typically lack the explainability required for clinical use. To address this, we propose RECA-PD, a novel, robust, and explainable cross-attention architecture that combines interpretable speech features with self-supervised representations. RECA-PD matches state-of-the-art performance in Speech-based PD detection while providing explanations that are more consistent and more clinically meaningful. Additionally, we demonstrate that performance degradation in certain speech tasks (e.g., monologue) can be mitigated by segmenting long recordings. Our findings indicate that performance and explainability are not necessarily mutually exclusive. Future work will enhance the usability of explanations for non-experts and explore severity estimation to increase the real-world clinical relevance.
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id arxiv_https___arxiv_org_abs_2507_03594
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle RECA-PD: A Robust Explainable Cross-Attention Method for Speech-based Parkinson's Disease Classification
Zhong, Terry Yi
Tejedor-Garcia, Cristian
Larson, Martha
Bloem, Bastiaan R.
Sound
Artificial Intelligence
Computation and Language
Audio and Speech Processing
Parkinson's Disease (PD) affects over 10 million people globally, with speech impairments often preceding motor symptoms by years, making speech a valuable modality for early, non-invasive detection. While recent deep-learning models achieve high accuracy, they typically lack the explainability required for clinical use. To address this, we propose RECA-PD, a novel, robust, and explainable cross-attention architecture that combines interpretable speech features with self-supervised representations. RECA-PD matches state-of-the-art performance in Speech-based PD detection while providing explanations that are more consistent and more clinically meaningful. Additionally, we demonstrate that performance degradation in certain speech tasks (e.g., monologue) can be mitigated by segmenting long recordings. Our findings indicate that performance and explainability are not necessarily mutually exclusive. Future work will enhance the usability of explanations for non-experts and explore severity estimation to increase the real-world clinical relevance.
title RECA-PD: A Robust Explainable Cross-Attention Method for Speech-based Parkinson's Disease Classification
topic Sound
Artificial Intelligence
Computation and Language
Audio and Speech Processing
url https://arxiv.org/abs/2507.03594