Robust and Clinically Reliable EEG Biomarkers: A Cross Population Framework for Generalizable Parkinson's Disease Detection

Fuente: arXiv
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Autores principales: Rasmussen, Nicholas R., Wang, Longwei, Rizk, Rodrigue, Pallab, Md Rezwanul Akter, Stuwart, Samuel, Mancini, Martina, Singh, Arun, Santosh, KC
Formato: Preprint
Publicado: 2026
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author Rasmussen, Nicholas R.
Wang, Longwei
Rizk, Rodrigue
Pallab, Md Rezwanul Akter
Stuwart, Samuel
Mancini, Martina
Singh, Arun
Santosh, KC
author_facet Rasmussen, Nicholas R.
Wang, Longwei
Rizk, Rodrigue
Pallab, Md Rezwanul Akter
Stuwart, Samuel
Mancini, Martina
Singh, Arun
Santosh, KC
contents Developing robust and clinically reliable EEG biomarkers requires evaluation frameworks that explicitly address cross population generalization in multi site settings such as Parkinsons disease (PD) detection. Models trained under i.i.d. assumptions often capture population specific artifacts rather than disease relevant neural structure, leading to poor generalization across clinical cohorts. EEG further amplifies this challenge due to low signal to noise ratio and heterogeneous acquisition conditions. We propose a population aware evaluation framework to assess the robustness and clinical reliability of EEG biomarkers under distribution shift. Using an n gram expansion strategy, we enumerate all cross population train test configurations across five independent cohorts, resulting in 75 directional evaluations. A nested cross validation design with integrated channel selection ensures prospective biomarker identification without population leakage. Results show that cross population transfer is asymmetric and that both accuracy and biomarker stability improve with increasing training population diversity, achieving up to 94.1% accuracy on held out cohorts. A theoretical analysis based on mixture risk optimization and hypothesis space contraction explains these trends, showing that multi population training promotes population robust representations. This work establishes a principled framework for learning robust, generalizable, and clinically reliable EEG biomarkers for multi site biomedical applications.
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publishDate 2026
record_format arxiv
spellingShingle Robust and Clinically Reliable EEG Biomarkers: A Cross Population Framework for Generalizable Parkinson's Disease Detection
Rasmussen, Nicholas R.
Wang, Longwei
Rizk, Rodrigue
Pallab, Md Rezwanul Akter
Stuwart, Samuel
Mancini, Martina
Singh, Arun
Santosh, KC
Machine Learning
Signal Processing
Neurons and Cognition
I.5.1; I.5.2; I.5.4; I.2.6; I.4.7; G.3; J.3
Developing robust and clinically reliable EEG biomarkers requires evaluation frameworks that explicitly address cross population generalization in multi site settings such as Parkinsons disease (PD) detection. Models trained under i.i.d. assumptions often capture population specific artifacts rather than disease relevant neural structure, leading to poor generalization across clinical cohorts. EEG further amplifies this challenge due to low signal to noise ratio and heterogeneous acquisition conditions. We propose a population aware evaluation framework to assess the robustness and clinical reliability of EEG biomarkers under distribution shift. Using an n gram expansion strategy, we enumerate all cross population train test configurations across five independent cohorts, resulting in 75 directional evaluations. A nested cross validation design with integrated channel selection ensures prospective biomarker identification without population leakage. Results show that cross population transfer is asymmetric and that both accuracy and biomarker stability improve with increasing training population diversity, achieving up to 94.1% accuracy on held out cohorts. A theoretical analysis based on mixture risk optimization and hypothesis space contraction explains these trends, showing that multi population training promotes population robust representations. This work establishes a principled framework for learning robust, generalizable, and clinically reliable EEG biomarkers for multi site biomedical applications.
title Robust and Clinically Reliable EEG Biomarkers: A Cross Population Framework for Generalizable Parkinson's Disease Detection
topic Machine Learning
Signal Processing
Neurons and Cognition
I.5.1; I.5.2; I.5.4; I.2.6; I.4.7; G.3; J.3
url https://arxiv.org/abs/2604.23933