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This research advances Parkinson's disease screening by integrating visual attribution with clinically grounded reasoning to interpret hand-drawn tremor patterns. The framework moves beyond black-box classification by extracting specific motor descriptors and translating them into coherent clinical rationales using language-based modules. Such explainable AI approaches are critical for building trust in medical diagnostics where linking model evidence to established symptomatology is essential.
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From Visual Attribution to Clinical Reasoning: Explainable Parkinson's Disease Screening from Hand-Drawn Patterns

arXiv2 min read

arXiv:2609.14441v1 Announce Type: cross Abstract: Parkinson's disease (PD) manifests early neuromotor impairments that become observable in controlled hand-drawn patterns such as spirals and meanders, where tremor-induced oscillations, stroke irregularity, and curvature instability reflect underlying motor degradation. In this work, we present an explainable framework for PD screening from offline hand-drawn patterns that integrates discriminative visual modeling with clinically grounded reasoning. The predictive model captures distributed structural distortions and fine-grained texture variations. It is evaluated under subject-disjoint protocols to ensure reliable generalization. To move beyond black-box classification, we introduce a multi-stage explainability pipeline that combines visual attribution with structured symptom abstraction. Salient regions are identified using attention- and gradient-based localization, followed by extraction of clinically meaningful motor descriptors quantifying contour roughness, curvature irregularity, stroke variability, and tremor-frequency energy. These descriptors are subsequently translated into coherent clinical rationales through a language-based reasoning module, linking model evidence to established PD symptomatology. By bridging visual attribution and clinical interpretation, the proposed framework advances interpretable document intelligence for neurological screening using hand-drawn patterns. Experimental results on publicly available Parkinson's disease handwriting datasets demonstrate competitive predictive performance and clinically consistent explanations.

Abstract:Parkinson's disease (PD) manifests early neuromotor impairments that become observable in controlled hand-drawn patterns such as spirals and meanders, where tremor-induced oscillations, stroke irregularity, and curvature instability reflect underlying motor degradation. In this work, we present an explainable framework for PD screening from offline hand-drawn patterns that integrates discriminative visual modeling with clinically grounded reasoning. The predictive model captures distributed structural distortions and fine-grained texture variations. It is evaluated under subject-disjoint protocols to ensure reliable generalization. To move beyond black-box classification, we introduce a multi-stage explainability pipeline that combines visual attribution with structured symptom abstraction. Salient regions are identified using attention- and gradient-based localization, followed by extraction of clinically meaningful motor descriptors quantifying contour roughness, curvature irregularity, stroke variability, and tremor-frequency energy. These descriptors are subsequently translated into coherent clinical rationales through a language-based reasoning module, linking model evidence to established PD symptomatology. By bridging visual attribution and clinical interpretation, the proposed framework advances interpretable document intelligence for neurological screening using hand-drawn patterns. Experimental results on publicly available Parkinson's disease handwriting datasets demonstrate competitive predictive performance and clinically consistent explanations.

Computer Vision and Pattern Recognition (cs.CV); Artificial Intelligence (cs.AI)

arXiv:2609.14441 [cs.CV]

(or arXiv:2609.14441v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2609.14441 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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Full text under the publisher's open licence · 280 words

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