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An interpretable and balanced machine learning framework for Parkinson's disease prediction using feature engineering

Nasim Mahmud Nayan1, Al Mamun Rana2, Md Monirul Islam3

  • 1Department of Computer Science and Engineering, University of Information Technology and Sciences (UITS), Dhaka, Bangladesh.

Plos One
|October 31, 2025
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Summary
This summary is machine-generated.

This study introduces an enhanced machine learning (ML) framework for predicting Parkinson's disease (PD). Combining data balancing, feature selection, and explainable AI, the framework offers a more accurate and interpretable diagnostic tool for early PD detection.

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Area of Science:

  • Neurology
  • Computer Science
  • Biomedical Engineering

Background:

  • Parkinson's disease (PD) is a progressive neurological disorder with diagnostic challenges.
  • Machine learning (ML) offers potential for precise and efficient PD prediction.
  • Early and accurate diagnosis of PD is crucial for patient management.

Purpose of the Study:

  • To develop an enhanced ML framework for improved PD prediction.
  • To integrate data balancing, feature selection, and explainable AI (XAI) techniques.
  • To enhance the fairness, performance, and interpretability of PD diagnostic models.

Main Methods:

  • Evaluation of nine ML algorithms on clinical and voice features.
  • Application of Synthetic Minority Oversampling Technique (SMOTE) and NearMiss for class imbalance.
  • Utilized Featurewiz, Tree based Feature Importance, and chi-square for feature selection.
  • Employed SHAP and LIME for XAI to interpret model decisions.

Main Results:

  • The KNN model with SMOTE achieved 92% accuracy, 0.94 F1-score, and 0.95 G-Mean, indicating balanced and reliable PD detection.
  • Some models showed higher accuracy (up to 97%) on imbalanced data but lacked sensitivity and balance.
  • Feature selection identified key voice biomarkers like Pitch Period Entropy (PPE) and Noise-to-Harmonic Ratio (NHR).

Conclusions:

  • Combining SMOTE, feature engineering, and XAI significantly improves ML model fairness, performance, and interpretability for PD prediction.
  • The proposed framework provides an accurate and interpretable ML-based diagnostic tool.
  • This research supports early PD diagnosis and enhances patient management strategies.