Through the Speech and Vocal Signals Hidden Secrets: An Explainable Methodology for Neurological Diseases Early
Patrizia Vizza1, Alessio Di Ponio2, Giuseppe Timpano1
1Department of Surgical and Medical Science, Magna Graecia University, Catanzaro, 88100 Italy.
Journal of Healthcare Informatics Research
|November 13, 2025
Summary
Voice analysis offers a non-invasive method for early neurodegenerative disease detection. Machine learning models accurately distinguish between healthy and pathological voices, paving the way for improved diagnostics.
Area of Science:
- Computational Neuroscience
- Biomedical Engineering
- Speech Pathology
Background:
- Neurodegenerative diseases cause progressive neurological damage, impacting function.
- Early diagnosis is crucial for effective treatment and improved patient quality of life.
- Current diagnostic methods for neurodegenerative diseases often lack non-invasive, scalable solutions.
Purpose of the Study:
- To develop and validate a non-invasive methodology for early neurodegenerative disease diagnosis using voice analysis.
- To identify reliable speech and vocal biomarkers for distinguishing between healthy and pathological voices.
- To assess the performance of machine learning algorithms in classifying voice signals.
Main Methods:
- Extraction of acoustic, articulation, and cepstral features from vowel and speech signals.
- Application of machine learning algorithms trained on a combined dataset of voice features.
- Validation of the methodology on a dataset comprising normophonic and pathological voice samples.
Main Results:
- The proposed methodology achieved high accuracy (97.5%) in distinguishing healthy from pathological voices.
- Excellent performance metrics were reported, including sensitivity (98.5%), precision (97.0%), F1-score (98.0%), MCC (0.95), and AUC (0.98).
- Explainability tasks confirmed the reliability of identified neurological biomarkers from speech and vocal features.
Conclusions:
- Voice analysis, combined with machine learning, presents a promising non-invasive tool for early neurodegenerative disease screening.
- The developed methodology demonstrates high reliability and accuracy for clinical applications.
- Further research and clinical validation can lead to approved, large-scale diagnostic tools for neurodegenerative conditions.


