PointExplainer: Towards Transparent Parkinson's Disease Diagnosis

Abstract

Deep neural networks have shown potential in analyzing digitized hand-drawn signals for early diagnosis of Parkinson's disease. However, the lack of clear interpretability in existing diagnostic methods presents a challenge to clinical trust. In this paper, we propose PointExplainer, an explainable diagnostic strategy to identify hand-drawn regions that drive model diagnosis. Specifically, PointExplainer assigns discrete attribution values to hand-drawn segments, explicitly quantifying their relative contributions to the model's decision. Its key components include: (i) a diagnosis module, which encodes hand-drawn signals into 3D point clouds to represent hand-drawn trajectories, and (ii) an explanation module, which trains an interpretable surrogate model to approximate the local behavior of the black-box diagnostic model. We also introduce consistency measures to further address the issue of faithfulness in explanations. Extensive experiments on two benchmark datasets and a newly constructed dataset show that PointExplainer can provide intuitive explanations with no diagnostic performance degradation. The source code is available at https://github.com/chaoxuewang/PointExplainer.