arxivcs.CLcs.AI2026-06-26
From Black-Box to Clinical Insight: A Multi-Stage Explainable Framework for Speech-Based Cognitive Impairment Detection
Yasaman Haghbin, Sina Rashidi, Ali Zolnour, Fatemeh Taherinezhad, Ali Fartoot, Hossein Azadmaleki, et al.
Speech-based cognitive impairment detection offers a noninvasive, accessible alternative to costly biomarker assays, yet transformer-based models remain clinically uninterpretable. We propose a multi-stage explainability framework that translates black-box transformer predictions…