Abstract / Summary
Parkinson disease (PD) affects speech production, motivating classification from repeated voice measurements. Record-wise evaluation can place recordings from the same participant in both training and test sets. We propose VoxNeuro, a novel subject-level framework combining Grassmann representations of repeated recordings with Euclidean mean-dispersion summaries through a provably positive-semidefinite kernel for support vector classification. Features undergo training-fold Gaussian rank normalization, and a supervised partial least squares subspace ensemble is activated when the feature count exceeds the number of training recordings. Two public cohorts were evaluated, UCI-489 (80 subjects) and PD-252 (252 subjects), each with three sustained-vowel recordings per subject. At the reference five-fold subject-disjoint partition, balanced accuracy was 87.5% and 81.6%, respectively, exceeding all five standard comparators under identical folds and normalization. PD-252 sensitivity was 89.9% and specificity was 73.4%. Across 20 additional subject partitions, PD-252 balanced accuracy averaged 78.4%, with a mean paired advantage of 3.2 percentage points over the highest-scoring standard comparator. VoxNeuro exceeded each standard comparator in at least 19 partitions for both balanced accuracy and macro-F1. Ablations favored rank normalization and the unaugmented supervised-subspace configuration on PD-252. VoxNeuro thus offers an effective and reproducible framework for subject-level analysis of repeated speech measurements in PD screening research.