Diagnosis of Dysarthria Severity and Explanation Generation Using XAI-Enhanced CLINIC-GENIE on Diadochokinetic Tasks

Jihyeon Kim, Insung Lee, Myoung-Wan Koo


Abstract
Deep neural network classifiers for dysarthria impairment severity face limitations regarding interpretability and treatment guidance. To overcome these, we introduce CLINIC-GENIE, an explainable two-stage framework consisting of: (1) CLINIC, a dysarthria severity classification model combining acoustic and speech embeddings with Clinically Explainable Acoustic Features (CEAFs); and (2) GENIE, a module translating CEAFs and their Shapley values into intuitive natural language explanations via a large language model. CLINIC achieved a balanced accuracy of 0.952 (17.3% improvement over using CEAFs alone), and certified speech-language pathologists rated explanations from CLINIC-GENIE with an average fidelity score of 4.94, confirming enhanced clinical utility.
Anthology ID:
2026.findings-eacl.275
Volume:
Findings of the Association for Computational Linguistics: EACL 2026
Month:
March
Year:
2026
Address:
Rabat, Morocco
Editors:
Vera Demberg, Kentaro Inui, Lluís Marquez
Venue:
Findings
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Publisher:
Association for Computational Linguistics
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Pages:
5202–5222
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https://preview.aclanthology.org/ingest-eacl/2026.findings-eacl.275/
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Cite (ACL):
Jihyeon Kim, Insung Lee, and Myoung-Wan Koo. 2026. Diagnosis of Dysarthria Severity and Explanation Generation Using XAI-Enhanced CLINIC-GENIE on Diadochokinetic Tasks. In Findings of the Association for Computational Linguistics: EACL 2026, pages 5202–5222, Rabat, Morocco. Association for Computational Linguistics.
Cite (Informal):
Diagnosis of Dysarthria Severity and Explanation Generation Using XAI-Enhanced CLINIC-GENIE on Diadochokinetic Tasks (Kim et al., Findings 2026)
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