Envisioning the Future of Machine Learning in the Early Detection of Neurodevelopmental and Neurodegenerative Disorders via Speech and Language Biomarkers

Speech and language offer a rich, non-invasive window into brain health. Advances in machine learning (ML) have enabled increasingly accurate detection of neurodevelopmental and neurodegenerative disorders through these modalities. This paper envisions the future of ML in the early detection of neurodevelopmental disorders like autism spectrum disorder and attention-deficit/hyperactivity disorder, and neurodegenerative disorders, such as Parkinson’s disease and Alzheimer’s disease, through speech and language biomarkers. We explore the current landscape of ML techniques, including deep learning and multimodal approaches, and review their applications across various conditions, highlighting both successes and inherent limitations. Our core contribution lies in outlining future trends across several critical dimensions. These include the enhancement of data availability and quality, the evolution of models, the development of multilingual and cross-cultural models, the establishment of regulatory and clinical translation frameworks, and the creation of hybrid systems enabling human–artificial intelligence (AI) collaboration. Finally, we conclude with a vision for future directions, emphasizing the potential integration of ML-driven speech diagnostics into public health infrastructure, the development of patient-specific explainable AI, and its synergistic combination with genomics and brain imaging for holistic brain health assessment. Overcoming substantial hurdles in validation, generalization, and clinical adoption, the field is poised to shift toward ubiquitous, accessible, and highly personalized tools for early diagnosis.