Parkinson's diagnosis stops leaning on one modality: voice, gait, imaging and clinical data share a dynamic graph, holding 95.8% zero-shot on an external European cohort
Parkinson's disease diagnosis still rests on symptoms and expert assessment, while multimodal clinical data are heterogeneous, labels are scarce, and deep models rarely report calibrated confidence. NeuroQ-MGST encodes voice, gait, neuroimaging and clinical variables with spiking neural networks, aligns them through self-supervised contrastive and masked reconstruction objectives, reasons over a dynamically rebuilt heterogeneous graph with a hierarchical graph transformer, and adds quantum-inspired variational refinement plus Monte Carlo dropout uncertainty. On the PMMD 2.0 test set it reaches 98.7% accuracy and 0.989 AUC-ROC, and 95.8% zero-shot accuracy on an external European cohort without fine-tuning.