arXiv Machine Learning

CogDrift-4D: Hierarchical Multimodal Modeling of Temporal Behavioral Decay for MCI Detection

CogDrift-4D introduces a hierarchical 4D Transformer framework for detecting mild cognitive impairment (MCI) by modeling temporal behavioral decay across seven unscripted multimodal interactions over 18 months. The approach represents continuous, multi‑session data as a dense 4D tensor and employs dual‑level modeling: intra‑session least‑squares regression to capture acute fading of facial and acoustic features, and an inter‑session recursive cross‑attention encoder to accumulate cumulative fatigue. A localized Quality Gate filters low‑integrity features, and early fusion integrates semantic and raw dynamics, achieving an MCI classification accuracy of 0.733 ± 0.13 and an F1‑score of 0.716 ± 0.14, surpassing advanced baselines.

arXiv Machine Learning
Sep 15

CCMAN: Cognitive Instability-Aware Cross-Modal Attention Network for Interpretable Temporal Biomarkers of Verbal Fluency Speech

arXiv:2609.14764v1 Announce Type: cross Abstract: Early detection of cognitive decline from speech offers a scalable and non-invasive alternative to conventional clinical assessment. Verbal fluency t...

By Madhurananda Pahar, Caitlin Illingworth, Dorota Braun, Daniel Blackburn, Heidi Christensen
arXiv Machine Learning
4d ago

Task-Centric Multimodal Learning for Cognitive Impairment Detection

The paper introduces a contactless, multimodal screening framework that uses video, audio, and text data collected during structured voice interactions with Amazon Alexa to detect mild cognitive impairment (MCI). It evaluates three conversational tasks—spontaneous speech, comprehension, and recall—to determine which provides the most informative signals, compares unimodal models, and assesses multimodal fusion. Results show that while individual modalities perform best on specific tasks, the multimodal model consistently achieves higher accuracy (up to 0.76) across tasks, indicating that integrated behavioral cues can reliably distinguish MCI from healthy aging.

By Sankalp Vaish, Rishank Singh, Sumukh Veeramalla, Caroline Summerour, John A. Batsis, Xiaohui Liang
arXiv AI
Aug 3

Technological Advances in Detecting and Managing Cognitive Impairment in Older Adults: Trends, Challenges, and Future Directions

arXiv:2607. 28687v1 Announce Type: cross Abstract: As populations age, cognitive decline from mild cognitive impairment (MCI) to dementia is a defining health challenge of the coming decades, yet routine assessment often misses its earliest signs.

By Mohammad Asif, Azizuddin Khan, Mohd Azam, Anurag Rajkumar Bombarde
arXiv Machine Learning
Sep 7

Brain4FMs: A Benchmark of Foundation Models for Electrical Brain Signal

Brain4FMs is a unified benchmark for evaluating brain foundation models (BFMs) on both scalp EEG and intracranial EEG (iEEG). It incorporates 17 representative models and 21 public datasets spanning clinical diagnosis, sleep staging, communication, and affective computing, and offers dataset-aware preprocessing, cross‑subject evaluation, and standardized downstream workflows. The benchmark highlights that no single BFM consistently outperforms others across all tasks, modalities, and adaptation protocols, prompting further exploratory analyses of model‑specific spatial, spectral, and discrete representations.

By Fanqi Shen, Enhong Yang, Jiahe Li, Junru Hong, Xiaoran Pan, Zhizhang Yuan, Meng Li, Yang Yang
arXiv AI
Sep 10

NOAH: Learning the Full Patient Journey. A Longitudinal Multimodal Time-Aware Model for Representation and Forecasting

NOAH is a generative transformer that learns the full multimodal patient journey by integrating bidirectional time and a variational latent space. Trained on over 559 million clinical events from 431,000 hospital visits, it processes medical images, time‑series, numeric signals, categorical events, and both structured and unstructured records. The model supports autoregressive forecasting, zero‑shot classification, and counterfactual intervention simulation, yielding strong performance on clinical outcomes, ICD chapters, comorbidities, and time‑to‑event prediction.

By Tobias Susetzky, Raphael Rehms, Dmitrii Seletkov, \"Ozg\"un Turgut, Michelle Espranita Liman, Lisa Steinhelfer, Rickmer Braren, Daniel Rueckert
Hugging Face Trending Papers
Sep 8

NOAH: Learning the Full Patient Journey. A Longitudinal Multimodal Time-Aware Model for Representation and Forecasting

NOAH is a generative transformer that models the entire multimodal patient journey by integrating bidirectional time and a variational latent space to capture continuous, stochastic clinical trajectories. Trained on over 559 million events from 431,000 hospital visits, it processes medical images, time‑series, numeric signals, categorical events, and both structured and unstructured records. The model supports autoregressive forecasting, zero‑shot classification, and counterfactual simulations, yielding strong predictive performance across 15 ICD chapters, 29 comorbidities, and time‑to‑event outcomes.

arXiv Machine Learning
Aug 31

Leveraging a Foundation Model for the EEG-Based Diagnosis of Alzheimer's Disease

The paper presents a diagnostic framework for Alzheimer’s disease that uses the Large Brain Model (LaBraM), a foundation model pretrained on over 2,500 hours of EEG data, to generate high‑dimensional latent embeddings. These embeddings are fed into a non‑linear Random Forest classifier, achieving an ROC‑AUC of 89.36% ± 3.49%, PR AUC of 81.45% ± 4.43%, and Balanced Accuracy of 82.44% ± 4.34% in a subject‑independent 5‑fold cross‑validation setting, using only 8‑second EEG segments. Post‑hoc occlusion and neurophysiological alignment analyses confirm that the model captures clinically validated biomarkers such as occipital‑frontal Alpha and Theta rhythm degradation and correlates with cognitive performance and clinical severity.

By Maggie Lin, Chung-Lin Hou, Tzyy-Ping Jung