arXiv Machine Learning

Acoustic Biomarkers for Alzheimer's Disease Detection from Spontaneous Speech

The study explores acoustic biomarkers derived from spontaneous speech to differentiate Alzheimer's disease patients from healthy controls. Using a structured picture‑description task, low‑level prosodic, spectral, and temporal features were extracted and fed into various machine learning classifiers. The best models achieved clinically meaningful separation between diagnostic groups, indicating that non‑invasive audio screening could aid early detection of dementia.

arXiv Machine Learning
Oct 3

Beyond Decodability: Do Acoustic Factors Drive Predictions in Speech-Based Alzheimer's Assessment?

The study investigates whether acoustic factors encoded in pretrained self‑supervised learning (SSL) models can systematically influence predictions in speech‑based Alzheimer's disease (AD) assessment. Using the ADReSSo dataset and three large SSL backbones, the authors applied controlled noise and reverberation interventions to various audio segments and combined layer‑wise decoding, input‑ and representation‑space interventions, and geometric alignment analysis. The results demonstrate that such acoustic interventions alter AD predictions across all models, with noise producing the strongest effect, and that these effects are structured relative to the classifier’s decision direction and reproducible on a held‑out test set.

By Serli Kopar, Alkis Koudounas, Roshan P. Rane, Sam Gijsen, Paula A. Perez-Toro, Kerstin Ritter
arXiv AI
Sep 2

Cleaner Speech, Weaker Generalization: Revisiting Pitt-Derived Benchmarks for Alzheimer's Disease Detection

The study examines how speech preprocessing—such as enhancement, sample selection, and demographic balancing—affects Alzheimer’s disease detection models that use the Pitt Corpus. Experiments reveal that while speech‑enhanced datasets boost in‑domain accuracy, they diminish cross‑dataset robustness and introduce class imbalance and prediction shifts, even when training and testing enhancements are matched. Large audio‑language models show similar sensitivity, indicating that cleaner speech does not guarantee better real‑world performance.

By Luqi Sun, Shreeram Suresh Chandra, Lin Zhang, You-Jin Li, Brian MacWhinney, Yu Tsao, Emily Mower Provost, Berrak Sisman
arXiv Computation and Language
Sep 28

Why Alzheimer's Speech Screening Fails to Generalize: Bridging the Deployment Gap via Cross-Corpus Evidence Anchoring

The paper examines why speech‑based screening for Alzheimer’s disease fails to generalize across different languages, tasks, and recording protocols. Using a leave‑one‑corpus‑out evaluation on four datasets, it finds that 59 of 70 interpretable speech features show conflicting patterns between healthy controls and cognitive risk groups, with pause, silence, and speech rate being highly protocol‑sensitive. The authors propose a fusion method that combines XLM‑R text baseline scores with evidence anchors, improving mean speaker AUC to 0.785 and worst‑case AUC to 0.615, and emphasize the importance of auditing feature transferability and reporting worst‑case domain robustness.

By Zijian Lu, Sizhe Liu, Yin Zhang, Jixuan Deng, Xinrong Lin, Xinchen Yuan, Chicheng Jin, Yiping Zuo, Yuanchao Li
arXiv Machine Learning
Jul 28

Disentangling Acoustic Cues in Alzheimer's Pathology and Perception: The Roles of Language and Gender

arXiv:2607. 23977v1 Announce Type: cross Abstract: Acoustic biomarkers show promise for detecting Alzheimer's Disease (AD), yet whether the cues driving diagnostic AI align with those salient to human listeners is underexplored across languages and genders, where pathological markers and perceptual strategies differ.

By Liu He, Yuanchao Li, Yin-Long Liu, Rui Feng, Yiming Wang, Jiaxin Chen, Yizhe Wang, Jiahong Yuan
arXiv Computation and Language
Sep 11

LLM-Anchored Paralinguistic Enrichment for Alzheimer's Disease Detection

The paper introduces LLM-Anchored Paralinguistic Enrichment (LAPE), a method that enhances language model representations with speech-based paralinguistic cues such as pauses and word elongations. LAPE incorporates three innovations: prosodic event textualization, lexico-prosodic unitization and chunking, and text-anchored paralinguistic fusion using NormGate. Evaluations on the ADReSS and ADReSSo datasets show that LAPE achieves state‑of‑the‑art performance in detecting Alzheimer’s disease from speech.

By Xiao Wei, Yuqin Lin, Yaru Cao, Jinyu Li, Bin Wen, Kai Li, Yueying Chen, Longbiao Wang, Jianwu Dang
arXiv AI
Oct 21

Disentangling Depression from Cognitive Decline in Elderly Speech Using Concurrent Clinical Assessments

The study presents a Korean elderly speech corpus of 89 MCI speakers collected over three years, accompanied by concurrent depression (SGDS) and cognitive (MMSE) assessments. Analysis using linear mixed-effects models and partial correlations revealed that only formant features are associated with depression after controlling for cognitive function, while F0 features show no signal. A subset of formant features (F1+F2) achieved a UAR of 0.760 with just 12 features, outperforming both the full eGeMAPS baseline and self-supervised representations.

By Woori Jeon, Seunghee Ha, Sang-Kyu Lee, Ji Hye Yoon, Tae-Jin Yoon, Seung Jin Lee, Woojae Han, Jungmin So