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:2607. 10168v1 Announce Type: cross Abstract: It is still hard to find Alzheimer's disease (AD) early, especially when neuroimaging is expensive or tools that depend on language are not available.
By Rashin Gholijani Farahani, Azam Bastanfard
Speech-based Alzheimer's disease (AD) detection increasingly relies on speech-enhanced and curated versions of the Pitt Corpus, where speech enhancement, sample selection, and demographic balancing ar...
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:2608. 07378v1 Announce Type: cross Abstract: Early diagnosis of Alzheimer's disease (AD) is critical for enabling timely interventions that may slow disease progression and improve patient outcomes.
By Xin Wang, Yingchao Huang, Yuhan Su, Shanshan Yao, Wei Peng
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:2502. 03484v3 Announce Type: replace-cross Abstract: Dementia encompasses a group of syndromes that impair cognitive functions such as memory, reasoning, and the ability to perform daily activities.
By Marko Niemel\"a, Mikaela von Bonsdorff, Sami \"Ayr\"am\"o, Tommi K\"arkk\"ainen
The study introduces an automated system for estimating the Verbal Fluency Index (VFI) in individuals with Motor Neuron Disease (MND) by combining ASR (WhisperX) and VAD (Silero) with precise timestamping. Using a unique MND dataset, the approach outperformed traditional acoustic and self‑supervised embedding methods, achieving high predictive accuracy (R² up to 0.9 for P‑words and 0.8 for S‑words). Clinically inspired features were consistently superior, demonstrating the feasibility of automated VFI estimation for monitoring cognitive impairment in MND.
By Bahman Mirheidari, Leslie Ing, Daniel Blackburn, Sharon Abrahams, Christopher McDermott, Heidi Christensen
arXiv:2606. 05678v1 Announce Type: cross Abstract: Automatic speech recognition (ASR) systems have become widely used for multilingual speech-to-text transcription.
By Yifan Liao, Zongmin Zhang, Zhen Sun, Yuhui Sun, Xinhu Zheng, Xinlei He
arXiv:2608. 15037v1 Announce Type: cross Abstract: Audio-Text Foundation Models (ATMs) fail catastrophically under severe acoustic noise, yet existing adaptation strategies either rely on gradient-based Test-Time Adaptation (TTA), which reinforces noise rather than signal, or on prompt tuning that requires privileged noise annotations unavailable at inference.
By Ashish Anand Shukla, Rini Smita Thakur, Aryan Das, Vinod K. Kurmi
arXiv:2606. 17339v1 Announce Type: new Abstract: Speech offers a uniquely informative window into health by simultaneously engaging neurological, motor, respiratory, and vocal systems.
By Sejal Bhalla, Larry Kieu, Aina Merchant, Eyal de Lara, Alex Mariakakis
arXiv:2606. 29031v1 Announce Type: cross Abstract: In regulated domains such as banking and healthcare, where privacy constraints make real speech costly to collect and retain, synthetic speech from modern text-to-speech (TTS) is an appealing alternative for training automatic speech recognition (ASR) without exposing sensitive customer recordings.
By Yanis Labrak, Dairazalia Sanchez-Cortes, Sergio Burdisso, S\'everin Baroudi, Shashi Kumar, Esa\'u Villatoro-Tello, Srikanth Madikeri, Manjunath K E, Old\v{r}ich Plchot, Kadri Hacio\u{g}lu, Petr Motlicek, Andreas Stolcke