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:2606. 18571v1 Announce Type: new Abstract: Mild Cognitive Impairment (MCI) is a medical condition characterized by a noticeable decline in memory, language, or thinking abilities.
By William Nguyen, Jiali Cheng, Hadi Amiri
The development of multilingual Alzheimer's Disease Dementia (AD) detection models presents significant challenges due to the resource-intensive and time-consuming nature of language-specific model training. We propose a novel solution using cross-language training to detect AD in languages beyond those used for model training.
arXiv:2606. 30646v1 Announce Type: cross Abstract: Speech recruits the same executive, attentional, and working memory processes underlying instrumental activities of daily living, or IADLs, providing a non-invasive proxy for cognitive assessment.
By Chukwuemeka Ugwu, Oluwafemi Richard Oyeleke
arXiv:2606. 26901v1 Announce Type: cross Abstract: Automatic Speech Recognition (ASR) is increasingly used to document clinical encounters, yet its reliability in multilingual and demographically diverse Indian healthcare context remains largely unknown.
By Subham Kumar, Prakrithi Shivaprakash, Abhishek Manoharan, Astut Kurariya, Diptadhi Mukherjee, Prabhat Chand, Pratima Murthy, Koustav Rudra, Lekhansh Shukla, Animesh Mukherjee
arXiv:2609.18533v1 Announce Type: new
Abstract: Automatic speech recognition (ASR) systems exhibit unequal error rates across speaker groups, motivating interventions on their internal representation...
By Nicolas Bourrel, Abderrahmane Issam, Gerasimos Spanakis