Speech analysis could provide an indicator of Alzheimer's disease and help develop clinical tools for automatically detecting and monitoring disease progression. While previous studies have employed acoustic (speech) features for characterisation of Alzheimer's dementia, these studies focused on a few common prosodic features, often in combination with lexical and syntactic features which require transcription. We present a detailed study of the predictive value of purely acoustic features automatically extracted from spontaneous speech for Alzheimer's dementia detection, from a computational paralinguistics perspective. The effectiveness of several state-of-the-art paralinguistic feature sets for Alzheimer's detection were assessed on a balanced sample of DementiaBank's Pitt spontaneous speech dataset, with patients matched by gender and age. The feature sets assessed were the extended Geneva minimalistic acoustic parameter set (eGeMAPS), the emobase feature set, the ComParE 2013 feature set, and new Multi-Resolution Cochleagram (MRCG) features. Furthermore, we introduce a new active data representation (ADR) method for feature extraction in Alzheimer's dementia recognition. Results show that classification models based solely on acoustic speech features extracted through our ADR method can achieve accuracy levels comparable to those achieved by models that employ higher-level language features. Analysis of the results suggests that all feature sets contribute information not captured by other feature sets. We show that while the eGeMAPs feature set provides slightly better accuracy than other feature sets individually (71.34%), “hard fusion” of feature sets improves accuracy to 78.70%.

Editorial: Alzheimer's Dementia Recognition through Spontaneous Speech

The development of multidisciplinary team meetings (MDTMs) for radiology and pathology is a burgeoning area that increasingly impacts on work processes in both of these departments. The aim of this study was to examine work processes and quantify the time demands on radiologists and pathologists associated with MDTM practices at a large teaching hospital. The observations reported in this paper reflect a general trend affecting hospitals and our conclusions will have relevance for others implementing clinical practice guidelines.

Background:Advances in machine learning (ML) technology have opened new avenues for detection and monitoring of cognitive decline. In this study, a multimodal approach to Alzheimer's dementia detection based on the patient's spontaneous speech is presented. This approach was tested on a standard, publicly available Alzheimer's speech dataset for comparability. The data comprise voice samples from 156 participants (1:1 ratio of Alzheimer's to control), matched by age and gender.Materials and Methods:A recently developed Active Data Representation (ADR) technique for voice processing was employed as a framework for fusion of acoustic and textual features at sentence and word level. Temporal aspects of textual features were investigated in conjunction with acoustic features in order to shed light on the temporal interplay between paralinguistic (acoustic) and linguistic (textual) aspects of Alzheimer's speech. Combinations between several configurations of ADR features and more traditional bag-of-n-grams approaches were used in an ensemble of classifiers built and evaluated on a standardised dataset containing recorded speech of scene descriptions and textual transcripts.Results:Employing only semantic bag-of-n-grams features, an accuracy of 89.58% was achieved in distinguishing between Alzheimer's patients and healthy controls. Adding temporal and structural information by combining bag-of-n-grams features with ADR audio/textual features, the accuracy could be improved to 91.67% on the test set. An accuracy of 93.75% was achieved through late fusion of the three best feature configurations, which corresponds to a 4.7% improvement over the best result reported in the literature for this dataset.Conclusion:The proposed combination of ADR audio and textual features is capable of successfully modelling temporal aspects of the data. The machine learning approach toward dementia detection achieves best performance when ADR features are combined with strong semantic bag-of-n-grams features. This combination leads to state-of-the-art performance on the AD classification task.