Yin-Long Liu

Yin-Long Liu, Rui Feng, Jia-Hong Yuan et al.

Compared to other clinical screening techniques, speech-and-language-based automated Alzheimer's disease (AD) detection methods are characterized by their non-invasiveness, cost-effectiveness, and convenience. Previous studies have demonstrated the efficacy of fine-tuning pre-trained language models (PLMs) for AD detection. However, the objective of this traditional fine-tuning method, which involves inputting only transcripts, is inconsistent with the masked language modeling (MLM) task used during the pre-training phase of PLMs. In this paper, we investigate prompt-based fine-tuning of PLMs, converting the classification task into a MLM task by inserting prompt templates into the transcript inputs. We also explore the impact of incorporating pause information from forced alignment into manual transcripts. Additionally, we compare the performance of various automatic speech recognition (ASR) models and select the Whisper model to generate ASR-based transcripts for comparison with manual transcripts. Furthermore, majority voting and ensemble techniques are applied across different PLMs (BERT and RoBERTa) using different random seeds. Ultimately, we obtain maximum detection accuracy of 95.8% (with mean 87.9%, std 3.3%) using manual transcripts, achieving state-of-the-art performance for AD detection using only transcripts on the ADReSS test set.

Liu He, Yuanchao Li, Rui Feng et al.

Gender bias has been widely observed in speech perception tasks, influenced by the fundamental voicing differences between genders. This study reveals a gender bias in the perception of Alzheimer's Disease (AD) speech. In a perception experiment involving 16 Chinese listeners evaluating both Chinese and Greek speech, we identified that male speech was more frequently identified as AD, with this bias being particularly pronounced in Chinese speech. Acoustic analysis showed that shimmer values in male speech were significantly associated with AD perception, while speech portion exhibited a significant negative correlation with AD identification. Although language did not have a significant impact on AD perception, our findings underscore the critical role of gender bias in AD speech perception. This work highlights the necessity of addressing gender bias when developing AD detection models and calls for further research to validate model performance across different linguistic contexts.