Simple and robust audio-based detection of biomarkers for Alzheimer's disease

This paper demonstrates the feasibility of using a simple and robust automatic method based solely on acoustic features to identify Alzheimer’s disease (AD) with the objective of ultimately developing a low-cost home monitoring system for detecting early signs of AD. Different acoustic features, automatically extracted from speech recordings, are explored. Four different machine learning algorithms are used to calculate the classification accuracy between people with AD and a healthy control (HC) group. Feature selection and ranking is investigated resulting in increased accuracy and a decrease in the complexity of the method. Further improvements have been obtained by mitigating the effect of the background noise via pre-processing. Using DementiaBank data, we achieve a classification accuracy of 94.7% with sensitivity and specificity levels at 97% and 91% respectively. This is an improvement on previous published results whilst being solely audio-based and not requiring speech recognition for automatic transcription.

[1]  Paul Boersma,et al.  Praat: doing phonetics by computer , 2003 .

[2]  J. Berger The age of biomedicine: current trends in traditional subjects , 2011 .

[3]  Vanessa Taler,et al.  Language performance in Alzheimer's disease and mild cognitive impairment: A comparative review , 2008, Journal of clinical and experimental neuropsychology.

[4]  Max A. Little,et al.  Novel Speech Signal Processing Algorithms for High-Accuracy Classification of Parkinson's Disease , 2012, IEEE Transactions on Biomedical Engineering.

[5]  Gökhan Tür,et al.  Speech-based automated cognitive status assessment , 2010, INTERSPEECH.

[6]  Colleen Richey,et al.  Aided diagnosis of dementia type through computer-based analysis of spontaneous speech , 2014, CLPsych@ACL.

[7]  Romola S. Bucks,et al.  Analysis of spontaneous, conversational speech in dementia of Alzheimer type: Evaluation of an objective technique for analysing lexical performance , 2000 .

[8]  Pedro Gómez Vilda,et al.  Dimensionality Reduction of a Pathological Voice Quality Assessment System Based on Gaussian Mixture Models and Short-Term Cepstral Parameters , 2006, IEEE Transactions on Biomedical Engineering.

[9]  B. MacWhinney,et al.  Developmental differences in visual and auditory processing of complex sentences. , 2000, Child development.

[10]  Dolores E. López,et al.  Speech in Alzheimer's Disease: Can Temporal and Acoustic Parameters Discriminate Dementia? , 2014, Dementia and Geriatric Cognitive Disorders.

[11]  Renata Bryce,et al.  Alzheimer ’ s DiseAse internAtionAl World Alzheimer report 2011 the benefits of early diagnosis and intervention , 2011 .

[12]  Sylvester Olubolu Orimaye,et al.  Learning Predictive Linguistic Features for Alzheimer’s Disease and related Dementias using Verbal Utterances , 2014, CLPsych@ACL.

[13]  Blanka Klimova,et al.  Speech and language impairments in dementia , 2016 .

[14]  Marcos Faúndez-Zanuy,et al.  New Approaches for Alzheimer's Disease Diagnosis Based on Automatic Spontaneous Speech Analysis and Emotional Temperature , 2012, IWAAL.

[15]  Frank Rudzicz,et al.  Using linguistic features longitudinally to predict clinical scores for Alzheimer’s disease and related dementias , 2015, SLPAT@Interspeech.

[16]  Yogesan Kanagasingam,et al.  Innovative diagnostic tools for early detection of Alzheimer's disease , 2015, Alzheimer's & Dementia.

[17]  K. Santacruz,et al.  Early diagnosis of dementia. , 2001, American family physician.

[18]  R. Dennis Cook,et al.  Cross-Validation of Regression Models , 1984 .

[19]  V. Manera,et al.  Automatic speech analysis for the assessment of patients with predementia and Alzheimer's disease , 2015, Alzheimer's & dementia.

[20]  Jesús B. Alonso,et al.  Feature selection for spontaneous speech analysis to aid in Alzheimer's disease diagnosis: A fractal dimension approach , 2015, Comput. Speech Lang..

[21]  Brian Roark,et al.  Spoken Language Derived Measures for Detecting Mild Cognitive Impairment , 2011, IEEE Transactions on Audio, Speech, and Language Processing.

[22]  Kathleen C. Fraser,et al.  Linguistic Features Identify Alzheimer's Disease in Narrative Speech. , 2015, Journal of Alzheimer's disease : JAD.