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Listening Between the Lines: Joint Learning of ASR Embeddings and LLM-Augmented Linguistics for Dementia Detection

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abstract

Early detection of dementia through speech analysis offers a non-invasive screening alternative, but capturing both acoustic and linguistic biomarkers remains challenging. We propose a multimodal framework leveraging Whisper for dual-purpose extraction: acoustic representations from encoder outputs and transcripts via automatic speech recognition (ASR). For the acoustic pathway, temporal networks with attention pooling aggregate variable-length sequences into fixed-dimensional embeddings. For the linguistic pathway, we prompt a large language model (LLM) to extract interpretable features spanning lexical diversity, syntactic complexity, semantic coherence, and discourse patterns. A gated fusion network integrates both modalities. On ADReSS and ADReSSo, our method achieves F1-scores of 89.47% and 90.14%, demonstrating effective integration of acoustic and LLM-augmented linguistic features. Ablation shows that multimodal fusion consistently outperforms either modality alone.

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eess.AS 1

years

2026 1

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UNVERDICTED 1

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