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LLM-Anchored Paralinguistic Enrichment for Alzheimer's Disease Detection

arxiv.org/abs/2609.10896

quality89

Updated 3 h ago · first seen 11 Sept 2026

paper_01M294G4D52JBBQ8CPXJKDZY74

Published
11 Sept 2026
T1 · 3 h ago
arXiv
2609.10896
T1 · 3 h ago
Category
cs.CL
T1 · 3 h ago

Abstract

Speech-based automatic detection of Alzheimer's disease (AD) provides a non-invasive and scalable approach to early cognitive screening. AD affects both lexical-semantic organization and speech production, including atypical pauses and word elongations. However, existing methods have yet to fully integrate these paralinguistic cues with linguistic content. We propose LLM-Anchored Paralinguistic Enrichment (LAPE), which enriches LLM-derived linguistic representations with paralinguistic cues through three coordinated innovations. The first is prosodic event textualization, which enables the LLM to model pauses and elongations jointly with lexical content by encoding them as explicit markers with bounded duration-aware repetition. The second is lexico-prosodic unitization and chunking, which preserves event identity and magnitude in both modalities by pooling only consecutive word units. The third is text-anchored paralinguistic fusion, which integrates local and utterance-level speech features by using NormGate to normalize and dynamically scale them relative to text. We evaluate LAPE on ADReSS and ADReSSo using participant-level cross-validation and leave-one-subject-out evaluation. LAPE achieves state-of-the-art performance across all four primary settings. Code will be released upon acceptance.

Authors 9

Xiao Wei, Yuqin Lin, Yaru Cao, Jinyu Li, Bin Wen, Kai Li, Yueying Chen, Longbiao Wang, Jianwu Dang

Specification

Official page

Source:arXiv (Atom API + RSS)T1observed 3 h agohigh

Arxiv announce type
new

Source:arXiv (Atom API + RSS)T1observed 3 h agohigh

arXiv id
2609.10896

Source:arXiv (Atom API + RSS)T1observed 3 h agohigh

Categories
cs.CL, cs.SD

Source:arXiv (Atom API + RSS)T1observed 3 h agohigh

PDF

Source:arXiv (Atom API + RSS)T1observed 3 h agohigh

Primary category
cs.CL

Source:arXiv (Atom API + RSS)T1observed 3 h agohigh

Published
11 Sept 2026

Source:arXiv (Atom API + RSS)T1observed 3 h agohigh

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Provenance

Attributed facts

9

Source tiers

T19

Freshest observation

3 h ago

Conflicts

None