Beyond Manual Transcripts: The Potential of Automated Speech Recognition Errors in Improving Alzheimer's Disease Detection

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Hauptverfasser: Liu, Yin-Long, Feng, Rui, Chen, Jia-Xin, Wang, Yi-Ming, Yuan, Jia-Hong, Ling, Zhen-Hua
Format: Preprint
Veröffentlicht: 2025
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author Liu, Yin-Long
Feng, Rui
Chen, Jia-Xin
Wang, Yi-Ming
Yuan, Jia-Hong
Ling, Zhen-Hua
author_facet Liu, Yin-Long
Feng, Rui
Chen, Jia-Xin
Wang, Yi-Ming
Yuan, Jia-Hong
Ling, Zhen-Hua
contents Recent breakthroughs in Automatic Speech Recognition (ASR) have enabled fully automated Alzheimer's Disease (AD) detection using ASR transcripts. Nonetheless, the impact of ASR errors on AD detection remains poorly understood. This paper fills the gap. We conduct a comprehensive study on AD detection using transcripts from various ASR models and their synthesized speech on the ADReSS dataset. Experimental results reveal that certain ASR transcripts (ASR-synthesized speech) outperform manual transcripts (manual-synthesized speech) in detection accuracy, suggesting that ASR errors may provide valuable cues for improving AD detection. Additionally, we propose a cross-attention-based interpretability model that not only identifies these cues but also achieves superior or comparable performance to the baseline. Furthermore, we utilize this model to unveil AD-related patterns within pre-trained embeddings. Our study offers novel insights into the potential of ASR models for AD detection.
format Preprint
id arxiv_https___arxiv_org_abs_2505_19448
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Beyond Manual Transcripts: The Potential of Automated Speech Recognition Errors in Improving Alzheimer's Disease Detection
Liu, Yin-Long
Feng, Rui
Chen, Jia-Xin
Wang, Yi-Ming
Yuan, Jia-Hong
Ling, Zhen-Hua
Audio and Speech Processing
Recent breakthroughs in Automatic Speech Recognition (ASR) have enabled fully automated Alzheimer's Disease (AD) detection using ASR transcripts. Nonetheless, the impact of ASR errors on AD detection remains poorly understood. This paper fills the gap. We conduct a comprehensive study on AD detection using transcripts from various ASR models and their synthesized speech on the ADReSS dataset. Experimental results reveal that certain ASR transcripts (ASR-synthesized speech) outperform manual transcripts (manual-synthesized speech) in detection accuracy, suggesting that ASR errors may provide valuable cues for improving AD detection. Additionally, we propose a cross-attention-based interpretability model that not only identifies these cues but also achieves superior or comparable performance to the baseline. Furthermore, we utilize this model to unveil AD-related patterns within pre-trained embeddings. Our study offers novel insights into the potential of ASR models for AD detection.
title Beyond Manual Transcripts: The Potential of Automated Speech Recognition Errors in Improving Alzheimer's Disease Detection
topic Audio and Speech Processing
url https://arxiv.org/abs/2505.19448