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Autores principales: Xiao, Yao, Christensen, Heidi, Goetze, Stefan
Formato: Preprint
Publicado: 2025
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Acceso en línea:https://arxiv.org/abs/2506.09315
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author Xiao, Yao
Christensen, Heidi
Goetze, Stefan
author_facet Xiao, Yao
Christensen, Heidi
Goetze, Stefan
contents Alzheimer's dementia (AD) is a neurodegenerative disorder with cognitive decline that commonly impacts language ability. This work extends the paired perplexity approach to detecting AD by using a recent large language model (LLM), the instruction-following version of Mistral-7B. We improve accuracy by an average of 3.33% over the best current paired perplexity method and by 6.35% over the top-ranked method from the ADReSS 2020 challenge benchmark. Our further analysis demonstrates that the proposed approach can effectively detect AD with a clear and interpretable decision boundary in contrast to other methods that suffer from opaque decision-making processes. Finally, by prompting the fine-tuned LLMs and comparing the model-generated responses to human responses, we illustrate that the LLMs have learned the special language patterns of AD speakers, which opens up possibilities for novel methods of model interpretation and data augmentation.
format Preprint
id arxiv_https___arxiv_org_abs_2506_09315
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Alzheimer's Dementia Detection Using Perplexity from Paired Large Language Models
Xiao, Yao
Christensen, Heidi
Goetze, Stefan
Computation and Language
Artificial Intelligence
Machine Learning
Alzheimer's dementia (AD) is a neurodegenerative disorder with cognitive decline that commonly impacts language ability. This work extends the paired perplexity approach to detecting AD by using a recent large language model (LLM), the instruction-following version of Mistral-7B. We improve accuracy by an average of 3.33% over the best current paired perplexity method and by 6.35% over the top-ranked method from the ADReSS 2020 challenge benchmark. Our further analysis demonstrates that the proposed approach can effectively detect AD with a clear and interpretable decision boundary in contrast to other methods that suffer from opaque decision-making processes. Finally, by prompting the fine-tuned LLMs and comparing the model-generated responses to human responses, we illustrate that the LLMs have learned the special language patterns of AD speakers, which opens up possibilities for novel methods of model interpretation and data augmentation.
title Alzheimer's Dementia Detection Using Perplexity from Paired Large Language Models
topic Computation and Language
Artificial Intelligence
Machine Learning
url https://arxiv.org/abs/2506.09315