Identification of Cognitive Decline from Spoken Language through Feature Selection and the Bag of Acoustic Words Model

TL;DR

This paper presents a machine learning approach using feature selection and acoustic word models to accurately identify cognitive decline from spoken language, achieving high classification accuracy with minimal features.

Contribution

It introduces a novel feature selection method for acoustic speech features and demonstrates its effectiveness in diagnosing dementia using the Pitt audio database.

Findings

75% classification accuracy with 25 features

Top-ranking results on the ADReSS 2020 dataset

Effective use of acoustic features alone for diagnosis

Abstract

Memory disorders are a central factor in the decline of functioning and daily activities in elderly individuals. The confirmation of the illness, initiation of medication to slow its progression, and the commencement of occupational therapy aimed at maintaining and rehabilitating cognitive abilities require a medical diagnosis. The early identification of symptoms of memory disorders, especially the decline in cognitive abilities, plays a significant role in ensuring the well-being of populations. Features related to speech production are known to connect with the speaker's cognitive ability and changes. The lack of standardized speech tests in clinical settings has led to a growing emphasis on developing automatic machine learning techniques for analyzing naturally spoken language. Non-lexical but acoustic properties of spoken language have proven useful when fast, cost-effective, and scalable solutions are needed for the rapid diagnosis of a disease. The work presents an approach related to feature selection, allowing for the automatic selection of the essential features required for diagnosis from the Geneva minimalistic acoustic parameter set and relative speech pauses, intended for automatic paralinguistic and clinical speech analysis. These features are refined into word histogram features, in which machine learning classifiers are trained to classify control subjects and dementia patients from the Dementia Bank's Pitt audio database. The results show that achieving a 75% average classification accuracy with only twenty-five features with the separate ADReSS 2020 competition test data and the Leave-One-Subject-Out cross-validation of the entire competition data is possible. The results rank at the top compared to international research, where the same dataset and only acoustic features have been used to diagnose patients.