Understanding Dementia Speech Alignment with Diffusion-Based Image Generation
Mansi, Anastasios Lepipas, Dominika Woszczyk, Yiying Guan, Soteris Demetriou

TL;DR
This paper investigates whether diffusion-based text-to-image models can align dementia-related speech with generated images, revealing potential for dementia detection and explainability in the generated visual content.
Contribution
It demonstrates that dementia detection is feasible from generated images alone and introduces methods to explain the linguistic contributions to this detection.
Findings
Dementia detection accuracy reaches 75% from generated images.
Explainability methods identify language parts contributing to detection.
Models can align pathological speech with generated images for diagnostic insights.
Abstract
Text-to-image models generate highly realistic images based on natural language descriptions and millions of users use them to create and share images online. While it is expected that such models can align input text and generated image in the same latent space little has been done to understand whether this alignment is possible between pathological speech and generated images. In this work, we examine the ability of such models to align dementia-related speech information with the generated images and develop methods to explain this alignment. Surprisingly, we found that dementia detection is possible from generated images alone achieving 75% accuracy on the ADReSS dataset. We then leverage explainability methods to show which parts of the language contribute to the detection.
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