Explainable and Generalisable LLM-based Cognitive Decline Detection with Spontaneous Speech

arXiv:2609.34217 · eess.AS, cs.CL · Submitted 2026-09-28 · Read on arXiv

eess.AS, cs.CL

Submitted: 2026-09-28

Updated: 2026-09-28

Code: https://github.com/cuiziyun/kimia-explainable-AD

Terminology

• Accuracy — 60× in this paper · explained in 1 episode
• AUROC — 30× in this paper · explained in 2 episodes
• Ablation — 8× in this paper · explained in 1 episode
• Fine-Tuning — 8× in this paper · explained in 5 episodes
• Transformer — 6× in this paper · explained in 2 episodes
• Interpretability — 5× in this paper · explained in 15 episodes
• Ablation study — 3× in this paper · explained in 1 episode
• Consistency — 3× in this paper · explained in 3 episodes
• Embeddings — 3× in this paper · explained in 2 episodes
• Hong Kong Brief Cognitive Test — 3× in this paper
• Lexical Diversity — 3× in this paper · explained in 2 episodes
• Adaptation — 2× in this paper · explained in 1 episode
• F1 Score — 2× in this paper · explained in 3 episodes
• PUTH-AD Personal Recall — 2× in this paper
• Self-Supervised Learning — 2× in this paper · explained in 8 episodes
• Self-Supervised Learning (SSL) — 2× in this paper · explained in 4 episodes
• Semantic Similarity — 2× in this paper · explained in 2 episodes
• Adam — 1× in this paper · explained in 2 episodes
• Aphasia — 1× in this paper · explained in 1 episode
• Attention Mechanism — 1× in this paper · explained in 3 episodes
• Chain-of-Thought (CoT) — 1× in this paper · explained in 4 episodes
• Cosine Similarity — 1× in this paper · explained in 3 episodes
• Data Augmentation — 1× in this paper · explained in 7 episodes
• Feature Extraction — 1× in this paper · explained in 2 episodes
• Few-Shot Learning — 1× in this paper · explained in 4 episodes
• Generative Model — 1× in this paper · explained in 2 episodes
• Generative Models — 1× in this paper · explained in 2 episodes
• In-Context Learning — 1× in this paper · explained in 4 episodes
• Large Language Models (LLMs) — 1× in this paper · explained in 6 episodes
• Latent Representation — 1× in this paper · explained in 2 episodes
• Latent Representations — 1× in this paper · explained in 3 episodes
• Pairwise Comparisons — 1× in this paper · explained in 2 episodes
• Parameter-Efficient Fine-Tuning — 1× in this paper · explained in 2 episodes
• Pragmatics — 1× in this paper · explained in 2 episodes
• Representation Learning — 1× in this paper · explained in 2 episodes
• alpha — 1× in this paper · explained in 1 episode

Sources

• Qwen2-Audio Technical Report
• Kimi-Audio Technical Report
• Reasoning-Based Approach with Chain-of-Thought for Alzheimer's Detection Using Speech and Large Language Models
• AudioPaLM: A Large Language Model That Can Speak and Listen
• A Survey on Speech Large Language Models for Understanding
• Qwen3 Technical Report

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