ASR-Agnostic Multimodal Spectrotemporal Modeling for Early Dementia Detection

Speech recruits the same executive, attentional, and working memory processes underlying instrumental activities of daily living, or IADLs, providing a non-invasive proxy for cognitive assessment. Yet most speech-based dementia detection systems depend on transcription, discard within-recording temporal structure, and are validated on a single English corpus with known recording artifacts. We propose an ASR-agnostic framework operating directly on Mel spectrograms. Our key contribution is extracting spectrotemporal displacement fields from consecutive spectrogram frames, capturing shifting spectral energy patterns as digital biomarkers of cognitive decline. These features are fused with C...

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