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Paper · arXiv

Automatic estimation of verbal fluency index in people with Motor Neuron Disease using ASR alignment and pause modelling

Monitoring cognitive impairment (CI) in motor neuron disease (MND) is essential for timely treatment and care, yet challenging due to co-occurring speech difficulties. The Edinburgh Cognitive and Behavioural ALS Screen (ECAS) provides a robust metric for CI assessment, with the Verbal Fluency Index (VFI) a central element. Building on recent advances in automated speech analysis, this study proposes a system for estimating VFI. It leverages a unique MND dataset and combines ASR (WhisperX) and VAD (Silero) with refined timestamping to predict the VFI and extract several clinically interpretable measures. Our approach outperformed systems based on traditional acoustic features and self-supe...

AuthorsBahman Mirheidari, Leslie Ing, Daniel Blackburn et al.
Primary categorycs.CL
Published22 September 2026
Last updated at source22 September 2026
cs.CLcs.AIeess.AS
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