Harnessing the Power of Voice: A Deep Neural Network Model for Alzheimer’s Disease Detection
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Background and Purpose: Voice, reflecting cerebral functions, holds potential for analyzing and understanding brain function, especially in the context of cognitive impairment (CI) and Alzheimer’s disease (AD). This study used voice data to distinguish between normal cognition and CI or Alzheimer’s disease dementia (ADD). Methods: This study enrolled 3 groups of subjects: 1) 52 subjects with subjective cognitive decline; 2) 110 subjects with mild CI; and 3) 59 subjects with ADD. Voice features were extracted using Mel-frequency cepstral coefficients and Chroma. Results: A deep neural network (DNN) model showed promising performance, with an accuracy of roughly 81% in 10 trials in predicting ADD, which increased to an average value of about 82.0%±1.6% when evaluated against unseen test dataset. Conclusions: Although results did not demonstrate the level of accuracy necessary for a definitive clinical tool, they provided a compelling proof-of-concept for the potential use of voice data in cognitive status assessment. DNN algorithms using voice offer a promising approach to early detection of AD. They could improve the accuracy and accessibility of diagnosis, ultimately leading to better outcomes for patients.
Abstract
Background and Purpose: Voice, reflecting cerebral functions, holds potential for analyzing and understanding brain function, especially in the context of cognitive impairment (CI) and Alzheimer’s disease (AD). This study used voice data to distinguish between normal cognition and CI or Alzheimer’s disease dementia (ADD). Methods: This study enrolled 3 groups of subjects: 1) 52 subjects with subjective cognitive decline; 2) 110 subjects with mild CI; and 3) 59 subjects with ADD. Voice features were extracted using Mel-frequency cepstral coefficients and Chroma. Results: A deep neural network (DNN) model showed promising performance, with an accuracy of roughly 81% in 10 trials in predicting ADD, which increased to an average value of about 82.0%±1.6% when evaluated against unseen test dataset. Conclusions: Although results did not demonstrate the level of accuracy necessary for a definitive clinical tool, they provided a compelling proof-of-concept for the potential use of voice data in cognitive status assessment. DNN algorithms using voice offer a promising approach to early detection of AD. They could improve the accuracy and accessibility of diagnosis, ultimately leading to better outcomes for patients.
참고문헌 (26)
- Selkoe DJ, "Basic Neurochemistry: Molecular, Cellular and Medical Aspects" (1999), Lippincott-Raven
- World Health Organization, "Dementia. Key Facts. Vol 2023", World Health Organization, ~ (2023)
- Knopman DS, "Practice parameter : diagnosis of dementia(an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology", Neurology, 56, pp.1143~1153 (2001)
- Waldemar G, "Recommendations for the diagnosis and management of Alzheimer’s disease and other disorders associated with dementia : EFNS guideline", Eur J Neurol, 14, pp.e1~e26 (2007)
- König A, "Automatic speech analysis for the assessment of patients with predementia and Alzheimer’s disease", Alzheimers Dement(Amst), 1, pp.112~124 (2015)
- Themistocleous C, "Voice quality and speech fluency distinguish individuals with mild cognitive impairment from healthy controls", PLoS One, 15, pp.e0236009~ (2020)
- Garrard P, "The effects of very early Alzheimer’s disease on the characteristics of writing by a renowned author", Brain, 128, pp.250~260 (2005)
- Mahon E, "Voice biomarkers as indicators of cognitive changes in middle and later adulthood", Neurobiol Aging, 119, pp.22~35 (2022)
- Houde JF, "Sensorimotor adaptation of speech I : compensation and adaptation", J Speech Lang Hear Res, 45, pp.295~310 (2002)
- Purcell DW, "Compensation following real-time manipulation of formants in isolated vowels", J Acoust Soc Am, 119, pp.2288~2297 (2006)
- Houde JF, "Modulation of the auditory cortex during speech : an MEG study", J Cogn Neurosci, 14, pp.1125~1138 (2002)
- Braak H, "Neuropathological stageing of Alzheimer-related changes", Acta Neuropathol, 82, pp.239~259 (1991)
- Dubois B, "Research criteria for the diagnosis of Alzheimer’s disease : revising the NINCDS-ADRDA criteria", Lancet Neurol, 6, pp.734~746 (2007)
- First MB, "The DSM-IV Text Revision : rationale and potential impact on clinical practice", Psychiatr Serv, 53, pp.288~292 (2002)
- Jahng S, "Constructing a composite score for the Seoul Neuropsychological Screening Battery-Core", Dement Neurocogn Disord, 14, pp.137~142 (2015)
- Xue C, "Detection of dementia on voice recordings using deep learning : a Framingham Heart Study", Alzheimers Res Ther, 13, pp.146~ (2021)
- ELman JL, "Effects of frequency-shifted feedback on the pitch of vocal productions", J Acoust Soc Am, 70, pp.45~50 (1981)
- Jones JA, "Perceptual calibration of F0 production : evidence from feedback perturbation", J Acoust Soc Am, 108, pp.1246~1251 (2000)
- Houde JF, "Sensorimotor adaptation in speech production", Science, 279, pp.1213~1216 (1998)
- Pisotta I, "Cerebellar contribution to feedforward control of locomotion", Front Hum Neurosci, 8, pp.475~ (2014)
- Houde JF, "Speech production as state feedback control", Front Hum Neurosci, 5, pp.82~ (2011)
- Konig A, "Use of speech analyses within a mobile application for the assessment of cognitive impairment in elderly people", Curr Alzheimer Res, 15, pp.120~129 (2018)
- LeCun Y, "Deep learning", Nature, 521, pp.436~444 (2015)
- Davis S, "Comparison of parametric representations for monosyllabic word recognition in continuously spoken sentences", IEEE Trans Acoust Speech Signal Process, 28, pp.357~366 (1980)
- Tzanetakis G, "Musical genre classification of audio signals", IEEE Trans Speech Audio Process, 10, pp.293~302 (2002)
- Müller M, "Chroma toolbox: Matlab implementations for extracting variants of Chroma-based audio features", Proceedings of the International Society for Music Information Retrieval Conference (2011), International Society for Music Information Retrieval
