Sunghye Cho and Mark Liberman are authors on a new paper: Sunghye Cho, Christopher Olm, Sharon Ash, Sanjana Shellikeri, Galit Agmon, Katheryn A. Q. Cousins, David J. Irwin, Murray Grossman, Mark Liberman, and Naomi Nevler. (2024). Automatic classification of AD pathology in FTD phenotypes using natural speech. Alzheimer's & Dementia: The Journal of the Alzheimer's Association.
Abstract:
INTRODUCTION: Screening for Alzheimer's disease neuropathologic change (ADNC) in individuals with atypical presentations is challenging but essential for clinical management. We trained automatic speech-based classifiers to distinguish frontotemporal dementia (FTD) patients with ADNC from those with frontotemporal lobar degeneration (FTLD).
METHODS: We trained automatic classifiers with 99 speech features from 1 minute speech samples of 179 participants (ADNC = 36, FTLD = 60, healthy controls [HC] = 89). Patients’ pathology was assigned based on autopsy or cerebrospinal fluid analytes. Structural network-based magnetic resonance imaging analyses identified anatomical correlates of distinct speech features.
RESULTS: Our classifier showed 0.88 area under the curve (AUC) for ADNC versus FTLD and 0.93 AUC for patients versus HC. Noun frequency and pause rate correlated with gray matter volume loss in the limbic and salience networks, respectively.
DISCUSSION: Brief naturalistic speech samples can be used for screening FTD patients for underlying ADNC in vivo. This work supports the future development of digital assessment tools for FTD.