# Dementia Insights: A Context-Based MultiModal Approach

arXiv: https://arxiv.org/abs/2503.01226 · HTML: https://mlsanity.com/paper/2503.01226/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 14 of its 45 references that are in the map.
- First posted on arXiv 3 Mar 2025.

## Builds on (most cited first, 14 of 14)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [BLIP-2: Bootstrapping Language-Image Pre-training with Frozen Image Encoders and Large Language Models](https://mlsanity.com/paper/2301.12597/) (2023)
- [wav2vec 2.0: A Framework for Self-Supervised Learning of Speech Representations](https://mlsanity.com/paper/2006.11477/) (2020)
- [BioBERT: a pre-trained biomedical language representation model for biomedical text mining](https://mlsanity.com/paper/1901.08746/) (2019)
- [CNN Architectures for Large-Scale Audio Classification](https://mlsanity.com/paper/1609.09430/) (2016)
- [To BERT or Not To BERT: Comparing Speech and Language-based Approaches for Alzheimer's Disease Detection](https://mlsanity.com/paper/2008.01551/) (2020)
- [Detecting Dementia from Speech and Transcripts using Transformers](https://mlsanity.com/paper/2110.14769/) (2021)
- [Evaluating Picture Description Speech for Dementia Detection using Image-text Alignment](https://mlsanity.com/paper/2308.07933/) (2023)
- [Performance Assessment of ChatGPT vs Bard in Detecting Alzheimer's Dementia](https://mlsanity.com/paper/2402.01751/) (2024)

## Abstract (arXiv)

Dementia, a progressive neurodegenerative disorder, affects memory, reasoning, and daily functioning, creating challenges for individuals and healthcare systems. Early detection is crucial for timely interventions that may slow disease progression. Large pre-trained models (LPMs) for text and audio, such as Generative Pre-trained Transformer (GPT), Bidirectional Encoder Representations from Transformers (BERT), and Contrastive Language-Audio Pretraining (CLAP), have shown promise in identifying cognitive impairments. However, existing studies generally rely heavily on expert-annotated datasets and unimodal approaches, limiting robustness and scalability. This study proposes a context-based multimodal method, integrating both text and audio data using the best-performing LPMs in each modality. By incorporating contextual embeddings, our method improves dementia detection performance. Additionally, motivated by the effectiveness of contextual embeddings, we further experimented with a context-based In-Context Learning (ICL) as a complementary technique. Results show that GPT-based embeddings, particularly when fused with CLAP audio features, achieve an F1-score of 83.33%, surpassing state-of-the-art dementia detection models. Furthermore, raw text data outperforms expert-annotated datasets, demonstrating that LPMs can extract meaningful linguistic and acoustic patterns without extensive manual labeling. These findings highlight the potential for scalable, non-invasive diagnostic tools that reduce reliance on costly annotations while maintaining high accuracy. By integrating multimodal learning with contextual embeddings, this work lays the foundation for future advancements in personalized dementia detection and cognitive health research.