# Reverse-Speech-Finder: A Neural Network Backtracking Architecture for Generating Alzheimer's Disease Speech Samples and Improving Diagnosis Performance

arXiv: https://arxiv.org/abs/2505.17477 · HTML: https://mlsanity.com/paper/2505.17477/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 9 of its 37 references that are in the map.
- First posted on arXiv 23 May 2025.

## Builds on (most cited first, 9 of 9)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Sentence-BERT: Sentence Embeddings using Siamese BERT-Networks](https://mlsanity.com/paper/1908.10084/) (2019)
- [A Unified Approach to Interpreting Model Predictions](https://mlsanity.com/paper/1705.07874/) (2017)
- [Robust Speech Recognition via Large-Scale Weak Supervision](https://mlsanity.com/paper/2212.04356/) (2022)
- [Axiomatic Attribution for Deep Networks](https://mlsanity.com/paper/1703.01365/) (2017)
- [Locating and Editing Factual Associations in GPT](https://mlsanity.com/paper/2202.05262/) (2022)
- [To BERT or Not To BERT: Comparing Speech and Language-based Approaches for Alzheimer's Disease Detection](https://mlsanity.com/paper/2008.01551/) (2020)
- [Alzheimers Dementia Detection using Acoustic & Linguistic features and Pre-Trained BERT](https://mlsanity.com/paper/2109.11010/) (2021)
- [Unravelling Causal Genetic Biomarkers of Alzheimer's Disease via Neuron to Gene-token Backtracking in Neural Architecture: A Groundbreaking Reverse-Gene-Finder Approach](https://mlsanity.com/paper/2502.03938/) (2025)

## Abstract (arXiv)

This study introduces Reverse-Speech-Finder (RSF), a groundbreaking neural network backtracking architecture designed to enhance Alzheimer's Disease (AD) diagnosis through speech analysis. Leveraging the power of pre-trained large language models, RSF identifies and utilizes the most probable AD-specific speech markers, addressing both the scarcity of real AD speech samples and the challenge of limited interpretability in existing models. RSF's unique approach consists of three core innovations: Firstly, it exploits the observation that speech markers most probable of predicting AD, defined as the most probable speech-markers (MPMs), must have the highest probability of activating those neurons (in the neural network) with the highest probability of predicting AD, defined as the most probable neurons (MPNs). Secondly, it utilizes a speech token representation at the input layer, allowing backtracking from MPNs to identify the most probable speech-tokens (MPTs) of AD. Lastly, it develops an innovative backtracking method to track backwards from the MPNs to the input layer, identifying the MPTs and the corresponding MPMs, and ingeniously uncovering novel speech markers for AD detection. Experimental results demonstrate RSF's superiority over traditional methods such as SHAP and Integrated Gradients, achieving a 3.5% improvement in accuracy and a 3.2% boost in F1-score. By generating speech data that encapsulates novel markers, RSF not only mitigates the limitations of real data scarcity but also significantly enhances the robustness and accuracy of AD diagnostic models. These findings underscore RSF's potential as a transformative tool in speech-based AD detection, offering new insights into AD-related linguistic deficits and paving the way for more effective non-invasive early intervention strategies.