# ImageTalk: Designing a Multimodal AAC Text Generation System Driven by Image Recognition and Natural Language Generation

arXiv: https://arxiv.org/abs/2512.09610 · HTML: https://mlsanity.com/paper/2512.09610/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 3 of its 33 references that are in the map.
- First posted on arXiv 10 Dec 2025.

## Builds on (most cited first, 3 of 3)

- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [End-to-End Object Detection with Transformers](https://mlsanity.com/paper/2005.12872/) (2020)
- [Efficient Estimation of Word Representations in Vector Space](https://mlsanity.com/paper/1301.3781/) (2013)

## Abstract (arXiv)

People living with Motor Neuron Disease (plwMND) frequently encounter speech and motor impairments that necessitate a reliance on augmentative and alternative communication (AAC) systems. This paper tackles the main challenge that traditional symbol-based AAC systems offer a limited vocabulary, while text entry solutions tend to exhibit low communication rates. To help plwMND articulate their needs about the system efficiently and effectively, we iteratively design and develop a novel multimodal text generation system called ImageTalk through a tailored proxy-user-based and an end-user-based design phase. The system demonstrates pronounced keystroke savings of 95.6%, coupled with consistent performance and high user satisfaction. We distill three design guidelines for AI-assisted text generation systems design and outline four user requirement levels tailored for AAC purposes, guiding future research in this field.