@inproceedings{han-etal-2025-llm-based,
title = "An {LLM}-based Temporal-spatial Data Generation and Fusion Approach for Early Detection of Late Onset {A}lzheimer{'}s Disease ({LOAD}) Stagings Especially in {C}hinese and {E}nglish-speaking Populations",
author = "Han, Yang and
Lam, Jacqueline C.k. and
Li, Victor O.k. and
Cheung, Lawrence Y. L.",
editor = "Christodoulopoulos, Christos and
Chakraborty, Tanmoy and
Rose, Carolyn and
Peng, Violet",
booktitle = "Findings of the Association for Computational Linguistics: EMNLP 2025",
month = nov,
year = "2025",
address = "Suzhou, China",
publisher = "Association for Computational Linguistics",
url = "https://aclanthology.org/2025.findings-emnlp.809/",
pages = "14977--14990",
ISBN = "979-8-89176-335-7",
abstract = "Alzheimer{'}s Disease (AD), the 7th leading cause of death globally, demands scalable methods for early detection. While speech-based diagnostics offer promise, existing approaches struggle with temporal-spatial (T-S) challenges in capturing subtle linguistic shifts across different disease stages (temporal) and in adapting to cross-linguistic variability (spatial). This study introduces a novel Large Language Model (LLM)-driven T-S fusion framework that integrates multilingual LLMs, contrastive learning, and interpretable marker discovery to revolutionize Late Onset AD (LOAD) detection. Our key innovations include: (1) T-S Data Imputation: Leveraging LLMs to generate synthetic speech transcripts across different LOAD stages (NC, Normal Control; eMCI, early Mild Cognitive Impairment; lMCI, late Mild Cognitive Impairment; AD) and languages (Chinese, English, Spanish), addressing data scarcity while preserving clinical relevance (expert validation: 86{\%} agreement with LLM-generated labels). (2) T-S Transformer with Contrastive Learning: A multilingual model that disentangles stage-specific (temporal) and language-specific (spatial) patterns, achieving a notable improvement of 10.9{--}24.7{\%} in F1-score over existing baselines. (3) Cross-Linguistic Marker Discovery: Identifying language-agnostic markers and language-specific patterns to enhance interpretability for clinical adoption. By unifying temporal LOAD stages and spatial diversity, our framework achieves state-of-the-art performance in early LOAD detection while enabling cross-linguistic diagnostics. This study bridges NLP and clinical neuroscience, demonstrating LLMs' potential to amplify limited biomedical data and advance equitable healthcare AI."
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%0 Conference Proceedings
%T An LLM-based Temporal-spatial Data Generation and Fusion Approach for Early Detection of Late Onset Alzheimer’s Disease (LOAD) Stagings Especially in Chinese and English-speaking Populations
%A Han, Yang
%A Lam, Jacqueline C.k.
%A Li, Victor O.k.
%A Cheung, Lawrence Y. L.
%Y Christodoulopoulos, Christos
%Y Chakraborty, Tanmoy
%Y Rose, Carolyn
%Y Peng, Violet
%S Findings of the Association for Computational Linguistics: EMNLP 2025
%D 2025
%8 November
%I Association for Computational Linguistics
%C Suzhou, China
%@ 979-8-89176-335-7
%F han-etal-2025-llm-based
%X Alzheimer’s Disease (AD), the 7th leading cause of death globally, demands scalable methods for early detection. While speech-based diagnostics offer promise, existing approaches struggle with temporal-spatial (T-S) challenges in capturing subtle linguistic shifts across different disease stages (temporal) and in adapting to cross-linguistic variability (spatial). This study introduces a novel Large Language Model (LLM)-driven T-S fusion framework that integrates multilingual LLMs, contrastive learning, and interpretable marker discovery to revolutionize Late Onset AD (LOAD) detection. Our key innovations include: (1) T-S Data Imputation: Leveraging LLMs to generate synthetic speech transcripts across different LOAD stages (NC, Normal Control; eMCI, early Mild Cognitive Impairment; lMCI, late Mild Cognitive Impairment; AD) and languages (Chinese, English, Spanish), addressing data scarcity while preserving clinical relevance (expert validation: 86% agreement with LLM-generated labels). (2) T-S Transformer with Contrastive Learning: A multilingual model that disentangles stage-specific (temporal) and language-specific (spatial) patterns, achieving a notable improvement of 10.9–24.7% in F1-score over existing baselines. (3) Cross-Linguistic Marker Discovery: Identifying language-agnostic markers and language-specific patterns to enhance interpretability for clinical adoption. By unifying temporal LOAD stages and spatial diversity, our framework achieves state-of-the-art performance in early LOAD detection while enabling cross-linguistic diagnostics. This study bridges NLP and clinical neuroscience, demonstrating LLMs’ potential to amplify limited biomedical data and advance equitable healthcare AI.
%U https://aclanthology.org/2025.findings-emnlp.809/
%P 14977-14990
Markdown (Informal)
[An LLM-based Temporal-spatial Data Generation and Fusion Approach for Early Detection of Late Onset Alzheimer’s Disease (LOAD) Stagings Especially in Chinese and English-speaking Populations](https://aclanthology.org/2025.findings-emnlp.809/) (Han et al., Findings 2025)
ACL