ResearchResearch paperSpeech & Audio · Multimodal Models · Large Language Models1 source · Oct 20, 2026

NarraSpace: Multimodal Scene-Grounded Evidence for Picture-Description Dementia Classification

Picture-description dementia classification uses a shared visual scene, but a transcript-level prediction alone does not identify the scene evidence underlying its inputs.

Key points

  • NarraSpace links words and speech times to named picture elements and retrieves utterances for predefined scene events.
  • Narrative-spatial descriptors summarize coverage and temporal organization.
  • A frozen language model contrasts each event's text under examples from Alzheimer's disease and healthy-control training participants, alongside transcript surprisal and coverage measurements.
  • On the official 48-participant test set of the Alzheimer's Dementia Recognition through Spontaneous Speech benchmark, a fixed support vector classifier achieves $80.88%\pm2.56%$ mean accuracy over fifty seeds; averaged probabilities yield $81.25%$ accuracy and $91.32%$ area under the receiver operating characteristic curve.

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