From Black-Box to Clinical Insight: A Multi-Stage Explainable Framework for Speech-Based Cognitive Impairment Detection

Speech-based cognitive impairment detection offers a noninvasive, accessible alternative to costly biomarker assays, yet transformer-based models remain clinically uninterpretable. We propose a multi-stage explainability framework that translates black-box transformer predictions into clinically grounded narratives by integrating SHapley Additive exPlanations (SHAP)-based token attribution, theory-informed linguistic features, and a four-stage LLM reasoning pipeline using LLaMA-3.1-70B-Instruct. Built on the SpeechCARE-Adaptive Gating Network multimodal screening model (F1 = 72.11% on the NIA PREPARE benchmark), the framework maps model outputs to four cognitive-linguistic dimensions, including lexical richness, syntactic complexity, and semantic coherence. Physician evaluation on 70 stratified English samples demonstrated strong alignment with patient-level cognitive profiles, and a System Usability Scale score of 82/100 indicated high potential for clinical workflow integration.

Matina: A Large-Scale 73B Token Persian Text Corpus

Text corpora are essential for training models used in tasks like summarization, translation, and large language models (LLMs). While various efforts have been made to collect monolingual and multilingual datasets in many languages, Persian has often been underrepresented due to limited resources for data collection and preprocessing. Existing Persian datasets are typically small and lack content diversity, consisting mainly of weblogs and news articles. This shortage of high-quality, varied data has slowed the development of NLP models and open-source LLMs for Persian. Since model performance depends heavily on the quality of training data, we address this gap by introducing the Matina corpus, a new Persian dataset of 72.9B tokens, carefully preprocessed and deduplicated to ensure high data quality. We further assess its effectiveness by training and evaluating transformer-based models on key NLP tasks. Both the dataset and preprocessing codes are publicly available, enabling researchers to build on and improve this resource for future Persian NLP advancements.