Evidence map›Paper›PMID 41859874›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Identifying neuropathologic disease in primary progressive aphasia using narrative speech.

Daniel B Gutstein, Michael Iorga, Jane Stocks, Nathan Gill, Jennifer Sleeman, Tamar D Gefen, Michelle Los, Caroline Nelson, Changiz Geula, Sandra Weintraub and 3 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Neuropathology-specific language features in primary progressive aphasia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Daniel B GutsteinMesulam Institute for Cognitive Neurology and Alzheimer's Disease, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Michael IorgaDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Jane StocksMesulam Institute for Cognitive Neurology and Alzheimer's Disease, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Nathan GillMesulam Institute for Cognitive Neurology and Alzheimer's Disease, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Jennifer SleemanSchool of Professional Studies, Northwestern University, Chicago, Illinois, USA.
Tamar D GefenMesulam Institute for Cognitive Neurology and Alzheimer's Disease, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Michelle LosMesulam Institute for Cognitive Neurology and Alzheimer's Disease, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Caroline NelsonMesulam Institute for Cognitive Neurology and Alzheimer's Disease, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Changiz GeulaMesulam Institute for Cognitive Neurology and Alzheimer's Disease, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Sandra WeintraubMesulam Institute for Cognitive Neurology and Alzheimer's Disease, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Todd ParrishMesulam Institute for Cognitive Neurology and Alzheimer's Disease, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
M Marsel MesulamMesulam Institute for Cognitive Neurology and Alzheimer's Disease, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Elena BarbieriMesulam Institute for Cognitive Neurology and Alzheimer's Disease, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Funding

Neuropathology CoreP30AG013854 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ROGALSKI, EMILY J · 1996 to 2020
$28.9M
Research Education Core FP30AG072977 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SANDRA WEINTRAUB · 2021 to 2026
$26.3M
ASYMMETRIC NEURODEGENERATION AND LANGUAGE IN PRIMARY PROGRESSIVE APHASIAR01AG077444 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MAREK-MARSEL M MESULAM, EMILY J ROGALSKI · 2022 to 2026
$10.4M
Clinical, Neuroanatomic, and Pathologic Signatures of FTLD-tau in Dementia Phenotypes - Diversity Supplement (Antwan Howard)R01AG062566 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GEFEN, TAMAR D · 2020 to 2024
$2.1M
Karen Toffler Charitable TrustNIA NIH HHS P30 AG013854NIA NIH HHS P30 AG072977NIA NIH HHS R01 AG062566NIA NIH HHS R01 AG077444NIH HHS 5R01AG077444NIH HHS P30AG013854NIH HHS P30AG072977NIH HHS R01AG062566
6 · The paper itself

Abstract

introductionWe present an application of artificial intelligence to narrative speech with the primary objective of predicting neuropathologic disease underlying primary progressive aphasia (PPA).

methodsUsing natural language processing toolkits, features were extracted from transcribed narratives of the Cinderella story. Machine learning ensemble models classified participants as either normal controls (NC) or as individuals with PPA and a subsequent autopsy-confirmed neuropathologic diagnosis of either Alzheimer's disease (AD) or 4-repeat tauopathy under the umbrella of frontotemporal lobar degeneration (FTLD-4Rtau).

resultsAll models successfully distinguished transcribed narratives of AD from those with FTLD-4Rtau, as well as the narratives of NC from those with PPA. Feature permutation revealed diverging patterns of contribution to classification depending upon language domain and disease pathology. DISCUSSION: The usage of artificial intelligence in the context of naturalistic language tasks may ultimately serve as a complementary aid in differential diagnosis of PPA disease pathologies and in uncovering avenues for disease-specific interventions.

Indexed as

Alzheimer DiseaseAphasia, Primary ProgressiveFrontotemporal Lobar DegenerationNarrationSpeechAgedArtificial IntelligenceDiagnosis, DifferentialFemaleHumansMachine LearningMaleMiddle AgedNatural Language ProcessingAlzheimer's diseaseartificial intelligencefrontotemporal lobar degenerationnarrative speechneuropathologyprimary progressive aphasia

Identifiers

PMID41859874
PMCPMC13093276

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.