Digital phenotyping of Parkinson’s disease via natural language processing.

Publication date: Jun 23, 2025

Frontostriatal degeneration in Parkinson’s disease (PD) is associated with language deficits, which can be identified using natural language processing, a remarkable tool for digital-phenotyping. Current evidence is mostly blind to the disorder’s cognitive phenotypes. We validated an AI-driven approach to capture digital language markers of PD with and without mild cognitive impairment (PD-MCI, PD-nMCI) relative to healthy controls (HCs). Analyzing the connected speech of participants, we extracted linguistic features with CLAN software. Classification was performed using SVM and RFE. Discrimination between PD and HCs reached an AUC of 77%, with even better results for subgroup analyses (AUC: 85% PD-nMCI vs. HCs; 83% PD-MCI vs. HCs; 75% PD-nMCI vs. PD-MCI). Key linguistic features included retracing, action verb, utterance error, and verbless-utterance ratios. Despite the small sample size, which may limit statistical power and generalizability, this study highlights the foundational potential of linguistic digital markers for early diagnosis and phenotyping of PD.

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Concepts Keywords
Foundational Auc
Linguistic Cognitive
Parkinsons Digital
Software Frontostriatal
Verbless Hcs
Linguistic
Markers
Mci
Natural
Nmci
Parkinson
Pd
Phenotyping
Processing
Utterance

Semantics

Type Source Name
disease MESH Parkinson’s disease
disease MESH mild cognitive impairment
drug DRUGBANK Tropicamide
disease MESH neurological disorder
drug DRUGBANK Dopamine
disease MESH dysarthria
drug DRUGBANK Fenamole
disease MESH atrophy
drug DRUGBANK Aspartame
drug DRUGBANK Flunarizine
disease MESH dementia

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