SPaN-AD

The Speech, Physiology, and Neurobiology of Aging and Dementia (SPaN-AD) Lab pioneers new frontiers in early detection and individualized monitoring of neurodegenerative diseases through the lens of speech as a dynamic biosignature of brain health. Our research rigorously explores alterations in speech motor control and connects these changes to both normal and pathological aging, while revealing how cognitive and sensorimotor networks dynamically shape the production of speech. By establishing speech as a sensitive, practical, and non-invasive biomarker, our goal is to transform diagnosis and disease tracking for Alzheimer’s disease, vascular dementia, Lewy body disease, Parkinson’s disease, and ALS. 

Our multidisciplinary, multimodal framework combines advanced electrophysiological, biomechanical, and neuroimaging methodologies including high-density EEG, EMG, kinematic tracking, structural and functional MRI, cerebral blood flow mapping, and integrated EEG-fMRI to pinpoint the neural circuit disruptions underlying disease-specific speech changes. We further unify these brain-based insights with biological and systemic risk assessments such as plasma and CSF biomarkers, genomics, vascular and metabolic profiling. Harnessing state-of-the-art artificial intelligence and natural language processing, we develop automated algorithms that extract nuanced acoustic, kinematic, and linguistic features capturing imperceptible, presymptomatic deviations in speech with high accuracy, both in the laboratory and through scalable, remote digital platforms. This integration enables continuous, ecologically valid, and equitable disease monitoring, extending diagnostic reach and impact beyond traditional clinical settings. 

Anchored by a deep commitment to precision medicine, the SPaN-AD Lab is uniquely positioned to delineate the earliest detectable risk signals, map individual variability in vulnerability and resilience, and accelerate the development of patient-centered, non-invasive diagnostics. Our ultimate vision is to democratize access to clinically-meaningful biomarkers, enabling timely, personalized risk stratification and intervention—well before overt clinical symptoms emerge, and regardless of geographic or resource barriers.

Early Biomarkers of Alzheimer's Disease

A longitudinal study determining the diagnostic accuracy of speech measures in early identification of adults at risk of developing AD.

Our Research

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Current Team Members

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Assistant Professor, Department of Communication Sciences and Disorders Research Faculty, Department of Radiology, Harvard Medical School Director of Speech Physiology and Neurobiology of Aging and Dementia (SPan-AD) Lab

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Research Lab Operations Manager Speech and Feeding Disorders Lab, SPAN-AD Lab

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Data Coordinator Speech and Social Interaction Lab, SPaN-AD Lab

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Research Assistant/Graduate Student Clinician SPaN-AD Lab

 Annie Marchese

Research Assistant/Graduate Student Clinician SPaN-AD Lab

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Research Assistant SPaN-AD Lab

 Kathryn Newkirk

Research Assistant SPaN-AD Lab