CogPath · Cognitive pattern analysis

Longitudinal cognitive pattern analysis from natural speech.

CogPath extracts cognitive biomarkers from everyday conversation and tracks each person against their own baseline — surfacing subtle change weeks or months before periodic clinical assessment would.

Personal baselineRolling windowComposite Cognitive IndexTrend alerts

Core principle

Each person is their own control.

We don't compare people to population norms or age-matched cohorts. We establish a personal baseline from the first conversations, then measure every later interaction against it. A person who has always spoken simply isn't flagged — but if their speech simplifies further relative to their own history, that's a meaningful signal.

Intra-individual deviation

Grounded in research showing personal deviation from one's own patterns is a more sensitive marker of emerging pathology than cross-sectional comparison to external norms.

Personal baselineRolling windowComposite Cognitive IndexTrend alerts

What it measures

Cognitive biomarkers across three domains.

Every marker is validated in the peer-reviewed literature on speech and cognitive decline.

Linguistic markers

From the structure and content of speech

  • ->Lexical diversity — richness and variety of vocabulary
  • ->Syntactic complexity — structural complexity of sentences
  • ->Repetition patterns — perseverative, repeated phrasing
  • ->Idea density — meaningful information per unit of speech
  • ->Word-finding difficulty — vague terms, circumlocutions

Behavioral markers

From patterns of interaction

  • ->Speech rate — words per minute of active speaking time
  • ->Conversational initiative — turn-taking and participation

Discourse coherence

From semantic analysis

  • ->Thematic coherence — a logical thread across the conversation

How it works

Five steps, fully transparent to the person.

No tests, no altered behaviour, no extra interactions required.

01

Natural conversation

The person speaks with their companion as they normally would. Topics are theirs — no tests are administered.

02

Transcript processing

The person's speech is separated from the AI's, so the AI's behaviour never contaminates the cognitive signal.

03

Marker extraction

Linguistic and behavioural markers are computed — some deterministically, some through semantic evaluation.

04

Baseline comparison

Each marker is compared to the person's own baseline, producing a standardized deviation and a composite Cognitive Index.

05

Trend analysis

A rolling window evaluates the trajectory — a sustained downward trend, not a single bad call, triggers an alert.

Independent module

Connects to any voice source.

CogPath is one of the modules Amigo runs over its conversations — but it's independent. Point it at telemedicine calls, existing voice recordings, or any audio channel that produces speaker-separated transcripts.

01

Amigo conversations

Native integration with the Amigo companion platform.

02

Telemedicine

Augment remote visits by extracting biomarkers from the call.

03

Voice recordings

Batch-analyze archived or third-party audio sources.

Engineered for real conversation

Designed around the biases of AI-mediated speech.

Speaker separation, semantic-level analysis and trend-based alerting keep the signal robust to how AI conversation actually behaves.

AI verbosity bias

Temporal metrics use only the person's speaking time as the denominator; participation is based on turn counts, not word counts — independent of how much the AI says.

Transcription errors

Analysis works at the semantic level — the meaning and structure of speech — and is explicitly designed to tolerate speech-recognition noise.

Contextual variability

Mood and engagement are recorded alongside cognition, and alerts are based on sustained trends across many conversations.

Scientific foundation

Grounded in peer-reviewed research.

Speech-derived biomarkers are an established and rapidly maturing field.

0.81

AUC for identifying individuals below normative cognitive thresholds from speech (npj Digital Medicine, 2026).

0.873

F1-score discriminating cognitive impairment from healthy controls in conversational speech (CognoSpeak, 2025).

88%

Accuracy distinguishing early Alzheimer's from controls using linguistic features (Frontiers in Aging Neuroscience, 2024).

Positioning

A screening layer that complements clinical care.

CogPath adds continuous longitudinal resolution between visits — it does not diagnose.

Complementary, not competitive

A continuous early-warning layer between scheduled clinical evaluations — providing objective longitudinal data, timely referral triggers, and a higher-resolution record of cognitive trajectory.

Screening, not diagnosis

The system does not diagnose. It identifies people whose cognitive patterns have changed significantly relative to their own baseline, warranting clinical attention. Currently deployed as a V0 module at a marginal cost under $0.001 per conversation.

CogPath is a screening tool and is not intended for diagnostic use.

Bring continuous cognitive signal to your cohort.

We're seeking academic and pharma partners for prospective clinical validation, and care organisations ready to deploy.