Synthetic-to-real attentive deep learning for Alzheimer’s assessment: A domain-agnostic framework for ROCF scoring

Our work introduces four contributions: (1) a cost-effective pipeline for generating synthetic ROCF data, reducing dependency on clinical datasets; (2) a domain-agnostic model for automated ROCF scoring across diverse drawing styles; (3) a lightweight attention mechanism aligning model decisions with clinical scoring for transparency; and (4) a bias-aware framework using synthetic data to reduce demographic disparities, promoting fair cognitive assessment across populations.