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Feb 10

The order in speech disorder: a scoping review of state of the art machine learning methods for clinical speech classification

Background:Speech patterns have emerged as potential diagnostic markers for conditions with varying etiologies. Machine learning (ML) presents an opportunity to harness these patterns for accurate disease diagnosis. Objective: This review synthesized findings from studies exploring ML's capability in leveraging speech for the diagnosis of neurological, laryngeal and mental disorders. Methods: A systematic examination of 564 articles was conducted with 91 articles included in the study, which encompassed a wide spectrum of conditions, ranging from voice pathologies to mental and neurological disorders. Methods for speech classifications were assessed based on the relevant studies and scored between 0-10 based on the reported diagnostic accuracy of their ML models. Results: High diagnostic accuracies were consistently observed for laryngeal disorders, dysarthria, and changes related to speech in Parkinsons disease. These findings indicate the robust potential of speech as a diagnostic tool. Disorders like depression, schizophrenia, mild cognitive impairment and Alzheimers dementia also demonstrated high accuracies, albeit with some variability across studies. Meanwhile, disorders like OCD and autism highlighted the need for more extensive research to ascertain the relationship between speech patterns and the respective conditions. Conclusion: ML models utilizing speech patterns demonstrate promising potential in diagnosing a range of mental, laryngeal, and neurological disorders. However, the efficacy varies across conditions, and further research is needed. The integration of these models into clinical practice could potentially revolutionize the evaluation and diagnosis of a number of different medical conditions.

  • 4 authors
·
Mar 3, 2025

A Review of Automated Speech and Language Features for Assessment of Cognitive and Thought Disorders

It is widely accepted that information derived from analyzing speech (the acoustic signal) and language production (words and sentences) serves as a useful window into the health of an individual's cognitive ability. In fact, most neuropsychological testing batteries have a component related to speech and language where clinicians elicit speech from patients for subjective evaluation across a broad set of dimensions. With advances in speech signal processing and natural language processing, there has been recent interest in developing tools to detect more subtle changes in cognitive-linguistic function. This work relies on extracting a set of features from recorded and transcribed speech for objective assessments of speech and language, early diagnosis of neurological disease, and tracking of disease after diagnosis. With an emphasis on cognitive and thought disorders, in this paper we provide a review of existing speech and language features used in this domain, discuss their clinical application, and highlight their advantages and disadvantages. Broadly speaking, the review is split into two categories: language features based on natural language processing and speech features based on speech signal processing. Within each category, we consider features that aim to measure complementary dimensions of cognitive-linguistics, including language diversity, syntactic complexity, semantic coherence, and timing. We conclude the review with a proposal of new research directions to further advance the field.

  • 3 authors
·
Jun 3, 2019

Automated speech- and text-based classification of neuropsychiatric conditions in a multidiagnostic setting

Speech patterns have been identified as potential diagnostic markers for neuropsychiatric conditions. However, most studies only compare a single clinical group to healthy controls, whereas clinical practice often requires differentiating between multiple potential diagnoses (multiclass settings). To address this, we assembled a dataset of repeated recordings from 420 participants (67 with major depressive disorder, 106 with schizophrenia and 46 with autism, as well as matched controls), and tested the performance of a range of conventional machine learning models and advanced Transformer models on both binary and multiclass classification, based on voice and text features. While binary models performed comparably to previous research (F1 scores between 0.54-0.75 for autism spectrum disorder, ASD; 0.67-0.92 for major depressive disorder, MDD; and 0.71-0.83 for schizophrenia); when differentiating between multiple diagnostic groups performance decreased markedly (F1 scores between 0.35-0.44 for ASD, 0.57-0.75 for MDD, 0.15-0.66 for schizophrenia, and 0.38-0.52 macro F1). Combining voice and text-based models yielded increased performance, suggesting that they capture complementary diagnostic information. Our results indicate that models trained on binary classification may learn to rely on markers of generic differences between clinical and non-clinical populations, or markers of clinical features that overlap across conditions, rather than identifying markers specific to individual conditions. We provide recommendations for future research in the field, suggesting increased focus on developing larger transdiagnostic datasets that include more fine-grained clinical features, and that can support the development of models that better capture the complexity of neuropsychiatric conditions and naturalistic diagnostic assessment.

  • 11 authors
·
Jan 13, 2023

LibriVAD: A Scalable Open Dataset with Deep Learning Benchmarks for Voice Activity Detection

Robust Voice Activity Detection (VAD) remains a challenging task, especially under noisy, diverse, and unseen acoustic conditions. Beyond algorithmic development, a key limitation in advancing VAD research is the lack of large-scale, systematically controlled, and publicly available datasets. To address this, we introduce LibriVAD - a scalable open-source dataset derived from LibriSpeech and augmented with diverse real-world and synthetic noise sources. LibriVAD enables systematic control over speech-to-noise ratio, silence-to-speech ratio (SSR), and noise diversity, and is released in three sizes (15 GB, 150 GB, and 1.5 TB) with two variants (LibriVAD-NonConcat and LibriVAD-Concat) to support different experimental setups. We benchmark multiple feature-model combinations, including waveform, Mel-Frequency Cepstral Coefficients (MFCC), and Gammatone filter bank cepstral coefficients, and introduce the Vision Transformer (ViT) architecture for VAD. Our experiments show that ViT with MFCC features consistently outperforms established VAD models such as boosted deep neural network and convolutional long short-term memory deep neural network across seen, unseen, and out-of-distribution (OOD) conditions, including evaluation on the real-world VOiCES dataset. We further analyze the impact of dataset size and SSR on model generalization, experimentally showing that scaling up dataset size and balancing SSR noticeably and consistently enhance VAD performance under OOD conditions. All datasets, trained models, and code are publicly released to foster reproducibility and accelerate progress in VAD research.

  • 5 authors
·
Dec 19, 2025

BERSting at the Screams: A Benchmark for Distanced, Emotional and Shouted Speech Recognition

Some speech recognition tasks, such as automatic speech recognition (ASR), are approaching or have reached human performance in many reported metrics. Yet, they continue to struggle in complex, real-world, situations, such as with distanced speech. Previous challenges have released datasets to address the issue of distanced ASR, however, the focus remains primarily on distance, specifically relying on multi-microphone array systems. Here we present the B(asic) E(motion) R(andom phrase) S(hou)t(s) (BERSt) dataset. The dataset contains almost 4 hours of English speech from 98 actors with varying regional and non-native accents. The data was collected on smartphones in the actors homes and therefore includes at least 98 different acoustic environments. The data also includes 7 different emotion prompts and both shouted and spoken utterances. The smartphones were places in 19 different positions, including obstructions and being in a different room than the actor. This data is publicly available for use and can be used to evaluate a variety of speech recognition tasks, including: ASR, shout detection, and speech emotion recognition (SER). We provide initial benchmarks for ASR and SER tasks, and find that ASR degrades both with an increase in distance and shout level and shows varied performance depending on the intended emotion. Our results show that the BERSt dataset is challenging for both ASR and SER tasks and continued work is needed to improve the robustness of such systems for more accurate real-world use.

  • 9 authors
·
Apr 30, 2025

Unsupervised Pre-Training for Vietnamese Automatic Speech Recognition in the HYKIST Project

In today's interconnected globe, moving abroad is more and more prevalent, whether it's for employment, refugee resettlement, or other causes. Language difficulties between natives and immigrants present a common issue on a daily basis, especially in medical domain. This can make it difficult for patients and doctors to communicate during anamnesis or in the emergency room, which compromises patient care. The goal of the HYKIST Project is to develop a speech translation system to support patient-doctor communication with ASR and MT. ASR systems have recently displayed astounding performance on particular tasks for which enough quantities of training data are available, such as LibriSpeech. Building a good model is still difficult due to a variety of speaking styles, acoustic and recording settings, and a lack of in-domain training data. In this thesis, we describe our efforts to construct ASR systems for a conversational telephone speech recognition task in the medical domain for Vietnamese language to assist emergency room contact between doctors and patients across linguistic barriers. In order to enhance the system's performance, we investigate various training schedules and data combining strategies. We also examine how best to make use of the little data that is available. The use of publicly accessible models like XLSR-53 is compared to the use of customized pre-trained models, and both supervised and unsupervised approaches are utilized using wav2vec 2.0 as architecture.

  • 1 authors
·
Sep 26, 2023

CORAA: a large corpus of spontaneous and prepared speech manually validated for speech recognition in Brazilian Portuguese

Automatic Speech recognition (ASR) is a complex and challenging task. In recent years, there have been significant advances in the area. In particular, for the Brazilian Portuguese (BP) language, there were about 376 hours public available for ASR task until the second half of 2020. With the release of new datasets in early 2021, this number increased to 574 hours. The existing resources, however, are composed of audios containing only read and prepared speech. There is a lack of datasets including spontaneous speech, which are essential in different ASR applications. This paper presents CORAA (Corpus of Annotated Audios) v1. with 290.77 hours, a publicly available dataset for ASR in BP containing validated pairs (audio-transcription). CORAA also contains European Portuguese audios (4.69 hours). We also present a public ASR model based on Wav2Vec 2.0 XLSR-53 and fine-tuned over CORAA. Our model achieved a Word Error Rate of 24.18% on CORAA test set and 20.08% on Common Voice test set. When measuring the Character Error Rate, we obtained 11.02% and 6.34% for CORAA and Common Voice, respectively. CORAA corpora were assembled to both improve ASR models in BP with phenomena from spontaneous speech and motivate young researchers to start their studies on ASR for Portuguese. All the corpora are publicly available at https://github.com/nilc-nlp/CORAA under the CC BY-NC-ND 4.0 license.

  • 11 authors
·
Oct 14, 2021

Dealing with training and test segmentation mismatch: FBK@IWSLT2021

This paper describes FBK's system submission to the IWSLT 2021 Offline Speech Translation task. We participated with a direct model, which is a Transformer-based architecture trained to translate English speech audio data into German texts. The training pipeline is characterized by knowledge distillation and a two-step fine-tuning procedure. Both knowledge distillation and the first fine-tuning step are carried out on manually segmented real and synthetic data, the latter being generated with an MT system trained on the available corpora. Differently, the second fine-tuning step is carried out on a random segmentation of the MuST-C v2 En-De dataset. Its main goal is to reduce the performance drops occurring when a speech translation model trained on manually segmented data (i.e. an ideal, sentence-like segmentation) is evaluated on automatically segmented audio (i.e. actual, more realistic testing conditions). For the same purpose, a custom hybrid segmentation procedure that accounts for both audio content (pauses) and for the length of the produced segments is applied to the test data before passing them to the system. At inference time, we compared this procedure with a baseline segmentation method based on Voice Activity Detection (VAD). Our results indicate the effectiveness of the proposed hybrid approach, shown by a reduction of the gap with manual segmentation from 8.3 to 1.4 BLEU points.

  • 4 authors
·
Jun 23, 2021

The Edinburgh International Accents of English Corpus: Towards the Democratization of English ASR

English is the most widely spoken language in the world, used daily by millions of people as a first or second language in many different contexts. As a result, there are many varieties of English. Although the great many advances in English automatic speech recognition (ASR) over the past decades, results are usually reported based on test datasets which fail to represent the diversity of English as spoken today around the globe. We present the first release of The Edinburgh International Accents of English Corpus (EdAcc). This dataset attempts to better represent the wide diversity of English, encompassing almost 40 hours of dyadic video call conversations between friends. Unlike other datasets, EdAcc includes a wide range of first and second-language varieties of English and a linguistic background profile of each speaker. Results on latest public, and commercial models show that EdAcc highlights shortcomings of current English ASR models. The best performing model, trained on 680 thousand hours of transcribed data, obtains an average of 19.7% word error rate (WER) -- in contrast to the 2.7% WER obtained when evaluated on US English clean read speech. Across all models, we observe a drop in performance on Indian, Jamaican, and Nigerian English speakers. Recordings, linguistic backgrounds, data statement, and evaluation scripts are released on our website (https://groups.inf.ed.ac.uk/edacc/) under CC-BY-SA license.

  • 6 authors
·
Mar 31, 2023

Sasha: Creative Goal-Oriented Reasoning in Smart Homes with Large Language Models

Smart home assistants function best when user commands are direct and well-specified (e.g., "turn on the kitchen light"), or when a hard-coded routine specifies the response. In more natural communication, however, human speech is unconstrained, often describing goals (e.g., "make it cozy in here" or "help me save energy") rather than indicating specific target devices and actions to take on those devices. Current systems fail to understand these under-specified commands since they cannot reason about devices and settings as they relate to human situations. We introduce large language models (LLMs) to this problem space, exploring their use for controlling devices and creating automation routines in response to under-specified user commands in smart homes. We empirically study the baseline quality and failure modes of LLM-created action plans with a survey of age-diverse users. We find that LLMs can reason creatively to achieve challenging goals, but they experience patterns of failure that diminish their usefulness. We address these gaps with Sasha, a smarter smart home assistant. Sasha responds to loosely-constrained commands like "make it cozy" or "help me sleep better" by executing plans to achieve user goals, e.g., setting a mood with available devices, or devising automation routines. We implement and evaluate Sasha in a hands-on user study, showing the capabilities and limitations of LLM-driven smart homes when faced with unconstrained user-generated scenarios.

  • 4 authors
·
May 16, 2023

ARIG: Autoregressive Interactive Head Generation for Real-time Conversations

Face-to-face communication, as a common human activity, motivates the research on interactive head generation. A virtual agent can generate motion responses with both listening and speaking capabilities based on the audio or motion signals of the other user and itself. However, previous clip-wise generation paradigm or explicit listener/speaker generator-switching methods have limitations in future signal acquisition, contextual behavioral understanding, and switching smoothness, making it challenging to be real-time and realistic. In this paper, we propose an autoregressive (AR) based frame-wise framework called ARIG to realize the real-time generation with better interaction realism. To achieve real-time generation, we model motion prediction as a non-vector-quantized AR process. Unlike discrete codebook-index prediction, we represent motion distribution using diffusion procedure, achieving more accurate predictions in continuous space. To improve interaction realism, we emphasize interactive behavior understanding (IBU) and detailed conversational state understanding (CSU). In IBU, based on dual-track dual-modal signals, we summarize short-range behaviors through bidirectional-integrated learning and perform contextual understanding over long ranges. In CSU, we use voice activity signals and context features of IBU to understand the various states (interruption, feedback, pause, etc.) that exist in actual conversations. These serve as conditions for the final progressive motion prediction. Extensive experiments have verified the effectiveness of our model.

  • 5 authors
·
Jul 1, 2025 1

Enabling Auditory Large Language Models for Automatic Speech Quality Evaluation

Speech quality assessment typically requires evaluating audio from multiple aspects, such as mean opinion score (MOS) and speaker similarity (SIM) \etc., which can be challenging to cover using one small model designed for a single task. In this paper, we propose leveraging recently introduced auditory large language models (LLMs) for automatic speech quality assessment. By employing task-specific prompts, auditory LLMs are finetuned to predict MOS, SIM and A/B testing results, which are commonly used for evaluating text-to-speech systems. Additionally, the finetuned auditory LLM is able to generate natural language descriptions assessing aspects like noisiness, distortion, discontinuity, and overall quality, providing more interpretable outputs. Extensive experiments have been performed on the NISQA, BVCC, SOMOS and VoxSim speech quality datasets, using open-source auditory LLMs such as SALMONN, Qwen-Audio, and Qwen2-Audio. For the natural language descriptions task, a commercial model Google Gemini 1.5 Pro is also evaluated. The results demonstrate that auditory LLMs achieve competitive performance compared to state-of-the-art task-specific small models in predicting MOS and SIM, while also delivering promising results in A/B testing and natural language descriptions. Our data processing scripts and finetuned model checkpoints can be found at https://github.com/bytedance/SALMONN.

  • 13 authors
·
Sep 25, 2024

Enhancing Child Vocalization Classification in Multi-Channel Child-Adult Conversations Through Wav2vec2 Children ASR Features

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that often emerges in early childhood. ASD assessment typically involves an observation protocol including note-taking and ratings of child's social behavior conducted by a trained clinician. A robust machine learning (ML) model that is capable of labeling adult and child audio has the potential to save significant time and labor in manual coding children's behaviors. This may assist clinicians capture events of interest, better communicate events with parents, and educate new clinicians. In this study, we leverage the self-supervised learning model, Wav2Vec 2.0 (W2V2), pretrained on 4300h of home recordings of children under 5 years old, to build a unified system that performs both speaker diarization (SD) and vocalization classification (VC) tasks. We apply this system to two-channel audio recordings of brief 3-5 minute clinician-child interactions using the Rapid-ABC corpus. We propose a novel technique by introducing auxiliary features extracted from W2V2-based automatic speech recognition (ASR) system for children under 4 years old to improve children's VC task. We test our proposed method of improving children's VC task on two corpora (Rapid-ABC and BabbleCor) and observe consistent improvements. Furthermore, we reach, or perhaps outperform, the state-of-the-art performance of BabbleCor.

  • 3 authors
·
Sep 13, 2023

StressTest: Can YOUR Speech LM Handle the Stress?

Sentence stress refers to emphasis, placed on specific words within a spoken utterance to highlight or contrast an idea, or to introduce new information. It is often used to imply an underlying intention that is not explicitly stated. Recent advances in speech-aware language models (SLMs) have enabled direct processing of audio, allowing models to bypass transcription and access the full richness of the speech signal and perform audio reasoning tasks such as spoken question answering. Despite the crucial role of sentence stress in shaping meaning and speaker intent, it remains largely overlooked in evaluation and development of such models. In this work, we address this gap by introducing StressTest, a benchmark specifically designed to evaluate a model's ability to distinguish between interpretations of spoken sentences based on the stress pattern. We assess the performance of several leading SLMs and find that, despite their overall capabilities, they perform poorly on such tasks. To overcome this limitation, we propose a novel synthetic data generation pipeline, and create Stress17k, a training set that simulates change of meaning implied by stress variation. Then, we empirically show that optimizing models with this synthetic dataset aligns well with real-world recordings and enables effective finetuning of SLMs. Results suggest, that our finetuned model, StresSLM, significantly outperforms existing models on both sentence stress reasoning and detection tasks. Code, models, data, and audio samples - pages.cs.huji.ac.il/adiyoss-lab/stresstest.

  • 3 authors
·
May 28, 2025 2

Qwen2-Audio Technical Report

We introduce the latest progress of Qwen-Audio, a large-scale audio-language model called Qwen2-Audio, which is capable of accepting various audio signal inputs and performing audio analysis or direct textual responses with regard to speech instructions. In contrast to complex hierarchical tags, we have simplified the pre-training process by utilizing natural language prompts for different data and tasks, and have further expanded the data volume. We have boosted the instruction-following capability of Qwen2-Audio and implemented two distinct audio interaction modes for voice chat and audio analysis. In the voice chat mode, users can freely engage in voice interactions with Qwen2-Audio without text input. In the audio analysis mode, users could provide audio and text instructions for analysis during the interaction. Note that we do not use any system prompts to switch between voice chat and audio analysis modes. Qwen2-Audio is capable of intelligently comprehending the content within audio and following voice commands to respond appropriately. For instance, in an audio segment that simultaneously contains sounds, multi-speaker conversations, and a voice command, Qwen2-Audio can directly understand the command and provide an interpretation and response to the audio. Additionally, DPO has optimized the model's performance in terms of factuality and adherence to desired behavior. According to the evaluation results from AIR-Bench, Qwen2-Audio outperformed previous SOTAs, such as Gemini-1.5-pro, in tests focused on audio-centric instruction-following capabilities. Qwen2-Audio is open-sourced with the aim of fostering the advancement of the multi-modal language community.

  • 12 authors
·
Jul 15, 2024 7

UniTalk: Towards Universal Active Speaker Detection in Real World Scenarios

We present UniTalk, a novel dataset specifically designed for the task of active speaker detection, emphasizing challenging scenarios to enhance model generalization. Unlike previously established benchmarks such as AVA, which predominantly features old movies and thus exhibits significant domain gaps, UniTalk focuses explicitly on diverse and difficult real-world conditions. These include underrepresented languages, noisy backgrounds, and crowded scenes - such as multiple visible speakers speaking concurrently or in overlapping turns. It contains over 44.5 hours of video with frame-level active speaker annotations across 48,693 speaking identities, and spans a broad range of video types that reflect real-world conditions. Through rigorous evaluation, we show that state-of-the-art models, while achieving nearly perfect scores on AVA, fail to reach saturation on UniTalk, suggesting that the ASD task remains far from solved under realistic conditions. Nevertheless, models trained on UniTalk demonstrate stronger generalization to modern "in-the-wild" datasets like Talkies and ASW, as well as to AVA. UniTalk thus establishes a new benchmark for active speaker detection, providing researchers with a valuable resource for developing and evaluating versatile and resilient models. Dataset: https://huggingface.co/datasets/plnguyen2908/UniTalk-ASD Code: https://github.com/plnguyen2908/UniTalk-ASD-code

BLAB: Brutally Long Audio Bench

Developing large audio language models (LMs) capable of understanding diverse spoken interactions is essential for accommodating the multimodal nature of human communication and can increase the accessibility of language technologies across different user populations. Recent work on audio LMs has primarily evaluated their performance on short audio segments, typically under 30 seconds, with limited exploration of long-form conversational speech segments that more closely reflect natural user interactions with these models. We introduce Brutally Long Audio Bench (BLAB), a challenging long-form audio benchmark that evaluates audio LMs on localization, duration estimation, emotion, and counting tasks using audio segments averaging 51 minutes in length. BLAB consists of 833+ hours of diverse, full-length audio clips, each paired with human-annotated, text-based natural language questions and answers. Our audio data were collected from permissively licensed sources and underwent a human-assisted filtering process to ensure task compliance. We evaluate six open-source and proprietary audio LMs on BLAB and find that all of them, including advanced models such as Gemini 2.0 Pro and GPT-4o, struggle with the tasks in BLAB. Our comprehensive analysis reveals key insights into the trade-offs between task difficulty and audio duration. In general, we find that audio LMs struggle with long-form speech, with performance declining as duration increases. They perform poorly on localization, temporal reasoning, counting, and struggle to understand non-phonemic information, relying more on prompts than audio content. BLAB serves as a challenging evaluation framework to develop audio LMs with robust long-form audio understanding capabilities.

  • 16 authors
·
May 5, 2025

Using Large Language Models to Accelerate Communication for Users with Severe Motor Impairments

Finding ways to accelerate text input for individuals with profound motor impairments has been a long-standing area of research. Closing the speed gap for augmentative and alternative communication (AAC) devices such as eye-tracking keyboards is important for improving the quality of life for such individuals. Recent advances in neural networks of natural language pose new opportunities for re-thinking strategies and user interfaces for enhanced text-entry for AAC users. In this paper, we present SpeakFaster, consisting of large language models (LLMs) and a co-designed user interface for text entry in a highly-abbreviated form, allowing saving 57% more motor actions than traditional predictive keyboards in offline simulation. A pilot study with 19 non-AAC participants typing on a mobile device by hand demonstrated gains in motor savings in line with the offline simulation, while introducing relatively small effects on overall typing speed. Lab and field testing on two eye-gaze typing users with amyotrophic lateral sclerosis (ALS) demonstrated text-entry rates 29-60% faster than traditional baselines, due to significant saving of expensive keystrokes achieved through phrase and word predictions from context-aware LLMs. These findings provide a strong foundation for further exploration of substantially-accelerated text communication for motor-impaired users and demonstrate a direction for applying LLMs to text-based user interfaces.

  • 16 authors
·
Dec 3, 2023 2