- Automatic speech recognition (ASR) for pathologic speech remains a major challenge due to high variability in articulation, phonation, and prosody distortions. In this work, we propose a pathology-aware speech encoder based on BEST-RQ pre-training, which incorporates 46k hours of speech, including
pathologic and atypical speech. We continue pre-training for domain adaptation and experiment with etiology-specific codebooks. We achieve a 13.2% relative word error rate (WER) improvement using the pathology-aware speech encoder with etiology-specific continued pre-training. Additionally, we examine the impact of incorporating synthetic and out-of-domain (OOD) data to further enhance ASR performance. Synthetic data reduces WER by up to 8.7%, while OOD data improves WER by 12.2%. Finally, we introduce a semantic similaritybased data augmentation technique to optimize data selection, achieving a WER improvement of up to 9.7% while minimizing
the need for additional training data.