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Going Beyond the Cookie Theft Picture Test: Detecting Cognitive Impairments Using Acoustic Features
(2022)
Performing machine learning tasks in mobile applications yields a challenging conflict of interest: highly sensitive client information (e.g., speech data) should remain private while also the intellectual property of service providers (e.g., model parameters) must be protected. Cryptographic techniques offer secure solutions for this, but have an unacceptable overhead and moreover require frequent network interaction.In this work, we design a practically efficient hardware-based solution. Specifically, we build OFFLINE MODEL GUARD (OMG) to enable privacy-preserving machine learning on the predominant mobile computing platform ARM—even in offline scenarios. By leveraging a trusted execution environment for strict hardware-enforced isolation from other system components, OMG guarantees privacy of client data, secrecy of provided models, and integrity of processing algorithms. Our prototype implementation on an ARM HiKey 960 development board performs privacy-preserving keyword recognition using TensorFlow Lite for Microcontrollers in real time.
Time series are series of values ordered by time. This kind of data can be found in many real world settings. Classifying time series is a difficult task and an active area of research. This paper investigates the use of transfer learning in Deep Neural Networks and a 2D representation of time series known as Recurrence Plots. In order to utilize the research done in the area of image classification, where Deep Neural Networks have achieved very good results, we use a Residual Neural Networks architecture known as ResNet. As preprocessing of time series is a major part of every time series classification pipeline, the method proposed simplifies this step and requires only few parameters. For the first time we propose a method for multi time series classification: Training a single network to classify all datasets in the archive with one network. We are among the first to evaluate the method on the latest 2018 release of the UCR archive, a well established time series classification benchmarking dataset.
Stuttering is a complex speech disorder identified by repeti-tions, prolongations of sounds, syllables or words and blockswhile speaking. Specific stuttering behaviour differs strongly,thus needing personalized therapy. Therapy sessions requirea high level of concentration by the therapist. We introduceSTAN, a system to aid speech therapists in stuttering therapysessions. Such an automated feedback system can lower thecognitive load on the therapist and thereby enable a more con-sistent therapy as well as allowing analysis of stuttering overthe span of multiple therapy sessions.
Stuttering is a complex speech disorder that can be identified by repetitions, prolongations of sounds, syllables or words and blocks while speaking. Severity assessment is usually done by a speech therapist. While attempts at automated assessment were made, it is rarely used in therapy. Common methods for the assessment of stuttering severity include percent stuttered syllables (% SS), the average of the three longest stuttering symptoms during a speech task or the recently introduced Speech Efficiency Score (SES). This paper introduces the Speech Control Index (SCI), a new method to evaluate the severity of stuttering. Unlike SES, it can also be used to assess therapy success for fluency shaping. We evaluate both SES and SCI on a new comprehensively labeled dataset containing stuttered German speech of clients prior to, during and after undergoing stuttering therapy. Phone alignments of an automatic speech recognition system are statistically evaluated in relation to their relative position to labeled stuttering events. The results indicate that phone length distributions differ in respect to their position in and around labeled stuttering events.
Sprache kann eine Vielzahl von diagnostisch relevanten Informationen enthalten. In diesem Übersichtsartikel wird aufgezeigt, wie Methoden der Künstlichen Intelligenz, insbesondere Maschinelles Lernen und Sprachverarbeitung, angewendet auf Sprachsignale eingesetzt werden können: zur Bewertung von Verständlichkeit, zur Automatisierung von standardisierten Tests und zur Bestimmung medizinischer Skalen und Diagnosen. Eine abschließende kritischen Betrachtung von akustischen Merkmalen über eine Vielzahl von Pathologien gibt Grund zur Annahme, dass diese Marker tatsächlich diagnostisch relevante Informationen enthalten.
Automated dementia screening enables early detection and intervention, reducing costs to healthcare systems and increasing quality of life for those affected. Depression has shared symptoms with dementia, adding complexity to diagnoses. The research focus so far has been on binary classification of dementia (DEM) and healthy controls (HC) using speech from picture description tests from a single dataset. In this work, we apply established baseline systems to discriminate cognitive impairment in speech from the semantic Verbal Fluency Test and the Boston Naming Test using text, audio and emotion embeddings in a 3-class classification problem (HC vs. MCI vs. DEM). We perform cross-corpus and mixed-corpus experiments on two independently recorded German datasets to investigate generalization to larger populations and different recording conditions. In a detailed error analysis, we look at depression as a secondary diagnosis to understand what our classifiers actually learn.
Alzheimer’s Disease (AD) results from the progressive loss of neurons in the hippocampus, which affects the capability to produce coherent language. It affects lexical, grammatical, and semantic processes as well as speech fluency. This paper considers the analyses of speech and language for the assessment of AD in the context of the Alzheimer’s Dementia Recognition through Spontaneous Speech (ADReSSo) 2021 challenge. We propose to extract acoustic features such as X-vectors, prosody, and emotional embeddings as well as linguistic features such as perplexity, and word-embeddings. The data consist of speech recordings from AD patients and healthy controls. The transcriptions are obtained using a commercial automatic speech recognition system. We outperform baseline results on the test set, both for the classification and the Mini-Mental State Examination (MMSE) prediction. We achieved a classification accuracy of 80% and an RMSE of 4.56 in the regression. Additionally, we found strong evidence for the influence of the interviewer on classification results. In cross-validation on the training set, we get classification results of 85% accuracy using the combined speech of the interviewer and the participant. Using interviewer speech only we still get an accuracy of 78%. Thus, we provide strong evidence for interviewer influence on classification results.
This paper presents a comparison of a traditional hybrid speech recognition system (kaldi using WFST and TDNN with lattice-free MMI) and a lexicon-free end-to-end (TensorFlow implementation of multi-layer LSTM with CTC training) models for German syllable recognition on the Verbmobil corpus. The results show that explicitly modeling prior knowledge is still valuable in building recognition systems. With a strong language model (LM) based on syllables, the structured approach significantly outperforms the end-to-end model. The best word error rate (WER) regarding syllables was achieved using kaldi with a 4-gram LM, modeling all syllables observed in the training set. It achieved 10.0% WER w.r.t. the syllables, compared to the end-to-end approach where the best WER was 27.53%. The work presented here has implications for building future recognition systems that operate independent of a large vocabulary, as typically used in a tasks such as recognition of syllabic or agglutinative languages, out-of-vocabulary techniques, keyword search indexing and medical speech processing.
In recent years, speech processing for medical applications got significant traction. While pioneering work in the 1990ies focused on processing sustained vowels or isolated utterances, work in the 2000s already showed, that speech recognition systems, prosodic analysis and natural language processing be used to assess a large variety of speech pathologies.Here, we give an overview of how to classify selected speech pathologies including stuttering, language development, speech intelligibility after surgery, dementia and Alzheimers, depression and state-of-mind. While each of those poses a rather well-defined problem in a lab setting, we discuss the issues when integrating such methods in a clinical workflow such as diagnosis or monitoring. Starting from the question if such detectors can be used for general screening or rather as a specialist's tool, we explore the legal and privacy-related implications: patient-doctor conversations, working with children or demented seniors, bias towards examiner or patient, on-device vs. cloud processing.We conclude with a set of open questions that should be addressed to help bringing all this research from the lab to routine clinical use.