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The tracheoesophageal (TE) substitute voice is currently state–of–the–art treatment to restore the ability to speak after laryngectomy. The intelligibility while talking over a telephone is an important clinical factor, as it is a crucial part of the patients’ social life. An objective way to rate the intelligibility of substitute voices when talking over a telephone is desirable to improve the post–laryngectomy speech therapy. An automatic speech recognition (ASR) system was applied to 41 high quality recordings of post–laryngectomy patients. The ASR system was trained with normal, non–pathologic speech. It yielded a word accuracy (WA) of 36.9%±18.0%; compared to the intelligibility rating of a group of human experts the ASR system had a correlation coefficient of -.88. After downsampling the 41 recordings to telephone quality, the ASR system reached a WA of 26.4%±13.9% leading to a correlation coefficient of -.80. These results confirm that an ASR system can be used for objective intelligibility rating over the telephone.
One aspect of voice and speech evaluation after laryngeal cancer is acoustic analysis. Perceptual evaluation by expert raters is a standard in the clinical environment for global criteria such as overall quality or intelligibility. So far, automatic approaches evaluate acoustic properties of pathologic voices based on voiced/unvoiced distinction and fundamental frequency analysis of sustained vowels. Because of the high amount of noisy components and the increasing aperiodicity of highly pathologic voices, a fully automatic analysis of fundamental frequency is difficult. We introduce a purely data-driven system for the acoustic analysis of pathologic voices based on recordings of a standard text.