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Tracheoesophageal voice is state-of-the-art in voice rehabilitation after laryngectomy. Intelligibility on a telephone is an important evaluation criterion as it is a crucial part of social life. An objective measure of intelligibility when talking on a telephone is desirable in the field of postlaryngectomy speech therapy and its evaluation.
Based upon successful earlier studies with broadband speech, an automatic speech recognition (ASR) system was applied to 41 recordings of postlaryngectomy patients. Recordings were available in different signal qualities; quality was the crucial criterion for this study.
Compared to the intelligibility rating of 5 human experts, the ASR system had a correlation coefficient of r = -0.87 and Krippendorff's alpha of 0.65 when broadband speech was processed. The rater group alone achieved alpha = 0.66. With the test recordings in telephone quality, the system reached r = -0.79 and alpha = 0.67.
For medical purposes, a comprehensive diagnostic approach to (substitute) voice has to cover both subjective and objective tests. An automatic recognition system such as the one proposed in this study can be used for objective intelligibility rating with results comparable to those of human experts. This holds for broadband speech as well as for automatic evaluation via telephone.
In dieser Studie wird ein objektives Verfahren für die Verständlichkeitsmessung mit dem Postlaryngektomie-Telefontest (PLTT) mittels automatischer Spracherkennungstechnik beschrieben.
31 Sprecher mit tracheoösophagealer Ersatzstimme (25 Männer und 6 Frauen; 63,4±8,7 Jahre) wurden zunächst von 11 naiven Hörern bewertet. Der vom Spracherkennungssystem ermittelte Verständlichkeitsgrad wird als Prozentsatz korrekt verstandener Wörter einer Wortkette, der Wortakkuratheit bzw. -korrektheit, angegeben und mit den subjektiv ermittelten PLTT-Werten verglichen.
Die durchschnittliche PLTT-Gesamtverständlichkeit der 11 naiven Hörer liegt bei 47%, die automatisch ermittelte Wortakkuratheit und Wortkorrektheit liegen deutlich niedriger (etwa 0% bzw. etwa 15%). Die Korrelation zwischen menschlicher und maschineller Bewertung liegt jedoch z. T. über 0,9.
Für den Gesamtverständlichkeitswert des PLTT kann mit Hilfe der automatischen Spracherkennung objektiv und effizient ein äquivalentes Maß berechnet werden.
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.