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Defne Abur

Publications and source records attributed to Defne Abur.

7 recordsLinked to original sources

PathBench: Speech Intelligibility Benchmark for Automatic Pathological Speech Assessment

Automatic speech intelligibility assessment is crucial for monitoring speech disorders and therapy efficacy. However, existing methods are difficult to compare: research is fragmented across private datasets with inconsistent protocols. We introduce PathBench, a unified benchmark for pathological speech assessment using public datasets. We compare reference-free, reference-text, and reference-audio methods across three protocols (Matched Content, Extended, and Full) representing how a linguist (controlled stimuli) versus machine learning specialist (maximum data) would approach the same data. We establish benchmark baselines across six datasets, enabling systematic evaluation of future methodological advances, and introduce Dual-ASR Articulatory Precision (DArtP), achieving the highest average correlation among reference-free methods.

cs.SD

Towards explainable reference-free speech intelligibility evaluation of people with pathological speech

Objective assessment of speech that reflects meaningful changes in communication is crucial for clinical decision making and reproducible research. While existing objective assessments, particularly reference-based approaches, can capture intelligibility changes, they are often hindered by lack of explainability and the need for labor-intensive manual transcriptions. To address these issues, this work proposes the reference-free, explainable ASR Inconsistency Score. We evaluate this method on pathological speech in Dutch, Spanish and English, and compare its performance to a reference-based Word Error Rate (WER) baseline. Our results demonstrate that the ASR Inconsistency Score achieves a high correlation with expert perceptual ratings, with performance closely matching, and in one case exceeding, a standard reference-based Word Error Rate (WER) baseline.

cs.SD

XPPG-PCA: Reference-free automatic speech severity evaluation with principal components

Reliably evaluating the severity of a speech pathology is crucial in healthcare. However, the current reliance on expert evaluations by speech-language pathologists presents several challenges: while their assessments are highly skilled, they are also subjective, time-consuming, and costly, which can limit the reproducibility of clinical studies and place a strain on healthcare resources. While automated methods exist, they have significant drawbacks. Reference-based approaches require transcriptions or healthy speech samples, restricting them to read speech and limiting their applicability. Existing reference-free methods are also flawed; supervised models often learn spurious shortcuts from data, while handcrafted features are often unreliable and restricted to specific speech tasks. This paper introduces XPPG-PCA (x-vector phonetic posteriorgram principal component analysis), a novel, unsupervised, reference-free method for speech severity evaluation. Using three Dutch oral cancer datasets, we demonstrate that XPPG-PCA performs comparably to, or exceeds established reference-based methods. Our experiments confirm its robustness against data shortcuts and noise, showing its potential for real-world clinical use. Taken together, our results show that XPPG-PCA provides a robust, generalizable solution for the objective assessment of speech pathology, with the potential to significantly improve the efficiency and reliability of clinical evaluations across a range of disorders. An open-source implementation is available.

cs.SD

Relationship between objective and subjective perceptual measures of speech in individuals with head and neck cancer

Meaningful speech assessment is vital in clinical phonetics and therapy monitoring. This study examined the link between perceptual speech assessments and objective acoustic measures in a large head and neck cancer (HNC) dataset. Trained listeners provided ratings of intelligibility, articulation, voice quality, phonation, speech rate, nasality, and background noise on speech. Strong correlations were found between subjective intelligibility, articulation, and voice quality, likely due to a shared underlying cause of speech symptoms in our speaker population. Objective measures of intelligibility and speech rate aligned with their subjective counterpart. Our results suggest that a single intelligibility measure may be sufficient for the clinical monitoring of speakers treated for HNC using concomitant chemoradiation.

cs.SD

Articulatory clarity and variability before and after surgery for tongue cancer

Surgical treatment for tongue cancer can negatively affect the mobility and musculature of the tongue, which can influence articulatory clarity and variability. In this study, we investigated articulatory clarity through the vowel articulation index (VAI) and variability through vowel formant dispersion (VFD). Using a sentence reading task, we assessed 11 individuals pre and six months post tongue cancer surgery, alongside 11 sex- and age matched typical speakers. Our results show that while the VAI was significantly smaller post-surgery compared to pre-surgery, there was no significant difference between patients and typical speakers at either time point. Post-surgery, speakers had higher VFD values for /i/ compared to pre-surgery and typical speakers, signalling higher variability. Taken together, our results suggest that while articulatory clarity remained within typical ranges following surgery for tongue cancer for the speakers in our study, articulatory variability increased.

cs.CL

Quantifying the effect of speech pathology on automatic and human speaker verification

This study investigates how surgical intervention for speech pathology (specifically, as a result of oral cancer surgery) impacts the performance of an automatic speaker verification (ASV) system. Using two recently collected Dutch datasets with parallel pre and post-surgery audio from the same speaker, NKI-OC-VC and SPOKE, we assess the extent to which speech pathology influences ASV performance, and whether objective/subjective measures of speech severity are correlated with the performance. Finally, we carry out a perceptual study to compare judgements of ASV and human listeners. Our findings reveal that pathological speech negatively affects ASV performance, and the severity of the speech is negatively correlated with the performance. There is a moderate agreement in perceptual and objective scores of speaker similarity and severity, however, we could not clearly establish in the perceptual study, whether the same phenomenon also exists in human perception.

cs.SD

Preregistered protocol for: Articulatory changes in speech following treatment for oral or oropharyngeal cancer: a systematic review

This document outlines a PROSPERO pre-registered protocol for a systematic review regarding articulatory changes in speech following oral or orophayrngeal cancer treatment. Treatment of tumours in the oral cavity may result in physiological changes that could lead to articulatory difficulties. The tongue becomes less mobile due to scar tissue and/or potential (postoperative) radiation therapy. Moreover, tissue loss may create a bypass for airflow or limit constriction possibilities. In order to gain a better understanding of the nature of the speech problems, information regarding the movement of the articulators is needed since perceptual or acoustic information provide only indirect evidence of articulatory changes. Therefore, this systematic review will review studies that directly measured the articulatory movements of the tongue, jaw, and lips following treatment for oral or oropharyngeal cancer.

physics.med-ph