arXiv subjects

Visar Berisha

Publications and source records attributed to Visar Berisha.

At least 19 recordsLinked to original sources

arXiv2026

AI-based Cognitive-linguistic Features for Dementia Assessment in Picture Description

Picture descriptions provide valuable insights into several clinical constructs related to cognitive-linguistic abilities. However, operationalizing these constructs into quantitative measures remains challenging, limiting interpretability and clinical utility. We introduced seven constructs tailored to the Cookie Theft picture description task and prompted large language models (LLMs) to evaluate them, generating severity scores and example-based explanations. Among the examined LLMs, Claude 3.5 Sonnet performed the best, producing severity scores that significantly distinguish cognitively impaired individuals from healthy controls. The model achieves a high accuracy of 85% on the ADReSS dataset. Expert evaluation of Claude's scores and explanations yields a 3.99/5 average agreement. The findings demonstrate the potential of LLMs to operationalize clinical constructs and generate interpretable evaluations, offering a promising approach for accessible cognitive screening tools.

eess.AS↗

arXiv2026

V.O.I.C.E (Voice, Ownership, Identity, Control, Expression): Risk Taxonomy of Synthetic Voice Generation From Empirical Data

As generative voice models are rapidly advancing in both capabilities and public utilization, the unconsented collection, reuse, and synthesis of voice data are introducing new classes of privacy, security and governance risk that are poorly captured by existing, largely uniform threat models. To fill the gap, we present V.O.I.C.E, a taxonomy of voice generation risk grounded in a multi-source threat modeling effort with 569 incidents from major AI incident database, FTC and Internet Crime Complaint Center (IC3); 1067 direct incident reports from U.S. based participants across diverse groups (including voice actors, internet personalities, political personnel, and general public); and 2,221 Reddit discussions. Grounded in real-world data, our taxonomy explicitly models how risk emerges, interact with contextual factors such as degree of exposure, social visibility, and the availability of legal protections for various affected groups.

cs.CR↗

arXiv2026

Multilingual Dysarthric Speech Assessment Using Universal Phone Recognition and Language-Specific Phonemic Contrast Modeling

The growing prevalence of neurological disorders associated with dysarthria motivates the need for automated intelligibility assessment methods that are applicalbe across languages. However, most existing approaches are either limited to a single language or fail to capture language-specific factors shaping intelligibility. We present a multilingual phoneme-production assessment framework that integrates universal phone recognition with language-specific phoneme interpretation using contrastive phonological feature distances for phone-to-phoneme mapping and sequence alignment. The framework yields three metrics: phoneme error rate (PER), phonological feature error rate (PFER), and a newly proposed alignment-free measure, phoneme coverage (PhonCov). Analysis on English, Spanish, Italian, and Tamil show that PER benefits from the combination of mapping and alignment, PFER from alignment alone, and PhonCov from mapping. Further analyses demonstrate that the proposed framework captures clinically meaningful patterns of intelligibility degradation consistent with established observations of dysarthric speech.

cs.CL↗

arXiv2025

Advancing Automated Spatio-Semantic Analysis in Picture Description Using Language Models

Current methods for automated assessment of cognitive-linguistic impairment via picture description often neglect the visual narrative path - the sequence and locations of elements a speaker described in the picture. Analyses of spatio-semantic features capture this path using content information units (CIUs), but manual tagging or dictionary-based mapping is labor-intensive. This study proposes a BERT-based pipeline, fine tuned with binary cross-entropy and pairwise ranking loss, for automated CIU extraction and ordering from the Cookie Theft picture description. Evaluated by 5-fold cross-validation, it achieves 93% median precision, 96% median recall in CIU detection, and 24% sequence error rates. The proposed method extracts features that exhibit strong Pearson correlations with ground truth, surpassing the dictionary-based baseline in external validation. These features also perform comparably to those derived from manual annotations in evaluating group differences via ANCOVA. The pipeline is shown to effectively characterize visual narrative paths for cognitive impairment assessment, with the implementation and models open-sourced to public.

cs.CL↗

arXiv2025

MAGIC: Multi-task Gaussian process for joint imputation and classification in healthcare time series

Time series analysis has emerged as an important tool for improving patient diagnosis and management in healthcare applications. However, these applications commonly face two critical challenges: time misalignment and data sparsity. Traditional approaches address these issues through a two-step process of imputation followed by prediction. We propose MAGIC (Multi-tAsk Gaussian Process for Imputation and Classification), a novel unified framework that simultaneously performs class-informed missing value imputation and label prediction within a hierarchical multi-task Gaussian process coupled with functional logistic regression. To handle intractable likelihood components, MAGIC employs Taylor expansion approximations with bounded error analysis, and parameter estimation is performed using EM algorithm with block coordinate optimization supported by convergence analysis. We validate MAGIC through two healthcare applications: prediction of post-traumatic headache improvement following mild traumatic brain injury and prediction of in-hospital mortality within 48 hours after ICU admission. In both applications, MAGIC achieves superior predictive accuracy compared to existing methods. The ability to generate real-time and accurate predictions with limited samples facilitates early clinical assessment and treatment planning, enabling healthcare providers to make more informed treatment decisions.

stat.ML↗

arXiv2025

Why Speech Deepfake Detectors Won't Generalize: The Limits of Detection in an Open World

Speech deepfake detectors are often evaluated on clean, benchmark-style conditions, but deployment occurs in an open world of shifting devices, sampling rates, codecs, environments, and attack families. This creates a ``coverage debt" for AI-based detectors: every new condition multiplies with existing ones, producing data blind spots that grow faster than data can be collected. Because attackers can target these uncovered regions, worst-case performance (not average benchmark scores) determines security. To demonstrate the impact of the coverage debt problem, we analyze results from a recent cross-testing framework. Grouping performance by bona fide domain and spoof release year, two patterns emerge: newer synthesizers erase the legacy artifacts detectors rely on, and conversational speech domains (teleconferencing, interviews, social media) are consistently the hardest to secure. These findings show that detection alone should not be relied upon for high-stakes decisions. Detectors should be treated as auxiliary signals within layered defenses that include provenance, personhood credentials, and policy safeguards.

cs.CR↗

arXiv2025

Matched-Pair Experimental Design with Active Learning

Matched-pair experimental designs aim to detect treatment effects by pairing participants and comparing within-pair outcome differences. In many situations, the overall effect size across the entire population is small. Then, the focus naturally shifts to identifying and targeting high treatment-effect regions where the intervention is most effective. This paper proposes a matched-pair experimental design that sequentially and actively enrolls patients in high treatment-effect regions. Importantly, we frame the identification of the target region as a classification problem and propose an active learning framework tailored to matched-pair designs. Our design not only reduces the experimental cost of detecting treatment efficacy, but also ensures that the identified regions enclose the entire high-treatment-effect regions. Our theoretical analysis of the framework's label complexity and experiments in practical scenarios demonstrate the efficiency and advantages of the approach.

cs.LG↗

arXiv2025

PRAC3 (Privacy, Reputation, Accountability, Consent, Credit, Compensation): Long Tailed Risks of Voice Actors in AI Data-Economy

Early large-scale audio datasets, such as LibriSpeech, were built with hundreds of individual contributors whose voices were instrumental in the development of speech technologies, including audiobooks and voice assistants. Yet, a decade later, these same contributions have exposed voice actors to a range of risks. While existing ethical frameworks emphasize Consent, Credit, and Compensation (C3), they do not adequately address the emergent risks involving vocal identities that are increasingly decoupled from context, authorship, and control. Drawing on qualitative interviews with 20 professional voice actors, this paper reveals how the synthetic replication of voice without enforceable constraints exposes individuals to a range of threats. Beyond reputational harm, such as re-purposing voice data in erotic content, offensive political messaging, and meme culture, we document concerns about accountability breakdowns when their voice is leveraged to clone voices that are deployed in high-stakes scenarios such as financial fraud, misinformation campaigns, or impersonation scams. In such cases, actors face social and legal fallout without recourse, while very few of them have a legal representative or union protection. To make sense of these shifting dynamics, we introduce the PRAC3 framework, an expansion of C3 that foregrounds Privacy, Reputation, Accountability, Consent, Credit, and Compensation as interdependent pillars of data used in the synthetic voice economy. This framework captures how privacy risks are amplified through non-consensual training, how reputational harm arises from decontextualized deployment, and how accountability can be reimagined AI Data ecosystems. We argue that voice, as both a biometric identifier and creative labor, demands governance models that restore creator agency, ensure traceability, and establish enforceable boundaries for ethical reuse.

cs.CY↗

arXiv2025

Statistically Valid Post-Deployment Monitoring Should Be Standard for AI-Based Digital Health

This position paper argues that post-deployment monitoring in clinical AI is underdeveloped and proposes statistically valid and label-efficient testing frameworks as a principled foundation for ensuring reliability and safety in real-world deployment. A recent review found that only 9% of FDA-registered AI-based healthcare tools include a post-deployment surveillance plan. Existing monitoring approaches are often manual, sporadic, and reactive, making them ill-suited for the dynamic environments in which clinical models operate. We contend that post-deployment monitoring should be grounded in label-efficient and statistically valid testing frameworks, offering a principled alternative to current practices. We use the term "statistically valid" to refer to methods that provide explicit guarantees on error rates (e.g., Type I/II error), enable formal inference under pre-defined assumptions, and support reproducibility--features that align with regulatory requirements. Specifically, we propose that the detection of changes in the data and model performance degradation should be framed as distinct statistical hypothesis testing problems. Grounding monitoring in statistical rigor ensures a reproducible and scientifically sound basis for maintaining the reliability of clinical AI systems. Importantly, it also opens new research directions for the technical community--spanning theory, methods, and tools for statistically principled detection, attribution, and mitigation of post-deployment model failures in real-world settings.

cs.LG↗

arXiv2025

A Speech Production Model for Radar: Connecting Speech Acoustics with Radar-Measured Vibrations

Millimeter Wave (mmWave) radar has emerged as a promising modality for speech sensing, offering advantages over traditional microphones. Prior works have demonstrated that radar captures motion signals related to vocal vibrations, but there is a gap in the understanding of the analytical connection between radar-measured vibrations and acoustic speech signals. We establish a mathematical framework linking radar-captured neck vibrations to speech acoustics. We derive an analytical relationship between neck surface displacements and speech. We use data from 66 human participants, and statistical spectral distance analysis to empirically assess the model. Our results show that the radar-measured signal aligns more closely with our model filtered vibration signal derived from speech than with raw speech itself. These findings provide a foundation for improved radar-based speech processing for applications in speech enhancement, coding, surveillance, and authentication.

eess.AS↗

arXiv2025

Automated Extraction of Spatio-Semantic Graphs for Identifying Cognitive Impairment

Existing methods for analyzing linguistic content from picture descriptions for assessment of cognitive-linguistic impairment often overlook the participant's visual narrative path, which typically requires eye tracking to assess. Spatio-semantic graphs are a useful tool for analyzing this narrative path from transcripts alone, however they are limited by the need for manual tagging of content information units (CIUs). In this paper, we propose an automated approach for estimation of spatio-semantic graphs (via automated extraction of CIUs) from the Cookie Theft picture commonly used in cognitive-linguistic analyses. The method enables the automatic characterization of the visual semantic path during picture description. Experiments demonstrate that the automatic spatio-semantic graphs effectively differentiate between cognitively impaired and unimpaired speakers. Statistical analyses reveal that the features derived by the automated method produce comparable results to the manual method, with even greater group differences between clinical groups of interest. These results highlight the potential of the automated approach for extracting spatio-semantic features in developing clinical speech models for cognitive impairment assessment.

cs.AI↗

arXiv2025

Applications of Artificial Intelligence for Cross-language Intelligibility Assessment of Dysarthric Speech

Purpose: Speech intelligibility is a critical outcome in the assessment and management of dysarthria, yet most research and clinical practices have focused on English, limiting their applicability across languages. This commentary introduces a conceptual framework--and a demonstration of how it can be implemented--leveraging artificial intelligence (AI) to advance cross-language intelligibility assessment of dysarthric speech. Method: We propose a two-tiered conceptual framework consisting of a universal speech model that encodes dysarthric speech into acoustic-phonetic representations, followed by a language-specific intelligibility assessment model that interprets these representations within the phonological or prosodic structures of the target language. We further identify barriers to cross-language intelligibility assessment of dysarthric speech, including data scarcity, annotation complexity, and limited linguistic insights into dysarthric speech, and outline potential AI-driven solutions to overcome these challenges. Conclusion: Advancing cross-language intelligibility assessment of dysarthric speech necessitates models that are both efficient and scalable, yet constrained by linguistic rules to ensure accurate and language-sensitive assessment. Recent advances in AI provide the foundational tools to support this integration, shaping future directions toward generalizable and linguistically informed assessment frameworks.

cs.CL↗

arXiv2025

Advanced Tutorial: Label-Efficient Two-Sample Tests

Hypothesis testing is a statistical inference approach used to determine whether data supports a specific hypothesis. An important type is the two-sample test, which evaluates whether two sets of data points are from identical distributions. This test is widely used, such as by clinical researchers comparing treatment effectiveness. This tutorial explores two-sample testing in a context where an analyst has many features from two samples, but determining the sample membership (or labels) of these features is costly. In machine learning, a similar scenario is studied in active learning. This tutorial extends active learning concepts to two-sample testing within this \textit{label-costly} setting while maintaining statistical validity and high testing power. Additionally, the tutorial discusses practical applications of these label-efficient two-sample tests.

cs.LG↗

arXiv2024

A Tutorial on Clinical Speech AI Development: From Data Collection to Model Validation

There has been a surge of interest in leveraging speech as a marker of health for a wide spectrum of conditions. The underlying premise is that any neurological, mental, or physical deficits that impact speech production can be objectively assessed via automated analysis of speech. Recent advances in speech-based Artificial Intelligence (AI) models for diagnosing and tracking mental health, cognitive, and motor disorders often use supervised learning, similar to mainstream speech technologies like recognition and verification. However, clinical speech AI has distinct challenges, including the need for specific elicitation tasks, small available datasets, diverse speech representations, and uncertain diagnostic labels. As a result, application of the standard supervised learning paradigm may lead to models that perform well in controlled settings but fail to generalize in real-world clinical deployments. With translation into real-world clinical scenarios in mind, this tutorial paper provides an overview of the key components required for robust development of clinical speech AI. Specifically, this paper will cover the design of speech elicitation tasks and protocols most appropriate for different clinical conditions, collection of data and verification of hardware, development and validation of speech representations designed to measure clinical constructs of interest, development of reliable and robust clinical prediction models, and ethical and participant considerations for clinical speech AI. The goal is to provide comprehensive guidance on building models whose inputs and outputs link to the more interpretable and clinically meaningful aspects of speech, that can be interrogated and clinically validated on clinical datasets, and that adhere to ethical, privacy, and security considerations by design.

eess.AS↗

arXiv2024

Unraveling overoptimism and publication bias in ML-driven science

Machine Learning (ML) is increasingly used across many disciplines with impressive reported results. However, recent studies suggest published performance of ML models are often overoptimistic. Validity concerns are underscored by findings of an inverse relationship between sample size and reported accuracy in published ML models, contrasting with the theory of learning curves where accuracy should improve or remain stable with increasing sample size. This paper investigates factors contributing to overoptimism in ML-driven science, focusing on overfitting and publication bias. We introduce a novel stochastic model for observed accuracy, integrating parametric learning curves and the aforementioned biases. We construct an estimator that corrects for these biases in observed data. Theoretical and empirical results show that our framework can estimate the underlying learning curve, providing realistic performance assessments from published results. Applying the model to meta-analyses of classifications of neurological conditions, we estimate the inherent limits of ML-based prediction in each domain.

cs.LG↗

arXiv2023

Learning Repeatable Speech Embeddings Using An Intra-class Correlation Regularizer

A good supervised embedding for a specific machine learning task is only sensitive to changes in the label of interest and is invariant to other confounding factors. We leverage the concept of repeatability from measurement theory to describe this property and propose to use the intra-class correlation coefficient (ICC) to evaluate the repeatability of embeddings. We then propose a novel regularizer, the ICC regularizer, as a complementary component for contrastive losses to guide deep neural networks to produce embeddings with higher repeatability. We use simulated data to explain why the ICC regularizer works better on minimizing the intra-class variance than the contrastive loss alone. We implement the ICC regularizer and apply it to three speech tasks: speaker verification, voice style conversion, and a clinical application for detecting dysphonic voice. The experimental results demonstrate that adding an ICC regularizer can improve the repeatability of learned embeddings compared to only using the contrastive loss; further, these embeddings lead to improved performance in these downstream tasks.

cs.SD↗

arXiv2023

Requirements for Mass Adoption of Assistive Listening Technology by the General Public

Assistive listening systems (ALSs) dramatically increase speech intelligibility and reduce listening effort. It is very likely that essentially everyone, not only individuals with hearing loss, would benefit from the increased signal-to-noise ratio an ALS provides in almost any listening scenario. However, ALSs are rarely used by anyone other than people with severe to profound hearing losses. To date, the reasons for this poor adoption have not been systematically investigated. The authors hypothesize that the reasons for poor adoption of assistive listening technology include (1) an inability to use personally owned receiving devices, (2) a lack of high-fidelity stereo sound, (3) receiving devices not providing an unoccluded listening experience, (4) distortion from alignment delay and (5) a lack of automatic connectivity to an available assistive listening audio signal. We propose solutions to each of these problems in an effort to pave the way for mass adoption of assistive listening technology by the general public.

eess.AS↗

arXiv2023

Smoothly Giving up: Robustness for Simple Models

There is a growing need for models that are interpretable and have reduced energy and computational cost (e.g., in health care analytics and federated learning). Examples of algorithms to train such models include logistic regression and boosting. However, one challenge facing these algorithms is that they provably suffer from label noise; this has been attributed to the joint interaction between oft-used convex loss functions and simpler hypothesis classes, resulting in too much emphasis being placed on outliers. In this work, we use the margin-based $α$-loss, which continuously tunes between canonical convex and quasi-convex losses, to robustly train simple models. We show that the $α$ hyperparameter smoothly introduces non-convexity and offers the benefit of "giving up" on noisy training examples. We also provide results on the Long-Servedio dataset for boosting and a COVID-19 survey dataset for logistic regression, highlighting the efficacy of our approach across multiple relevant domains.

cs.LG↗