Enhancing Speech Recognition in Healthcare

Andrzej Czyzewski – andczyz@gmail.com

Gdańsk University of Technology, Faculty of Electronics, Telecommunications and Informatics, Multimedia Systems Department, Gdańsk, Pomerania, 80-233, Poland

Popular version of 1aSP6 – Strategies for Preprocessing Speech to Enhance Neural Model Efficiency in Speech-to-Text Applications
Presented at the 187th ASA Meeting
Read the abstract at https://eppro01.ativ.me//web/index.php?page=IntHtml&project=ASAFALL24&id=3771522

–The research described in this Acoustics Lay Language Paper may not have yet been peer reviewed–

Effective communication in healthcare is essential, as accurate information can directly impact patient care. This paper discusses research aimed at improving speech recognition technology to help medical professionals document patient information more effectively. By using advanced techniques, we can make speech-to-text systems more reliable for healthcare, ensuring they accurately capture spoken information.

In healthcare settings, professionals often need to quickly and accurately record patient interactions. Traditional typing can be slow and error-prone, while speech recognition allows doctors to dictate notes directly into electronic health records (EHRs), saving time and reducing miscommunication.

The main goal of our research was to test various ways of enhancing speech-to-text accuracy in healthcare. We compared several methods to help the system understand spoken language more clearly. These methods included different ways of analyzing sound, like looking at specific sound patterns or filtering background noise.

In this study, we recorded around 80,000 voice samples from medical professionals. These samples were then processed to highlight important speech patterns, making it easier for the system to learn and recognize medical terms. We used a method called Principal Component Analysis (PCA) to keep the data simple while ensuring essential information was retained.

Our findings showed that combining several techniques to capture speech patterns improved system performance. We saw an average accuracy improvement, with fewer word and character recognition errors.

The potential benefits of this work are significant:

  • Smoother documentation: Medical staff can record notes more efficiently, freeing up time for patient care.
  • Improved accuracy: Patient records become more reliable, reducing the chance of miscommunication.
  • Better healthcare outcomes: Enhanced communication can improve the quality of care.

This study highlights the promise of advanced speech recognition in healthcare. With further development, these systems can support medical professionals in delivering better patient care through efficient and accurate documentation.

 

Figure1. Frontpage of the ADMEDVOICE corpus containing medical text and their spoken equivalents

1aSC31 – Shape changing artificial ear inspired by bats enriches speech signals

Anupam K Gupta1,2, Jin-Ping Han ,2, Philip Caspers1, Xiaodong Cui2, Rolf Müller1

  1. Dept. of Mechanical Engineering, Virginia Tech, Blacksburg, VA, USA
  2. IBM T. J. Watson Research Center, Yorktown, NY, USA

Contact: Jin-Ping Han – hanjp@us.ibm.com

Popular version of paper 1aSC31, “Horseshoe bat inspired reception dynamics embed dynamic features into speech signals.”
Presented Monday morning, Novemeber 28, 2016
172nd ASA Meeting, Honolulu

Have you ever had difficulty understanding what someone was saying to you while walking down a busy big city street, or in a crowded restaurant? Even if that person was right next to you? Words can become difficult to make out when they get jumbled with the ambient noise – cars honking, other voices – making it hard for our ears to pick up what we want to hear. But this is not so for bats. Their ears can move and change shape to precisely pick out specific sounds in their environment.

This biosonar capability inspired our artificial ear research and improving the accuracy of automatic speech recognition (ASR) systems and speaker localization. We asked if could we enrich a speech signal with direction-dependent, dynamic features by using bat-inspired reception dynamics?

Horseshoe bats, for example, are found throughout Africa, Europe and Asia, and so-named for the shape of their noses, can change the shape of their outer ears to help extract additional information about the environment from incoming ultrasonic echoes. Their sophisticated biosonar systems emit ultrasonic pulses and listen to the incoming echoes that reflect back after hitting surrounding objects by changing their ear shape (something other mammals cannot do). This allows them to learn about the environment, helping them navigate and hunt in their home of dense forests.

While probing the environment, horseshoe bats change their ear shape to modulate the incoming echoes, increasing the information content embedded in the echoes. We believe that this shape change is one of the reasons bats’ sonar exhibit such high performance compared to technical sonar systems of similar size.

To test this, we first built a robotic bat head that mimics the ear shape changes we observed in horseshoe bats.

han1 - bats

Figure 1: Horseshoe bat inspired robotic set-up used to record speech signal

We then recorded speech signals to explore if using shape change, inspired by the bats, could embed direction-dependent dynamic features into speech signals. The potential applications of this could range from improving hearing aid accuracy to helping a machine more-accurately hear – and learn from – sounds in real-world environments.

We compiled a digital dataset of 11 US English speakers from open source speech collections provided by Carnegie Mellon University. The human acoustic utterances were shifted to the ultrasonic domain so our robot could understand and play back the sounds into microphones, while the biomimetic bat head actively moved its ears. The signals at the base of the ears were then translated back to the speech domain to extract the original signal.
This pilot study, performed at IBM Research in collaboration with Virginia Tech, showed that the ear shape change was, in fact, able to significantly modulate the signal and concluded that these changes, like in horseshoe bats, embed dynamic patterns into speech signals.

The dynamically enriched data we explored improved the accuracy of speech recognition. Compared to a traditional system for hearing and recognizing speech in noisy environments, adding structural movement to a complex outer shape surrounding a microphone, mimicking an ear, significantly improved its performance and access to directional information. In the future, this might improve performance in devices operating in difficult hearing scenarios like a busy street in a metropolitan center.

han2

Figure 2: Example of speech signal recorded without and with the dynamic ear. Top row: speech signal without the dynamic ear, Bottom row: speech signal with the dynamic ear

2pSC14 – Improving the Accuracy of Automatic Detection of Emotions From Speech

Reza Asadi and Harriet Fell

Popular version of poster 2pSC14 “Improving the accuracy of speech emotion recognition using acoustic landmarks and Teager energy operator features.”
Presented Tuesday afternoon, May 19, 2015, 1:00 pm – 5:00 pm, Ballroom 2
169th ASA Meeting, Pittsburgh

“You know, I can feel the fear that you carry around and I wish there was… something I could do to help you let go of it because if you could, I don’t think you’d feel so alone anymore.”
— Samantha, a computer operating system in the movie “Her”

Introduction
Computers that can recognize human emotions could react appropriately to a user’s needs and provide more human like interactions. Emotion recognition can also be used as a diagnostic tool for medical purposes, onboard car driving systems to keep the driver alert if stress is detected, a similar system in aircraft cockpits, and also electronic tutoring and interaction with virtual agents or robots. But is it really possible for computers to detect the emotions of their users?

During the past fifteen years, computer and speech scientists have worked on the automatic detection of emotion in speech. In order to interpret emotions from speech the machine will gather acoustic information in the form of sound signals, then extract related information from the signals and find patterns which relate acoustic information to the emotional state of speaker. In this study new combinations of acoustic feature sets were used to improve the performance of emotion recognition from speech. Also a comparison of feature sets for detecting different emotions is provided.

Methodology
Three sets of acoustic features were selected for this study: Mel-Frequency Cepstral Coefficients, Teager Energy Operator features and Landmark features.

Mel-Frequency Cepstral Coefficients:
In order to produce vocal sounds, vocal cords vibrate and produce periodic pulses which result in glottal wave. The vocal tract starting from the vocal cords and ending in the mouth and nose acts as a filter on the glottal wave. The Cepstrum is a signal analysis tool which is useful in separating source from filter in acoustic waves. Since the vocal tract acts as a filter on a glottal wave we can use the cepstrum to extract information only related to the vocal tract.

The mel scale is a perceptual scale for pitches as judged by listeners to be equal in distance from one another. Using mel frequencies in cepstral analysis approximates the human auditory system’s response more closely than using the linearly-spaced frequency bands. If we map frequency powers of energy in original speech wave spectrum to mel scale and then perform cepstral analysis we get Mel-Frequency Cepstral Coefficients (MFCC). Previous studies use MFCC for speaker and speech recognition. It has also been used to detect emotions.

Teager Energy Operator features:
Another approach to modeling speech production is to focus on the pattern of airflow in the vocal tract. While speaking in emotional states of panic or anger, physiological changes like muscle tension alter the airflow pattern and can be used to detect stress in speech. It is difficult to mathematically model the airflow, therefore Teager proposed the Teager Energy Operators (TEO), which computes the energy of vortex-flow interaction at each instance of time. Previous studies show that TEO related features contain information which can be used to determine stress in speech.

Acoustic landmarks:
Acoustic landmarks are locations in the speech signal where important and easily perceptible speech properties are rapidly changing. Previous studies show that the number of landmarks in each syllable might reflect underlying cognitive, mental, emotional, and developmental states of the speaker.

Asadi1 - EmotionsFigure 1 – Spectrogram (top) and acoustic landmarks (bottom) detected in neutral speech sample

Sound File 1 – A speech sample with neutral emotion

Asadi2 - Emotions

Figure 2 – Spectrogram (top) and acoustic landmarks (bottom) detected in anger speech sample

Sound File 2 – A speech sample with anger emotion
 

Classification:
The data used in this study came from the Linguistic Data Consortium’s Emotional Prosody and Speech Transcripts. In this database four actresses and three actors, all in their mid-20s, read a series of semantically neutral utterances (four-syllable dates and numbers) in fourteen emotional states. A description for each emotional state was handed over to the participants to be articulated in the proper emotional context. Acoustic features described previously were extracted from the speech samples in this database. These features were used for training and testing Support Vector Machine classifiers with the goal of detecting emotions from speech. The target emotions included anger, fear, disgust, sadness, joy, and neutral.

Results
The results of this study show an average detection accuracy of approximately 91% among these six emotions. This is 9% better than a previous study conducted at CMU on the same data set.

Specifically TEO features resulted in improvements in detecting anger and fear and landmark features improved the results for detecting sadness and joy. The classifier had the highest accuracy, 92%, in detecting anger and the lowest, 87%, in detecting joy.

4aAAa1 – Speech-in-noise recognition as both an experience- and signal-dependent process

Ann Bradlow – abradlow@northwestern.edu
Department of Linguistics
Northwestern UniversitY
2016 Sheridan Road
Evanston, IL 60208
Popular version of paper 4aAAa1

Presented Thursday morning, October 30, 2014
168th ASA Meeting, Indianapolis

Real-world speech understanding in naturally “crowded” auditory soundscapes is a complex operation that acts upon an integrated speech-plus-noise signal.   Does all of the auditory “clutter” that surrounds speech make its way into our heads along with the speech? Or, do we perceptually isolate and discard background noise at an early stage of processing based on general acoustic properties that differentiate sounds from non-speech noise sources and those from human vocal tracts (i.e. speech)?

We addressed these questions by first examining the ability to tune into speech while simultaneously tuning out noise. Is this ability influenced by properties of the listener (their experience-dependent knowledge) as well as by properties of the signal (factors that make it more or less difficult to separate a given target from a given masker)? Listeners were presented with English sentences in a background of competing speech that was either English (matched-language, English-in-English recognition) or another language (mismatched-language, e.g. English-in-Mandarin recognition). Listeners were either native or non-native listeners of English and were either familiar or unfamiliar with the language of the to-be-ignored, background speech (English, Mandarin, Dutch, or Croatian). Overall, we found that matched-language speech-in-speech understanding (English-in-English) is significantly harder than mismatched-language speech-in-speech understanding (e.g. English-in-Mandarin). Importantly, listener familiarity with the background language modulated the magnitude of the mismatched-language benefit On a smaller time scale of experience, we also find that this benefit is modulated by short-term adaptation to a consistent background language within a test session. Thus, we conclude that speech understanding in conditions that involve competing background speech engages experience-dependent knowledge in addition to signal-dependent processes of auditory stream segregation.

Experiment Series 2 then asked if listeners’ memory traces for spoken words with concurrent background noise remain associated in memory with the background noise. Listeners were presented with a list of spoken words and for each word they were asked to indicate if the word was “old” (i.e. had occurred previously in the test session) or “new” (i.e. had not been presented over the course of the experiment). All words were presented with concurrent noise that was either aperiodic in a limited frequency band (i.e. like wind in the trees) or a pure tone. Importantly, both types of noise were clearly from a sound source that was very different from the speech source. In general, words were more likely to be correctly recognized as previously-heard if the noise on the second presentation matched the noise on the first presentation (e.g. pure tone on both first and second presentations of the word). This suggests that the memory trace for spoken words that have been presented in noisy backgrounds includes an association with the specific concurrent noise. That is, even sounds that quite clearly emanate from an entirely different source remain integrated with the cognitive representation of speech rather than being permanently discarded during speech processing.

These findings suggest that real-world speech understanding in naturally “crowded” auditory soundscapes involves an integrated speech-plus-noise signal at various stages of processing and representation. All of the auditory “clutter” that surrounds speech somehow makes its way into our heads along with the speech leaving us with exquisitely detailed auditory memories from which we build rich representations of our unique experiences.

Important note: The work in this presentation was conducted in a highly collaborative laboratory at Northwestern University. Critical contributors to this work are former group members Susanne Brouwer (now at Utrecht University, Netherlands), Lauren Calandruccio (now at UNC-Chapel Hill), and Kristin Van Engen (now at Washington University, St. Louis), and current group member, Angela Cooper.