Cough activity detection for automatic tuberculosis screening

The automatic identification of cough segments in audio through the determination of start and end points is pivotal to building scalable screening tools in health technologies for pulmonary related diseases. We propose the application of two current pre-trained architectures to the task of cough activity detection. A dataset of recordings containing cough from patients symptomatic for tuberculosis (TB) who self-present at community-level care centres in South Africa and Uganda is employed. When automatic start and end points are determined using XLS-R, an average precision of 0.96 and an area under the receiver-operating characteristic of 0.99 are achieved for the test set. We show that best average precision is achieved by utilising only the first three layers of the network, which has the dual benefits of reduced computational and memory requirements, pivotal for smartphone-based applications. This XLS-R configuration is shown to outperform an audio spectrogram transformer (AST) as well as a logistic regression baseline by 9% and 27% absolute in test set average precision respectively. Furthermore, a downstream TB classification model trained using the coughs automatically isolated by XLS-R comfortably outperforms a model trained on the coughs isolated by AST, and is only narrowly outperformed by a classifier trained on the ground truth coughs. We conclude that the application of large pre-trained transformer models is an effective approach to identifying cough end-points and that the integration of such a model into a screening tool is feasible.

Fine-Tuned Self-Supervised Speech Representations for Language Diarization in Multilingual Code-Switched Speech

Annotating a multilingual code-switched corpus is a painstaking process requiring specialist linguistic expertise. This is partly due to the large number of language combinations that may appear within and across utterances, which might require several annotators with different linguistic expertise to consider an utterance sequentially. This is time-consuming and costly. It would be useful if the spoken languages in an utterance and the boundaries thereof were known before annotation commences, to allow segments to be assigned to the relevant language experts in parallel. To address this, we investigate the development of a continuous multilingual language diarizer using fine-tuned speech representations extracted from a large pre-trained self-supervised architecture (WavLM). We experiment with a code-switched corpus consisting of five South African languages (isiZulu, isiXhosa, Setswana, Sesotho and English) and show substantial diarization error rate improvements for language families, language groups, and individual languages over baseline systems.