The Differentiable Auditory Loop (DAL): An ML Framework for Hyper-Personalized Hearing Aids

Conventional hearing aids rely on fixed, frequency-dependent amplification and compression to manage reduced sensitivity, which often fails to provide sufficient listening support in complex environments, such as situations with multiple speakers (the ``cocktail party'' problem). To more comprehensively address the underlying encoding dysfunctions of hearing loss, we introduce the Differentiable Auditory Loop (DAL), a new open-source framework for personalized hearing aid design and fitting. Our first implementation of DAL incorporates CARFAC, a differentiable model of human cochlear function, which we ported to JAX, to optimize a deep neural network to match impaired auditory neural activity patterns with a normal-hearing reference. To build a hearing aid with the fine-grained spectro-temporal signal processing required, we adopt SEANet, a waveform-to-waveform fully convolutional UNet generator. We fine-tune the network by comparing the outputs of a CARFAC model fitted to normal hearing with that of a CARFAC model fitted to match each subject's individual hearing impairment. The comparison is done using loss functions derived from the respective CARFAC neural activity pattern (NAP) outputs and stabilized auditory images (SAIs), the latter providing a 2D representation that captures phase-insensitive temporal structure in the auditory nerve output. Through gradient descent, the SEANet model learns to both denoise the input and compensate for the hearing loss modelled by the impaired CARFAC model. Across neural-representation and signal-fidelity metrics, the DAL-optimized SEANet model outperformed the tested master hearing aid (MHA) baselines. The DAL framework provides a practical path toward model-based, machine-learning-driven personalization of hearing aid signal processing. Next steps include hardware deployment to enable real-world clinical testing.

A dataset and model for recognition of audiologically relevant environments for hearing aids: AHEAD-DS and YAMNet+

Scene recognition of audiologically relevant environments is important for hearing aids; however, it is challenging, in part because of the limitations of existing datasets. Datasets often lack public accessibility, completeness, or audiologically relevant labels, hindering systematic comparison of machine learning models. Deploying these models on resource-constrained edge devices presents another challenge. Our solution is two-fold: we leverage several open source datasets to create AHEAD-DS, a dataset designed for scene recognition of audiologically relevant environments, and introduce YAMNet+, a sound recognition model. AHEAD-DS aims to provide a standardised, publicly available dataset with consistent labels relevant to hearing aids, facilitating model comparison. YAMNet+ is designed for deployment on edge devices like smartphones connected to hearing devices, such as hearing aids and wireless earphones with hearing aid functionality; serving as a baseline model for sound-based scene recognition. YAMNet+ achieved a mean average precision of 0.83 and accuracy of 0.93 on the testing set of AHEAD-DS across fourteen categories of audiologically relevant environments. We found that applying transfer learning from the pretrained YAMNet model was essential. We demonstrated real-time sound-based scene recognition capabilities on edge devices by deploying YAMNet+ to an Android smartphone. Even with a Google Pixel 3 (a phone with modest specifications, released in 2018), the model processes audio with approximately 50ms of latency to load the model, and an approximate linear increase of 30ms per 1 second of audio. Our website and code https://github.com/Australian-Future-Hearing-Initiative .

Identifying Hearing Difficulty Moments in Conversational Audio

Individuals regularly experience Hearing Difficulty Moments in everyday conversation. Identifying these moments of hearing difficulty has particular significance in the field of hearing assistive technology where timely interventions are key for realtime hearing assistance. In this paper, we propose and compare machine learning solutions for continuously detecting utterances that identify these specific moments in conversational audio. We show that audio language models, through their multimodal reasoning capabilities, excel at this task, significantly outperforming a simple ASR hotword heuristic and a more conventional fine-tuning approach with Wav2Vec, an audio-only input architecture that is state-of-the-art for automatic speech recognition (ASR).

Improved Segmentation and Detection Sensitivity of Diffusion-Weighted Brain Infarct Lesions with Synthetically Enhanced Deep Learning

Purpose: To compare the segmentation and detection performance of a deep learning model trained on a database of human-labelled clinical diffusion-weighted (DW) stroke lesions to a model trained on the same database enhanced with synthetic DW stroke lesions. Methods: In this institutional review board approved study, a stroke database of 962 cases (mean age 65+/-17 years, 255 males, 449 scans with DW positive stroke lesions) and a normal database of 2,027 patients (mean age 38+/-24 years,1088 females) were obtained. Brain volumes with synthetic DW stroke lesions were produced by warping the relative signal increase of real strokes to normal brain volumes. A generic 3D U-Net was trained on four different databases to generate four different models: (a) 375 neuroradiologist-labeled clinical DW positive stroke cases(CDB);(b) 2,000 synthetic cases(S2DB);(c) CDB+2,000 synthetic cases(CS2DB); or (d) CDB+40,000 synthetic cases(CS40DB). The models were tested on 20%(n=192) of the cases of the stroke database, which were excluded from the training set. Segmentation accuracy was characterized using Dice score and lesion volume of the stroke segmentation, and statistical significance was tested using a paired, two-tailed, Student's t-test. Detection sensitivity and specificity was compared to three neuroradiologists. Results: The performance of the 3D U-Net model trained on the CS40DB(mean Dice 0.72) was better than models trained on the CS2DB (0.70,P <0.001) or the CDB(0.65,P<0.001). The deep learning model was also more sensitive (91%[89%-93%]) than each of the three human readers(84%[81%-87%],78%[75%-81%],and 79%[76%-82%]), but less specific(75%[72%-78%] vs for the three human readers (96%[94%-97%],92%[90%-94%] and 89%[86%-91%]). Conclusion: Deep learning training for segmentation and detection of DW stroke lesions was significantly improved by enhancing the training set with synthetic lesions.