CaReAQA: A Cardiac and Respiratory Audio Question Answering Model for Open-Ended Diagnostic Reasoning

Medical audio signals, such as heart and lung sounds, play a crucial role in clinical diagnosis. However, analyzing these signals remains challenging: traditional methods rely on handcrafted features or supervised deep learning models that demand extensive labeled datasets, limiting their scalability and applicability. To address these issues, we propose CaReAQA, an audio-language model that integrates a foundation audio model with the reasoning capabilities of large language models, enabling clinically relevant, open-ended diagnostic responses. Alongside CaReAQA, we introduce CaReSound, a benchmark dataset of annotated medical audio recordings enriched with metadata and paired question-answer examples, intended to drive progress in diagnostic reasoning research. Evaluation results show that CaReAQA achieves 86.2% accuracy on open-ended diagnostic reasoning tasks, outperforming baseline models. It also generalizes well to closed-ended classification tasks, achieving an average accuracy of 56.9% on unseen datasets. Our findings show how audio-language integration and reasoning advances medical diagnostics, enabling efficient AI systems for clinical decision support.

Vision-Speech Models: Teaching Speech Models to Converse about Images

The recent successes of Vision-Language models raise the question of how to equivalently imbue a pretrained speech model with vision understanding, an important milestone towards building a multimodal speech model able to freely converse about images. Building such a conversational Vision-Speech model brings its unique challenges: (i) paired image-speech datasets are much scarcer than their image-text counterparts, (ii) ensuring real-time latency at inference is crucial thus bringing compute and memory constraints, and (iii) the model should preserve prosodic features (e.g., speaker tone) which cannot be inferred from text alone. In this work, we introduce MoshiVis, augmenting a recent dialogue speech LLM, Moshi, with visual inputs through lightweight adaptation modules. An additional dynamic gating mechanism enables the model to more easily switch between the visual inputs and unrelated conversation topics. To reduce training costs, we design a simple one-stage, parameter-efficient fine-tuning pipeline in which we leverage a mixture of image-text (i.e., "speechless") and image-speech samples. We evaluate the model on downstream visual understanding tasks with both audio and text prompts, and report qualitative samples of interactions with MoshiVis. Our inference code will be made available, as well as the image-speech data used for audio evaluation.

High-Fidelity Simultaneous Speech-To-Speech Translation

We introduce Hibiki, a decoder-only model for simultaneous speech translation. Hibiki leverages a multistream language model to synchronously process source and target speech, and jointly produces text and audio tokens to perform speech-to-text and speech-to-speech translation. We furthermore address the fundamental challenge of simultaneous interpretation, which unlike its consecutive counterpart, where one waits for the end of the source utterance to start translating, adapts its flow to accumulate just enough context to produce a correct translation in real-time, chunk by chunk. To do so, we introduce a weakly-supervised method that leverages the perplexity of an off-the-shelf text translation system to identify optimal delays on a per-word basis and create aligned synthetic data. After supervised training, Hibiki performs adaptive, simultaneous speech translation with vanilla temperature sampling. On a French-English simultaneous speech translation task, Hibiki demonstrates state-of-the-art performance in translation quality, speaker fidelity and naturalness. Moreover, the simplicity of its inference process makes it compatible with batched translation and even real-time on-device deployment. We provide examples as well as models and inference code.

MAD Speech: Measures of Acoustic Diversity of Speech

Generative spoken language models produce speech in a wide range of voices, prosody, and recording conditions, seemingly approaching the diversity of natural speech. However, the extent to which generated speech is acoustically diverse remains unclear due to a lack of appropriate metrics. We address this gap by developing lightweight metrics of acoustic diversity, which we collectively refer to as MAD Speech. We focus on measuring five facets of acoustic diversity: voice, gender, emotion, accent, and background noise. We construct the metrics as a composition of specialized, per-facet embedding models and an aggregation function that measures diversity within the embedding space. Next, we build a series of datasets with a priori known diversity preferences for each facet. Using these datasets, we demonstrate that our proposed metrics achieve a stronger agreement with the ground-truth diversity than baselines. Finally, we showcase the applicability of our proposed metrics across several real-life evaluation scenarios. MAD Speech will be made publicly accessible.

MusicRL: Aligning Music Generation to Human Preferences

We propose MusicRL, the first music generation system finetuned from human feedback. Appreciation of text-to-music models is particularly subjective since the concept of musicality as well as the specific intention behind a caption are user-dependent (e.g. a caption such as "upbeat work-out music" can map to a retro guitar solo or a techno pop beat). Not only this makes supervised training of such models challenging, but it also calls for integrating continuous human feedback in their post-deployment finetuning. MusicRL is a pretrained autoregressive MusicLM (Agostinelli et al., 2023) model of discrete audio tokens finetuned with reinforcement learning to maximise sequence-level rewards. We design reward functions related specifically to text-adherence and audio quality with the help from selected raters, and use those to finetune MusicLM into MusicRL-R. We deploy MusicLM to users and collect a substantial dataset comprising 300,000 pairwise preferences. Using Reinforcement Learning from Human Feedback (RLHF), we train MusicRL-U, the first text-to-music model that incorporates human feedback at scale. Human evaluations show that both MusicRL-R and MusicRL-U are preferred to the baseline. Ultimately, MusicRL-RU combines the two approaches and results in the best model according to human raters. Ablation studies shed light on the musical attributes influencing human preferences, indicating that text adherence and quality only account for a part of it. This underscores the prevalence of subjectivity in musical appreciation and calls for further involvement of human listeners in the finetuning of music generation models.

TokenSplit: Using Discrete Speech Representations for Direct, Refined, and Transcript-Conditioned Speech Separation and Recognition

We present TokenSplit, a speech separation model that acts on discrete token sequences. The model is trained on multiple tasks simultaneously: separate and transcribe each speech source, and generate speech from text. The model operates on transcripts and audio token sequences and achieves multiple tasks through masking of inputs. The model is a sequence-to-sequence encoder-decoder model that uses the Transformer architecture. We also present a "refinement" version of the model that predicts enhanced audio tokens from the audio tokens of speech separated by a conventional separation model. Using both objective metrics and subjective MUSHRA listening tests, we show that our model achieves excellent performance in terms of separation, both with or without transcript conditioning. We also measure the automatic speech recognition (ASR) performance and provide audio samples of speech synthesis to demonstrate the additional utility of our model.

AudioPaLM: A Large Language Model That Can Speak and Listen

We introduce AudioPaLM, a large language model for speech understanding and generation. AudioPaLM fuses text-based and speech-based language models, PaLM-2 [Anil et al., 2023] and AudioLM [Borsos et al., 2022], into a unified multimodal architecture that can process and generate text and speech with applications including speech recognition and speech-to-speech translation. AudioPaLM inherits the capability to preserve paralinguistic information such as speaker identity and intonation from AudioLM and the linguistic knowledge present only in text large language models such as PaLM-2. We demonstrate that initializing AudioPaLM with the weights of a text-only large language model improves speech processing, successfully leveraging the larger quantity of text training data used in pretraining to assist with the speech tasks. The resulting model significantly outperforms existing systems for speech translation tasks and has the ability to perform zero-shot speech-to-text translation for many languages for which input/target language combinations were not seen in training. AudioPaLM also demonstrates features of audio language models, such as transferring a voice across languages based on a short spoken prompt. We release examples of our method at https://google-research.github.io/seanet/audiopalm/examples

SoundStorm: Efficient Parallel Audio Generation

We present SoundStorm, a model for efficient, non-autoregressive audio generation. SoundStorm receives as input the semantic tokens of AudioLM, and relies on bidirectional attention and confidence-based parallel decoding to generate the tokens of a neural audio codec. Compared to the autoregressive generation approach of AudioLM, our model produces audio of the same quality and with higher consistency in voice and acoustic conditions, while being two orders of magnitude faster. SoundStorm generates 30 seconds of audio in 0.5 seconds on a TPU-v4. We demonstrate the ability of our model to scale audio generation to longer sequences by synthesizing high-quality, natural dialogue segments, given a transcript annotated with speaker turns and a short prompt with the speakers' voices.

LMCodec: A Low Bitrate Speech Codec With Causal Transformer Models

We introduce LMCodec, a causal neural speech codec that provides high quality audio at very low bitrates. The backbone of the system is a causal convolutional codec that encodes audio into a hierarchy of coarse-to-fine tokens using residual vector quantization. LMCodec trains a Transformer language model to predict the fine tokens from the coarse ones in a generative fashion, allowing for the transmission of fewer codes. A second Transformer predicts the uncertainty of the next codes given the past transmitted codes, and is used to perform conditional entropy coding. A MUSHRA subjective test was conducted and shows that the quality is comparable to reference codecs at higher bitrates. Example audio is available at https://mjenrungrot.github.io/chrome-media-audio-papers/publications/lmcodec.

Speech Intelligibility Classifiers from 550k Disordered Speech Samples

We developed dysarthric speech intelligibility classifiers on 551,176 disordered speech samples contributed by a diverse set of 468 speakers, with a range of self-reported speaking disorders and rated for their overall intelligibility on a five-point scale. We trained three models following different deep learning approaches and evaluated them on ~94K utterances from 100 speakers. We further found the models to generalize well (without further training) on the TORGO database (100% accuracy), UASpeech (0.93 correlation), ALS-TDI PMP (0.81 AUC) datasets as well as on a dataset of realistic unprompted speech we gathered (106 dysarthric and 76 control speakers,~2300 samples).