Integration of speech into healthcare has intensified privacy concerns due to its potential as a non-invasive biomarker containing individual biometric information. In response, speaker anonymization aims to conceal personally identifiable information while retaining crucial linguistic content. However, the application of anonymization techniques to pathological speech, a critical area where privacy is especially vital, has not been extensively examined. This study investigates anonymization's impact on pathological speech across over 2,700 speakers from multiple German institutions, focusing on privacy, pathological utility, and demographic fairness. We explore both training-based and signal processing-based anonymization methods, and document substantial privacy improvements across disorders-evidenced by equal error rate increases up to 1933%, with minimal overall impact on utility. Specific disorders such as Dysarthria, Dysphonia, and Cleft Lip and Palate experienced minimal utility changes, while Dysglossia showed slight improvements. Our findings underscore that the impact of anonymization varies substantially across different disorders. This necessitates disorder-specific anonymization strategies to optimally balance privacy with diagnostic utility. Additionally, our fairness analysis revealed consistent anonymization effects across most of the demographics. This study demonstrates the effectiveness of anonymization in pathological speech for enhancing privacy, while also highlighting the importance of customized approaches to account for inversion attacks.
In recent years, machine learning, and in particular generative adversarial neural networks (GANs) and attention-based neural networks (transformers), have been successfully used to compose and generate music, both melodies and polyphonic pieces. Current research focuses foremost on style replication (eg. generating a Bach-style chorale) or style transfer (eg. classical to jazz) based on large amounts of recorded or transcribed music, which in turn also allows for fairly straight-forward "performance" evaluation. However, most of these models are not suitable for human-machine co-creation through live interaction, neither is clear, how such models and resulting creations would be evaluated. This article presents a thorough review of music representation, feature analysis, heuristic algorithms, statistical and parametric modelling, and human and automatic evaluation measures, along with a discussion of which approaches and models seem most suitable for live interaction.