The Impact of Speech Anonymization on Pathology and Its Limits

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.

Federated learning for secure development of AI models for Parkinson's disease detection using speech from different languages

Parkinson's disease (PD) is a neurological disorder impacting a person's speech. Among automatic PD assessment methods, deep learning models have gained particular interest. Recently, the community has explored cross-pathology and cross-language models which can improve diagnostic accuracy even further. However, strict patient data privacy regulations largely prevent institutions from sharing patient speech data with each other. In this paper, we employ federated learning (FL) for PD detection using speech signals from 3 real-world language corpora of German, Spanish, and Czech, each from a separate institution. Our results indicate that the FL model outperforms all the local models in terms of diagnostic accuracy, while not performing very differently from the model based on centrally combined training sets, with the advantage of not requiring any data sharing among collaborators. This will simplify inter-institutional collaborations, resulting in enhancement of patient outcomes.

PoCaP Corpus: A Multimodal Dataset for Smart Operating Room Speech Assistant using Interventional Radiology Workflow Analysis

This paper presents a new multimodal interventional radiology dataset, called PoCaP (Port Catheter Placement) Corpus. This corpus consists of speech and audio signals in German, X-ray images, and system commands collected from 31 PoCaP interventions by six surgeons with average duration of 81.4 $\pm$ 41.0 minutes. The corpus aims to provide a resource for developing a smart speech assistant in operating rooms. In particular, it may be used to develop a speech controlled system that enables surgeons to control the operation parameters such as C-arm movements and table positions. In order to record the dataset, we acquired consent by the institutional review board and workers council in the University Hospital Erlangen and by the patients for data privacy. We describe the recording set-up, data structure, workflow and preprocessing steps, and report the first PoCaP Corpus speech recognition analysis results with 11.52 $\%$ word error rate using pretrained models. The findings suggest that the data has the potential to build a robust command recognition system and will allow the development of a novel intervention support systems using speech and image processing in the medical domain.

Is Speech Pathology a Biomarker in Automatic Speaker Verification?

With the advancements in deep learning (DL) and an increasing interest in data-driven speech processing methods, a major challenge for speech data scientists in the healthcare domain is the anonymization of pathological speech, which is a required step to be able to make them accessible as a public training resource. In this paper, we investigate pathological speech data and compare their speaker verifiability with that of healthy individuals. We utilize a large pathological speech corpus of more than 2,000 test subjects with various speech and voice disorders from different ages and apply DL-based automatic speaker verification (ASV) techniques. As a result, we obtained a mean equal error rate (EER) of 0.86% with a standard deviation of 0.16%, which is a factor of three lower than comparable healthy speech databases. We further perform detailed analyses of external influencing factors on ASV such as age, pathology, recording environment, and utterance length, to explore their respective effect. Our findings indicate that speech pathology is a potential biomarker in ASV. This is potentially of high interest for the anonymization of pathological speech data.

Disentangled Latent Speech Representation for Automatic Pathological Intelligibility Assessment

Speech intelligibility assessment plays an important role in the therapy of patients suffering from pathological speech disorders. Automatic and objective measures are desirable to assist therapists in their traditionally subjective and labor-intensive assessments. In this work, we investigate a novel approach for obtaining such a measure using the divergence in disentangled latent speech representations of a parallel utterance pair, obtained from a healthy reference and a pathological speaker. Experiments on an English database of Cerebral Palsy patients, using all available utterances per speaker, show high and significant correlation values (R = -0.9) with subjective intelligibility measures, while having only minimal deviation (+-0.01) across four different reference speaker pairs. We also demonstrate the robustness of the proposed method (R = -0.89 deviating +-0.02 over 1000 iterations) by considering a significantly smaller amount of utterances per speaker. Our results are among the first to show that disentangled speech representations can be used for automatic pathological speech intelligibility assessment, resulting in a reference speaker pair invariant method, applicable in scenarios with only few utterances available.

Self-Supervised Speech Representations Preserve Speech Characteristics while Anonymizing Voices

Collecting speech data is an important step in training speech recognition systems and other speech-based machine learning models. However, the issue of privacy protection is an increasing concern that must be addressed. The current study investigates the use of voice conversion as a method for anonymizing voices. In particular, we train several voice conversion models using self-supervised speech representations including Wav2Vec2.0, Hubert and UniSpeech. Converted voices retain a low word error rate within 1% of the original voice. Equal error rate increases from 1.52% to 46.24% on the LibriSpeech test set and from 3.75% to 45.84% on speakers from the VCTK corpus which signifies degraded performance on speaker verification. Lastly, we conduct experiments on dysarthric speech data to show that speech features relevant to articulation, prosody, phonation and phonology can be extracted from anonymized voices for discriminating between healthy and pathological speech.

Cross-lingual Self-Supervised Speech Representations for Improved Dysarthric Speech Recognition

State-of-the-art automatic speech recognition (ASR) systems perform well on healthy speech. However, the performance on impaired speech still remains an issue. The current study explores the usefulness of using Wav2Vec self-supervised speech representations as features for training an ASR system for dysarthric speech. Dysarthric speech recognition is particularly difficult as several aspects of speech such as articulation, prosody and phonation can be impaired. Specifically, we train an acoustic model with features extracted from Wav2Vec, Hubert, and the cross-lingual XLSR model. Results suggest that speech representations pretrained on large unlabelled data can improve word error rate (WER) performance. In particular, features from the multilingual model led to lower WERs than filterbanks (Fbank) or models trained on a single language. Improvements were observed in English speakers with cerebral palsy caused dysarthria (UASpeech corpus), Spanish speakers with Parkinsonian dysarthria (PC-GITA corpus) and Italian speakers with paralysis-based dysarthria (EasyCall corpus). Compared to using Fbank features, XLSR-based features reduced WERs by 6.8%, 22.0%, and 7.0% for the UASpeech, PC-GITA, and EasyCall corpus, respectively.

SliTraNet: Automatic Detection of Slide Transitions in Lecture Videos using Convolutional Neural Networks

With the increasing number of online learning material in the web, search for specific content in lecture videos can be time consuming. Therefore, automatic slide extraction from the lecture videos can be helpful to give a brief overview of the main content and to support the students in their studies. For this task, we propose a deep learning method to detect slide transitions in lectures videos. We first process each frame of the video by a heuristic-based approach using a 2-D convolutional neural network to predict transition candidates. Then, we increase the complexity by employing two 3-D convolutional neural networks to refine the transition candidates. Evaluation results demonstrate the effectiveness of our method in finding slide transitions.

Does Proprietary Software Still Offer Protection of Intellectual Property in the Age of Machine Learning? -- A Case Study using Dual Energy CT Data

In the domain of medical image processing, medical device manufacturers protect their intellectual property in many cases by shipping only compiled software, i.e. binary code which can be executed but is difficult to be understood by a potential attacker. In this paper, we investigate how well this procedure is able to protect image processing algorithms. In particular, we investigate whether the computation of mono-energetic images and iodine maps from dual energy CT data can be reverse-engineered by machine learning methods. Our results indicate that both can be approximated using only one single slice image as training data at a very high accuracy with structural similarity greater than 0.98 in all investigated cases.

Known Operator Learning and Hybrid Machine Learning in Medical Imaging --- A Review of the Past, the Present, and the Future

In this article, we perform a review of the state-of-the-art of hybrid machine learning in medical imaging. We start with a short summary of the general developments of the past in machine learning and how general and specialized approaches have been in competition in the past decades. A particular focus will be the theoretical and experimental evidence pro and contra hybrid modelling. Next, we inspect several new developments regarding hybrid machine learning with a particular focus on so-called known operator learning and how hybrid approaches gain more and more momentum across essentially all applications in medical imaging and medical image analysis. As we will point out by numerous examples, hybrid models are taking over in image reconstruction and analysis. Even domains such as physical simulation and scanner and acquisition design are being addressed using machine learning grey box modelling approaches. Towards the end of the article, we will investigate a few future directions and point out relevant areas in which hybrid modelling, meta learning, and other domains will likely be able to drive the state-of-the-art ahead.