Angela Roberts

Yael Segal, Kasia Hitczenko, Matthew Goldrick et al.

Diadochokinetic speech tasks (DDK), in which participants repeatedly produce syllables, are commonly used as part of the assessment of speech motor impairments. These studies rely on manual analyses that are time-intensive, subjective, and provide only a coarse-grained picture of speech. This paper presents two deep neural network models that automatically segment consonants and vowels from unannotated, untranscribed speech. Both models work on the raw waveform and use convolutional layers for feature extraction. The first model is based on an LSTM classifier followed by fully connected layers, while the second model adds more convolutional layers followed by fully connected layers. These segmentations predicted by the models are used to obtain measures of speech rate and sound duration. Results on a young healthy individuals dataset show that our LSTM model outperforms the current state-of-the-art systems and performs comparably to trained human annotators. Moreover, the LSTM model also presents comparable results to trained human annotators when evaluated on unseen older individuals with Parkinson's Disease dataset.

Matthew Perez, Amrit Romana, Angela Roberts et al.

Huntington Disease (HD) is a progressive disorder which often manifests in motor impairment. Motor severity (captured via motor score) is a key component in assessing overall HD severity. However, motor score evaluation involves in-clinic visits with a trained medical professional, which are expensive and not always accessible. Speech analysis provides an attractive avenue for tracking HD severity because speech is easy to collect remotely and provides insight into motor changes. HD speech is typically characterized as having irregular articulation. With this in mind, acoustic features that can capture vocal tract movement and articulatory coordination are particularly promising for characterizing motor symptom progression in HD. In this paper, we present an experiment that uses Vocal Tract Coordination (VTC) features extracted from read speech to estimate a motor score. When using an elastic-net regression model, we find that VTC features significantly outperform other acoustic features across varied-length audio segments, which highlights the effectiveness of these features for both short- and long-form reading tasks. Lastly, we analyze the F-value scores of VTC features to visualize which channels are most related to motor score. This work enables future research efforts to consider VTC features for acoustic analyses which target HD motor symptomatology tracking.

Amrit Romana, John Bandon, Noelle Carlozzi et al.

Huntington disease (HD) is a fatal autosomal dominant neurocognitive disorder that causes cognitive disturbances, neuropsychiatric symptoms, and impaired motor abilities (e.g., gait, speech, voice). Due to its progressive nature, HD treatment requires ongoing clinical monitoring of symptoms. Individuals with the gene mutation which causes HD may exhibit a range of speech symptoms as they progress from premanifest to manifest HD. Differentiating between premanifest and manifest HD is an important yet understudied problem, as this distinction marks the need for increased treatment. Speech-based passive monitoring has the potential to augment clinical assessments by continuously tracking manifestation symptoms. In this work we present the first demonstration of how changes in connected speech can be measured to differentiate between premanifest and manifest HD. To do so, we focus on a key speech symptom of HD: vowel distortion. We introduce a set of vowel features which we extract from connected speech. We show that our vowel features can differentiate between premanifest and manifest HD with 87% accuracy.

Matthew Perez, Wenyu Jin, Duc Le et al.

Speech is a critical biomarker for Huntington Disease (HD), with changes in speech increasing in severity as the disease progresses. Speech analyses are currently conducted using either transcriptions created manually by trained professionals or using global rating scales. Manual transcription is both expensive and time-consuming and global rating scales may lack sufficient sensitivity and fidelity. Ultimately, what is needed is an unobtrusive measure that can cheaply and continuously track disease progression. We present first steps towards the development of such a system, demonstrating the ability to automatically differentiate between healthy controls and individuals with HD using speech cues. The results provide evidence that objective analyses can be used to support clinical diagnoses, moving towards the tracking of symptomatology outside of laboratory and clinical environments.