Khai Le-Duc

Khai Le-Duc, Phuc Phan, Tan-Hanh Pham et al.

Multilingual automatic speech recognition (ASR) in the medical domain serves as a foundational task for various downstream applications such as speech translation, spoken language understanding, and voice-activated assistants. This technology improves patient care by enabling efficient communication across language barriers, alleviating specialized workforce shortages, and facilitating improved diagnosis and treatment, particularly during pandemics. In this work, we introduce MultiMed, the first multilingual medical ASR dataset, along with the first collection of small-to-large end-to-end medical ASR models, spanning five languages: Vietnamese, English, German, French, and Mandarin Chinese. To our best knowledge, MultiMed stands as the world's largest medical ASR dataset across all major benchmarks: total duration, number of recording conditions, number of accents, and number of speaking roles. Furthermore, we present the first multilinguality study for medical ASR, which includes reproducible empirical baselines, a monolinguality-multilinguality analysis, Attention Encoder Decoder (AED) vs Hybrid comparative study and a linguistic analysis. We present practical ASR end-to-end training schemes optimized for a fixed number of trainable parameters that are common in industry settings. All code, data, and models are available online: https://github.com/leduckhai/MultiMed/tree/master/MultiMed.

Khai Le-Duc, Ryan Zhang, Ngoc Son Nguyen et al.

Vision-language models have been extensively explored across a wide range of tasks, achieving satisfactory performance; however, their application in medical imaging remains underexplored. In this work, we propose a unified framework - LiteGPT - for the medical imaging. We leverage multiple pre-trained visual encoders to enrich information and enhance the performance of vision-language models. To the best of our knowledge, this is the first study to utilize vision-language models for the novel task of joint localization and classification in medical images. Besides, we are pioneers in providing baselines for disease localization in chest X-rays. Finally, we set new state-of-the-art performance in the image classification task on the well-benchmarked VinDr-CXR dataset. All code and models are publicly available online: https://github.com/leduckhai/LiteGPT

Khai-Nguyen Nguyen, Khai Le-Duc, Bach Phan Tat et al.

Transparency in AI healthcare decision-making is crucial. By incorporating rationales to explain reason for each predicted label, users could understand Large Language Models (LLMs)'s reasoning to make better decision. In this work, we introduce a new task - Sentiment Reasoning - for both speech and text modalities, and our proposed multimodal multitask framework and the world's largest multimodal sentiment analysis dataset. Sentiment Reasoning is an auxiliary task in sentiment analysis where the model predicts both the sentiment label and generates the rationale behind it based on the input transcript. Our study conducted on both human transcripts and Automatic Speech Recognition (ASR) transcripts shows that Sentiment Reasoning helps improve model transparency by providing rationale for model prediction with quality semantically comparable to humans while also improving model's classification performance (+2% increase in both accuracy and macro-F1) via rationale-augmented fine-tuning. Also, no significant difference in the semantic quality of generated rationales between human and ASR transcripts. All code, data (five languages - Vietnamese, English, Chinese, German, and French) and models are published online: https://github.com/leduckhai/Sentiment-Reasoning

Christoph Lüscher, Mohammad Zeineldeen, Zijian Yang et al.

Language barriers present a great challenge in our increasingly connected and global world. Especially within the medical domain, e.g. hospital or emergency room, communication difficulties and delays may lead to malpractice and non-optimal patient care. In the HYKIST project, we consider patient-physician communication, more specifically between a German-speaking physician and an Arabic- or Vietnamese-speaking patient. Currently, a doctor can call the Triaphon service to get assistance from an interpreter in order to help facilitate communication. The HYKIST goal is to support the usually non-professional bilingual interpreter with an automatic speech translation system to improve patient care and help overcome language barriers. In this work, we present our ASR system development efforts for this conversational telephone speech translation task in the medical domain for two languages pairs, data collection, various acoustic model architectures and dialect-induced difficulties.

Khai Le-Duc

Due to privacy restrictions, there's a shortage of publicly available speech recognition datasets in the medical domain. In this work, we present VietMed - a Vietnamese speech recognition dataset in the medical domain comprising 16h of labeled medical speech, 1000h of unlabeled medical speech and 1200h of unlabeled general-domain speech. To our best knowledge, VietMed is by far the world's largest public medical speech recognition dataset in 7 aspects: total duration, number of speakers, diseases, recording conditions, speaker roles, unique medical terms and accents. VietMed is also by far the largest public Vietnamese speech dataset in terms of total duration. Additionally, we are the first to present a medical ASR dataset covering all ICD-10 disease groups and all accents within a country. Moreover, we release the first public large-scale pre-trained models for Vietnamese ASR, w2v2-Viet and XLSR-53-Viet, along with the first public large-scale fine-tuned models for medical ASR. Even without any medical data in unsupervised pre-training, our best pre-trained model XLSR-53-Viet generalizes very well to the medical domain by outperforming state-of-the-art XLSR-53, from 51.8% to 29.6% WER on test set (a relative reduction of more than 40%). All code, data and models are made publicly available: https://github.com/leduckhai/MultiMed/tree/master/VietMed.

Minh Ngoc Nguyen, Khai Le-Duc, Tan-Hanh Pham et al.

In this study, we introduce a novel method to predict mental health by building machine learning models for a non-invasive wearable device equipped with Laser Doppler Flowmetry (LDF) and Fluorescence Spectroscopy (FS) sensors. Besides, we present the corresponding dataset to predict mental health, e.g. depression, anxiety, and stress levels via the DAS-21 questionnaire. To our best knowledge, this is the world's largest and the most generalized dataset ever collected for both LDF and FS studies. The device captures cutaneous blood microcirculation parameters, and wavelet analysis of the LDF signal extracts key rhythmic oscillations. The dataset, collected from 132 volunteers aged 18-94 from 19 countries, explores relationships between physiological features, demographics, lifestyle habits, and health conditions. We employed a variety of machine learning methods to classify stress detection, in which LightGBM is identified as the most effective model for stress detection, achieving a ROC AUC of 0.7168 and a PR AUC of 0.8852. In addition, we also incorporated Explainable Artificial Intelligence (XAI) techniques into our analysis to investigate deeper insights into the model's predictions. Our results suggest that females, younger individuals and those with a higher Body Mass Index (BMI) or heart rate have a greater likelihood of experiencing mental health conditions like stress and anxiety. All related code and data are published online: https://github.com/leduckhai/Wearable_LDF-FS.

Khai Le-Duc, Tuyen Tran, Bach Phan Tat et al.

Multilingual speech translation (ST) and machine translation (MT) in the medical domain enhances patient care by enabling efficient communication across language barriers, alleviating specialized workforce shortages, and facilitating improved diagnosis and treatment, particularly during pandemics. In this work, we present the first systematic study on medical ST, to our best knowledge, by releasing MultiMed-ST, a large-scale ST dataset for the medical domain, spanning all translation directions in five languages: Vietnamese, English, German, French, and Simplified/Traditional Chinese, together with the models. With 290,000 samples, this is the largest medical MT dataset and the largest many-to-many multilingual ST among all domains. Secondly, we present the most comprehensive ST analysis in the field's history, to our best knowledge, including: empirical baselines, bilingual-multilingual comparative study, end-to-end vs. cascaded comparative study, task-specific vs. multi-task sequence-to-sequence comparative study, code-switch analysis, and quantitative-qualitative error analysis. All code, data, and models are available online: https://github.com/leduckhai/MultiMed-ST

Khai Le-Duc, Quy-Anh Dang, Tan-Hanh Pham et al.

Knowledge graphs (KGs) enhance the performance of large language models (LLMs) and search engines by providing structured, interconnected data that improves reasoning and context-awareness. However, KGs only focus on text data, thereby neglecting other modalities such as speech. In this work, we introduce wav2graph, the first framework for supervised learning knowledge graph from speech data. Our pipeline are straightforward: (1) constructing a KG based on transcribed spoken utterances and a named entity database, (2) converting KG into embedding vectors, and (3) training graph neural networks (GNNs) for node classification and link prediction tasks. Through extensive experiments conducted in inductive and transductive learning contexts using state-of-the-art GNN models, we provide baseline results and error analysis for node classification and link prediction tasks on human transcripts and automatic speech recognition (ASR) transcripts, including evaluations using both encoder-based and decoder-based node embeddings, as well as monolingual and multilingual acoustic pre-trained models. All related code, data, and models are published online.

Khai Le-Duc

In today's interconnected globe, moving abroad is more and more prevalent, whether it's for employment, refugee resettlement, or other causes. Language difficulties between natives and immigrants present a common issue on a daily basis, especially in medical domain. This can make it difficult for patients and doctors to communicate during anamnesis or in the emergency room, which compromises patient care. The goal of the HYKIST Project is to develop a speech translation system to support patient-doctor communication with ASR and MT. ASR systems have recently displayed astounding performance on particular tasks for which enough quantities of training data are available, such as LibriSpeech. Building a good model is still difficult due to a variety of speaking styles, acoustic and recording settings, and a lack of in-domain training data. In this thesis, we describe our efforts to construct ASR systems for a conversational telephone speech recognition task in the medical domain for Vietnamese language to assist emergency room contact between doctors and patients across linguistic barriers. In order to enhance the system's performance, we investigate various training schedules and data combining strategies. We also examine how best to make use of the little data that is available. The use of publicly accessible models like XLSR-53 is compared to the use of customized pre-trained models, and both supervised and unsupervised approaches are utilized using wav2vec 2.0 as architecture.

Khai Le-Duc, Khai-Nguyen Nguyen, Long Vo-Dang et al.

In doctor-patient conversations, identifying medically relevant information is crucial, posing the need for conversation summarization. In this work, we propose the first deployable real-time speech summarization system for real-world applications in industry, which generates a local summary after every N speech utterances within a conversation and a global summary after the end of a conversation. Our system could enhance user experience from a business standpoint, while also reducing computational costs from a technical perspective. Secondly, we present VietMed-Sum which, to our knowledge, is the first speech summarization dataset for medical conversations. Thirdly, we are the first to utilize LLM and human annotators collaboratively to create gold standard and synthetic summaries for medical conversation summarization. Finally, we present baseline results of state-of-the-art models on VietMed-Sum. All code, data (English-translated and Vietnamese) and models are available online: https://github.com/leduckhai/MultiMed/tree/master/VietMed-Sum

Khai Le-Duc, David Thulke, Hung-Phong Tran et al.

Spoken Named Entity Recognition (NER) aims to extract named entities from speech and categorise them into types like person, location, organization, etc. In this work, we present VietMed-NER - the first spoken NER dataset in the medical domain. To our knowledge, our Vietnamese real-world dataset is the largest spoken NER dataset in the world regarding the number of entity types, featuring 18 distinct types. Furthermore, we present baseline results using various state-of-the-art pre-trained models: encoder-only and sequence-to-sequence; and conduct quantitative and qualitative error analysis. We found that pre-trained multilingual models generally outperform monolingual models on reference text and ASR output and encoders outperform sequence-to-sequence models in NER tasks. By translating the transcripts, the dataset can also be utilised for text NER in the medical domain in other languages than Vietnamese. All code, data and models are publicly available: https://github.com/leduckhai/MultiMed/tree/master/VietMed-NER.

Khai Le-Duc, Duy M. H. Nguyen, Phuong T. H. Trinh et al.

Faithful reasoning in medical vision-language models (VLMs) requires not only accurate predictions but also transparent alignment between textual rationales and visual evidence. While Chain-of-Thought (CoT) prompting has shown promise in medical visual question answering (VQA), no large-scale expert-level dataset has captured stepwise reasoning with precise visual grounding. We introduce S-Chain, the first large-scale dataset of 12,000 expert-annotated medical images with bounding boxes and structured visual CoT (SV-CoT), explicitly linking visual regions to reasoning steps. The dataset further supports 16 languages, totaling over 700k VQA pairs for broad multilingual applicability. Using S-Chain, we benchmark state-of-the-art medical VLMs (ExGra-Med, LLaVA-Med) and general-purpose VLMs (Qwen2.5-VL, InternVL2.5), showing that SV-CoT supervision significantly improves interpretability, grounding fidelity, and robustness. Beyond benchmarking, we study its synergy with retrieval-augmented generation, revealing how domain knowledge and visual grounding interact during autoregressive reasoning. Finally, we propose a new mechanism that strengthens the alignment between visual evidence and reasoning, improving both reliability and efficiency. S-Chain establishes a new benchmark for grounded medical reasoning and paves the way toward more trustworthy and explainable medical VLMs.

Duc Cao-Dinh, Khai Le-Duc, Anh Dao et al.

3D Visual Grounding (3DVG) involves localizing target objects in 3D point clouds based on natural language. While prior work has made strides using textual descriptions, leveraging spoken language-known as Audio-based 3D Visual Grounding-remains underexplored and challenging. Motivated by advances in automatic speech recognition (ASR) and speech representation learning, we propose Audio-3DVG, a simple yet effective framework that integrates audio and spatial information for enhanced grounding. Rather than treating speech as a monolithic input, we decompose the task into two complementary components. First, we introduce (i) Object Mention Detection, a multi-label classification task that explicitly identifies which objects are referred to in the audio, enabling more structured audio-scene reasoning. Second, we propose an (ii) Audio-Guided Attention module that models the interactions between target candidates and mentioned objects, enhancing discrimination in cluttered 3D environments. To support benchmarking, we (iii) synthesize audio descriptions for standard 3DVG datasets, including ScanRefer, Sr3D, and Nr3D. Experimental results demonstrate that Audio-3DVG not only achieves new state-of-the-art performance in audio-based grounding, but also competes with text-based methods, highlight the promise of integrating spoken language into 3D vision tasks.