Tobias Weise

Kubilay Can Demir, Matthias May, Axel Schmid et al.

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.

Soroosh Tayebi Arasteh, Tobias Weise, Maria Schuster et al.

Navigating the challenges of data-driven speech processing, one of the primary hurdles is accessing reliable pathological speech data. While public datasets appear to offer solutions, they come with inherent risks of potential unintended exposure of patient health information via re-identification attacks. Using a comprehensive real-world pathological speech corpus, with over n=3,800 test subjects spanning various age groups and speech disorders, we employed a deep-learning-driven automatic speaker verification (ASV) approach. This resulted in a notable mean equal error rate (EER) of 0.89% with a standard deviation of 0.06%, outstripping traditional benchmarks. Our comprehensive assessments demonstrate that pathological speech overall faces heightened privacy breach risks compared to healthy speech. Specifically, adults with dysphonia are at heightened re-identification risks, whereas conditions like dysarthria yield results comparable to those of healthy speakers. Crucially, speech intelligibility does not influence the ASV system's performance metrics. In pediatric cases, particularly those with cleft lip and palate, the recording environment plays a decisive role in re-identification. Merging data across pathological types led to a marked EER decrease, suggesting the potential benefits of pathological diversity in ASV, accompanied by a logarithmic boost in ASV effectiveness. In essence, this research sheds light on the dynamics between pathological speech and speaker verification, emphasizing its crucial role in safeguarding patient confidentiality in our increasingly digitized healthcare era.

Tobias Weise, Philipp Klumpp, Kubilay Can Demir et al.

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.

Jonas Utz, Tobias Weise, Maja Schlereth et al.

Annotating nuclei in microscopy images for the training of neural networks is a laborious task that requires expert knowledge and suffers from inter- and intra-rater variability, especially in fluorescence microscopy. Generative networks such as CycleGAN can inverse the process and generate synthetic microscopy images for a given mask, thereby building a synthetic dataset. However, past works report content inconsistencies between the mask and generated image, partially due to CycleGAN minimizing its loss by hiding shortcut information for the image reconstruction in high frequencies rather than encoding the desired image content and learning the target task. In this work, we propose to remove the hidden shortcut information, called steganography, from generated images by employing a low pass filtering based on the DCT. We show that this increases coherence between generated images and cycled masks and evaluate synthetic datasets on a downstream nuclei segmentation task. Here we achieve an improvement of 5.4 percentage points in the F1-score compared to a vanilla CycleGAN. Integrating advanced regularization techniques into the CycleGAN architecture may help mitigate steganography-related issues and produce more accurate synthetic datasets for nuclei segmentation.

Tobias Weise, Philipp Klumpp, Kubilay Can Demir et al.

This paper introduces a novel combination of two tasks, previously treated separately: acoustic-to-articulatory speech inversion (AAI) and phoneme-to-articulatory (PTA) motion estimation. We refer to this joint task as acoustic phoneme-to-articulatory speech inversion (APTAI) and explore two different approaches, both working speaker- and text-independently during inference. We use a multi-task learning setup, with the end-to-end goal of taking raw speech as input and estimating the corresponding articulatory movements, phoneme sequence, and phoneme alignment. While both proposed approaches share these same requirements, they differ in their way of achieving phoneme-related predictions: one is based on frame classification, the other on a two-staged training procedure and forced alignment. We reach competitive performance of 0.73 mean correlation for the AAI task and achieve up to approximately 87% frame overlap compared to a state-of-the-art text-dependent phoneme force aligner.

Soroosh Tayebi Arasteh, Tomas Arias-Vergara, Paula Andrea Perez-Toro et al.

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 deep-learning-based and signal processing-based anonymization methods. We 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 experience minimal utility changes, while Dysglossia shows 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 reveals 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 and disorder-specific approaches to account for inversion attacks.