Jakob Havtorn

Arne Nix, Robert James, Lasse Borgholt et al.

After decades of use in dictation and, more recently, ambient documentation, speech is emerging as a primary modality for interacting with technology and AI in healthcare. Yet medical speech recognition remains difficult: systems must capture specialized terminology, resolve contextual ambiguity, and render measurements, abbreviations, and clinical shorthand precisely. Existing solutions are typically optimized either for general-purpose transcription or narrow dictation workflows, limiting their reliability in safety-critical settings and their usefulness for broader clinical workflows. We introduce Symphony for Speech-to-Text, a medical-grade speech recognition system for real-time streaming and batch file-based clinical use. Symphony decomposes the transcription process into specialized components for recognition, formatting, and contextual correction to optimize medical term recall while producing clinically structured text in real time and adapting across use cases. Evaluations on public benchmark and medical speech datasets show that Symphony substantially outperforms state-of-the-art systems in clinical settings while matching or exceeding them in general-domain settings, suggesting robust generalization rather than overfitting. We release a clinical benchmark dataset to support reliable validation and further progress in medical speech recognition. Symphony is available through a production-grade API for live dictation, conversational transcription, and batch audio file processing.

Lasse Borgholt, Jakob Havtorn, Christian Igel et al.

Modern neural networks have greatly improved performance across speech recognition benchmarks. However, gains are often driven by frequent words with limited semantic weight, which can obscure meaningful differences in word error rate, the primary evaluation metric. Errors in rare terms, named entities, and domain-specific vocabulary are more consequential, but remain hidden by aggregate metrics. This highlights the need for finer-grained error analysis, which depends on accurate alignment between reference and model transcripts. However, conventional alignment methods are not designed for such precision. We propose a novel alignment algorithm that couples dynamic programming with beam search scoring. Compared to traditional text alignment methods, our approach provides more accurate alignment of individual errors, enabling reliable error analysis. The algorithm is made available via PyPI.