Wav2DDK: Analytical and Clinical Validation of an Automated Diadochokinetic Rate Estimation Algorithm on Remotely Collected Speech.

Purpose: Oral diadochokinesis is a useful task in assessment of speech motor function in the context of neurological disease. Remote collection of speech tasks provides a convenient alternative to in-clinic visits, but scoring these assessments can be a laborious process for clinicians. This work de...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 66; pp. 3166 - 3182
Autores principales: Kadambi, Prad, Stegmann, Gabriela M., Liss, Julie, Berisha, Visar, Hahn, Shira
Formato: Artículo
Publicado: American Speech-Language-Hearing Association 2023 Supplement
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2023 Supplement
      vid: 66
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-22-00282
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        atl: Wav2DDK: Analytical and Clinical Validation of an Automated Diadochokinetic Rate Estimation Algorithm on Remotely Collected Speech.
      aug:
        au:
          Kadambi, Prad
          Stegmann, Gabriela M.
          Liss, Julie
          Berisha, Visar
          Hahn, Shira
        affil:
          School of Electrical, Computer and Energy Engineering, Arizona State University, Tempe.
          Aural Analytics Inc., Tempe, AZ.
          School of Speech and Hearing Science, Arizona State University, Tempe.
      su:
        Sound recordings
        Physiological aspects of speech
        Statistical reliability
        Dysarthria
        Research methodology
        Speech evaluation
        Smartphones
        Severity of illness index
        Automation
        Amyotrophic lateral sclerosis
        Research funding
        Artificial neural networks
        Data analysis software
        Algorithms
      sug:
        subj:
          Sound recordings
          Integrated Record Production/Distribution
          Record Production
          Sound recording merchant wholesalers
          Physiological aspects of speech
          Statistical reliability
          Dysarthria
          Research methodology
          Speech evaluation
          Smartphones
          Severity of illness index
          Automation
          Amyotrophic lateral sclerosis
          Research funding
          Artificial neural networks
          Data analysis software
          Algorithms
      ab: Purpose: Oral diadochokinesis is a useful task in assessment of speech motor function in the context of neurological disease. Remote collection of speech tasks provides a convenient alternative to in-clinic visits, but scoring these assessments can be a laborious process for clinicians. This work describes Wav2DDK, an automated algorithm for estimating the diadochokinetic (DDK) rate on remotely collected audio from healthy participants and participants with amyotrophic lateral sclerosis (ALS). Method: Wav2DDK was developed using a corpus of 970 DDK assessments from healthy and ALS speakers where ground truth DDK rates were provided manually by trained annotators. The clinical utility of the algorithm was demonstrated on a corpus of 7,919 assessments collected longitudinally from 26 healthy controls and 82 ALS speakers. Corpora were collected via the participants' own mobile device, and instructions for speech elicitation were provided via a mobile app. DDK rate was estimated by parsing the character transcript from a deep neural network transformer acoustic model trained on healthy and ALS speech. Results: Algorithm estimated DDK rates are highly accurate, achieving .98 correlation with manual annotation, and an average error of only 0.071 syllables per second. The rate exactly matched ground truth for 83% of files and was within 0.5 syllables per second for 95% of files. Estimated rates achieve a high test-retest reliability (r = .95) and show good correlation with the revised ALS functional rating scale speech subscore (r = .67). Conclusion: We demonstrate a system for automated DDK estimation that increases efficiency of calculation beyond manual annotation. Thorough analytical and clinical validation demonstrates that the algorithm is not only highly accurate, but also provides a convenient, clinically relevant metric for tracking longitudinal decline in ALS, serving to promote participation and diversity of participants in clinical research.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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