운율 정보를 이용한 마비말장애 음성 자동 검출 및 평가

학위논문 (석사) -- 서울대학교 대학원 : 인문대학 언어학과, 2020. 8. Minhwa Chung.말장애는 신경계 또는 퇴행성 질환에서 가장 빨리 나타나는 증 상 중 하나이다. 마비말장애는 파킨슨병, 뇌성 마비, 근위축성 측삭 경화증, 다발성 경화증 환자 등 다양한 환자군에서 나타난다. 마비말장애는 조음기관 신경의 손상으로 부정확한 조음을 주요 특징으로 가지고, 운율에도 영향을 미치는 것으로 보고된다. 선행 연구에서는 운율 기반 측정치를 비장애 발화와 마비말장애 발화를 구별하는 것에 사용했다. 임상 현장에서는 마비말장애에 대한 운율 기반 분석이 마비말장애를 진단하거나 장애 양상에 따른 알맞은 치료법을 준비하는 것에 도움이 될 것이다. 따라서 마비말장애가 운율에 영향을 미치는 양상뿐만 아니라 마비말장애의 운율 특징을 긴밀하게 살펴보는 것이 필요하다. 구체 적으로, 운율이 어떤 측면에서 마비말장애에 영향을 받는지, 그리고 운율 애가 장애 정도에 따라 어떻게 다르게 나타나는지에 대한 분석이 필요하다. 본 논문은 음높이, 음질, 말속도, 리듬 등 운율을 다양한 측면에 서 살펴보고, 마비말장애 검출 및 평가에 사용하였다. 추출된 운율 특징들은 몇 가지 특징 선택 알고리즘을 통해 최적화되어 머신러닝 기반 분류기의 입력값으로 사용되었다. 분류기의 성능은 정확도, 정밀도, 재현율, F1-점수로 평가되었다. 또한, 본 논문은 장애 중증도(경도, 중등도, 심도)에 따라 운율 정보 사용의 유용성을 분석하였다. 마지막으로, 장애 발화 수집이 어려운 만큼, 본 연구는 교차 언어 분류기를 사용하였다. 한국어와 영어 장애 발화가 훈련 셋으로 사용되었으며, 테스트셋으로는 각 목표 언어만이 사용되었다. 실험 결과는 다음과 같이 세 가지를 시사한다. 첫째, 운율 정보 를 사용하는 것은 마비말장애 검출 및 평가에 도움이 된다. MFCC 만을 사용했을 때와 비교했을 때, 운율 정보를 함께 사용하는 것이 한국어와 영어 데이터셋 모두에서 도움이 되었다. 둘째, 운율 정보는 평가에 특히 유용하다. 영어의 경우 검출과 평가에서 각각 1.82%와 20.6%의 상대적 정확도 향상을 보였다. 한국어의 경우 검출에서는 향상을 보이지 않았지만, 평가에서는 13.6%의 상대적 향상이 나타났다. 셋째, 교차 언어 분류기는 단일 언어 분류기보다 향상된 결과를 보인다. 실험 결과 교차언어 분류기는 단일 언어 분류기와 비교했을 때 상대적으로 4.12% 높은 정확도를 보였다. 이것은 특정 운율 장애는 범언어적 특징을 가지며, 다른 언어 데이터를 포함시켜 데이터가 부족한 훈련 셋을 보완할 수 있 음을 시사한다.One of the earliest cues for neurological or degenerative disorders are speech impairments. Individuals with Parkinsons Disease, Cerebral Palsy, Amyotrophic lateral Sclerosis, Multiple Sclerosis among others are often diagnosed with dysarthria. Dysarthria is a group of speech disorders mainly affecting the articulatory muscles which eventually leads to severe misarticulation. However, impairments in the suprasegmental domain are also present and previous studies have shown that the prosodic patterns of speakers with dysarthria differ from the prosody of healthy speakers. In a clinical setting, a prosodic-based analysis of dysarthric speech can be helpful for diagnosing the presence of dysarthria. Therefore, there is a need to not only determine how the prosody of speech is affected by dysarthria, but also what aspects of prosody are more affected and how prosodic impairments change by the severity of dysarthria. In the current study, several prosodic features related to pitch, voice quality, rhythm and speech rate are used as features for detecting dysarthria in a given speech signal. A variety of feature selection methods are utilized to determine which set of features are optimal for accurate detection. After selecting an optimal set of prosodic features we use them as input to machine learning-based classifiers and assess the performance using the evaluation metrics: accuracy, precision, recall and F1-score. Furthermore, we examine the usefulness of prosodic measures for assessing different levels of severity (e.g. mild, moderate, severe). Finally, as collecting impaired speech data can be difficult, we also implement cross-language classifiers where both Korean and English data are used for training but only one language used for testing. Results suggest that in comparison to solely using Mel-frequency cepstral coefficients, including prosodic measurements can improve the accuracy of classifiers for both Korean and English datasets. In particular, large improvements were seen when assessing different severity levels. For English a relative accuracy improvement of 1.82% for detection and 20.6% for assessment was seen. The Korean dataset saw no improvements for detection but a relative improvement of 13.6% for assessment. The results from cross-language experiments showed a relative improvement of up to 4.12% in comparison to only using a single language during training. It was found that certain prosodic impairments such as pitch and duration may be language independent. Therefore, when training sets of individual languages are limited, they may be supplemented by including data from other languages.1. Introduction 1 1.1. Dysarthria 1 1.2. Impaired Speech Detection 3 1.3. Research Goals & Outline 6 2. Background Research 8 2.1. Prosodic Impairments 8 2.1.1. English 8 2.1.2. Korean 10 2.2. Machine Learning Approaches 12 3. Database 18 3.1. English-TORGO 20 3.2. Korean-QoLT 21 4. Methods 23 4.1. Prosodic Features 23 4.1.1. Pitch 23 4.1.2. Voice Quality 26 4.1.3. Speech Rate 29 4.1.3. Rhythm 30 4.2. Feature Selection 34 4.3. Classification Models 38 4.3.1. Random Forest 38 4.3.1. Support Vector Machine 40 4.3.1 Feed-Forward Neural Network 42 4.4. Mel-Frequency Cepstral Coefficients 43 5. Experiment 46 5.1. Model Parameters 47 5.2. Training Procedure 48 5.2.1. Dysarthria Detection 48 5.2.2. Severity Assessment 50 5.2.3. Cross-Language 51 6. Results 52 6.1. TORGO 52 6.1.1. Dysarthria Detection 52 6.1.2. Severity Assessment 56 6.2. QoLT 57 6.2.1. Dysarthria Detection 57 6.2.2. Severity Assessment 58 6.1. Cross-Language 59 7. Discussion 62 7.1. Linguistic Implications 62 7.2. Clinical Applications 65 8. Conclusion 67 References 69 Appendix 76 Abstract in Korean 79Maste

SYNTHESIZING DYSARTHRIC SPEECH USING MULTI-SPEAKER TTS FOR DSYARTHRIC SPEECH RECOGNITION

Dysarthria is a motor speech disorder often characterized by reduced speech intelligibility through slow, uncoordinated control of speech production muscles. Automatic Speech recognition (ASR) systems may help dysarthric talkers communicate more effectively. However, robust dysarthria-specific ASR requires a significant amount of training speech is required, which is not readily available for dysarthric talkers. In this dissertation, we investigate dysarthric speech augmentation and synthesis methods. To better understand differences in prosodic and acoustic characteristics of dysarthric spontaneous speech at varying severity levels, a comparative study between typical and dysarthric speech was conducted. These characteristics are important components for dysarthric speech modeling, synthesis, and augmentation. For augmentation, prosodic transformation and time-feature masking have been proposed. For dysarthric speech synthesis, this dissertation has introduced a modified neural multi-talker TTS by adding a dysarthria severity level coefficient and a pause insertion model to synthesize dysarthric speech for varying severity levels. In addition, we have extended this work by using a label propagation technique to create more meaningful control variables such as a continuous Respiration, Laryngeal and Tongue (RLT) parameter, even for datasets that only provide discrete dysarthria severity level information. This approach increases the controllability of the system, so we are able to generate more dysarthric speech with a broader range. To evaluate their effectiveness for synthesis of training data, dysarthria-specific speech recognition was used. Results show that a DNN-HMM model trained on additional synthetic dysarthric speech achieves WER improvement of 12.2% compared to the baseline, and that the addition of the severity level and pause insertion controls decrease WER by 6.5%, showing the effectiveness of adding these parameters. Overall results on the TORGO database demonstrate that using dysarthric synthetic speech to increase the amount of dysarthric-patterned speech for training has a significant impact on the dysarthric ASR systems

Accurate synthesis of Dysarthric Speech for ASR data augmentation

Dysarthria is a motor speech disorder often characterized by reduced speech intelligibility through slow, uncoordinated control of speech production muscles. Automatic Speech recognition (ASR) systems can help dysarthric talkers communicate more effectively. However, robust dysarthria-specific ASR requires a significant amount of training speech, which is not readily available for dysarthric talkers. This paper presents a new dysarthric speech synthesis method for the purpose of ASR training data augmentation. Differences in prosodic and acoustic characteristics of dysarthric spontaneous speech at varying severity levels are important components for dysarthric speech modeling, synthesis, and augmentation. For dysarthric speech synthesis, a modified neural multi-talker TTS is implemented by adding a dysarthria severity level coefficient and a pause insertion model to synthesize dysarthric speech for varying severity levels. To evaluate the effectiveness for synthesis of training data for ASR, dysarthria-specific speech recognition was used. Results show that a DNN-HMM model trained on additional synthetic dysarthric speech achieves WER improvement of 12.2% compared to the baseline, and that the addition of the severity level and pause insertion controls decrease WER by 6.5%, showing the effectiveness of adding these parameters. Overall results on the TORGO database demonstrate that using dysarthric synthetic speech to increase the amount of dysarthric-patterned speech for training has significant impact on the dysarthric ASR systems. In addition, we have conducted a subjective evaluation to evaluate the dysarthric-ness and similarity of synthesized speech. Our subjective evaluation shows that the perceived dysartrhic-ness of synthesized speech is similar to that of true dysarthric speech, especially for higher levels of dysarthriaComment: arXiv admin note: text overlap with arXiv:2201.1157

How expertise and language familiarity influence perception of speech of people with Parkinson’s disease

Parkinson’s disease (PD) is a progressive neurological disorder characterized by several motor and non-motor manifestations. PD frequently leads to hypokinetic dysarthria, which affects speech production and often has a detrimental impact on everyday communication. Among the typical manifestations of hypokinetic dysarthria, speech and language therapists (SLTs) identify prosody as the most affected cluster of speech characteristics. However, less is known about how untrained listeners perceive PD speech and how affected prosody influences their assessments of speech. This study explores the perception of sentence type intonation and healthiness of PD speech by listeners with different levels of familiarity with speech disorders in Dutch. We investigated assessments and classification accuracy differences between Dutch-speaking SLTs (n = 18) and Dutch/non-Dutch speaking untrained listeners (n = 27 and n = 124, respectively). We collected speech data from 30 Dutch speakers diagnosed with PD and 30 Dutch healthy controls. The stimuli set consisted of short phrases from spontaneous and read speech and of phrases produced with different sentence type intonation. Listeners participated in an online experiment targeting classification of sentence type intonation and perceived healthiness of speech. Results indicate that both familiarity with speech disorders and with speakers’ language are significant and have different effects depending on the task type, as different listener groups demonstrate different classification accuracy. There is evidence that untrained Dutch listeners classify PD speech as unhealthy more accurately than both trained Dutch and untrained non-Dutch listeners, while trained Dutch listeners outperform the other two groups in sentence type classification

A cross-linguistic perspective to classification of healthiness of speech in Parkinson's disease

People with Parkinson's disease often experience communication problems. The current cross-linguistic study investigates how listeners' perceptual judgements of speech healthiness are related to the acoustic changes appearing in the speech of people with Parkinson's disease. Accordingly, we report on an online experiment targeting perceived healthiness of speech. We studied the relations between healthiness perceptual judgements and a set of acoustic characteristics of speech in a cross-sectional design. We recruited 169 participants, who performed a classification task judging speech recordings of Dutch speakers with Parkinson's disease and of Dutch control speakers as ‘healthy’ or ‘unhealthy’. The groups of listeners differed in their training and expertise in speech language therapy as well as in their native languages. Such group separation allowed us to investigate the acoustic correlates of speech healthiness without influence of the content of the recordings. We used a Random Forest method to predict listeners' responses. Our findings demonstrate that, independently of expertise and language background, when classifying speech as healthy or unhealthy listeners are more sensitive to speech rate, presence of phonation deficiency reflected by maximum phonation time measurement, and centralization of the vowels. The results indicate that both specifics of the expertise and language background may lead to listeners relying more on the features from either prosody or phonation domains. Our findings demonstrate that more global perceptual judgements of different listeners classifying speech of people with Parkinson's disease may be predicted with sufficient reliability from conventional acoustic features. This suggests universality of acoustic change in speech of people with Parkinson's disease. Therefore, we concluded that certain aspects of phonation and prosody serve as prominent markers of speech healthiness for listeners independent of their first language or expertise. Our findings have outcomes for the clinical practice and real-life implications for subjective perception of speech of people with Parkinson's disease, while information about particular acoustic changes that trigger listeners to classify speech as ‘unhealthy’ can provide specific therapeutic targets in addition to the existing dysarthria treatment in people with Parkinson's disease

More than words: Recognizing speech of people with Parkinson's disease

Parkinson’s disease (PD) is the fastest-growing neurological disorder in the world, with approximately 10 million people currently living with the diagnosis. Hypokinetic dysarthria (HD) is one of the symptoms that appear in early stages of the disease progression. The main aim of this dissertation is to gain insights into listeners’ impressions of dysarthric speech and to uncover acoustic correlates of those impressions. We do this by exploring two sides of communication: speech production of people with PD, and listeners’ recognition of speech of people with PD. Therefore, the studies in this dissertation approach the topic of speech changes in PD from both the speakers' side - via acoustic analysis of speech, and the listeners' side - via experiments exploring the influence of expertise and language background on recognition of speech of people with PD. Moreover, to obtain a more comprehensive picture of these perspectives, the studies of this dissertation are multifaceted, explore cross-linguistic aspects of dysarthric speech recognition and include both cross-sectional and longitudinal designs. The results demonstrate that listeners' ability to recognize speech of people with PD as unhealthy is rooted in the acoustic changes in speech, not in its content. Listeners’ experience in the fields of speech and language therapy or speech sciences affect dysarthric speech recognition. The results also suggest that tracking speech parameters is a useful tool for monitoring the progression and/or development of dysarthria and objectively evaluating long-term effects of speech therapy

Acoustic identification of sentence accent in speakers with dysarthria : cross-population validation and severity related patterns

Dysprosody is a hallmark of dysarthria, which can affect the intelligibility and naturalness of speech. This includes sentence accent, which helps to draw listeners’ attention to important information in the message. Although some studies have investigated this feature, we currently lack properly validated automated procedures that can distinguish between subtle performance differences observed across speakers with dysarthria. This study aims for cross-population validation of a set of acoustic features that have previously been shown to correlate with sentence accent. In addition, the impact of dysarthria severity levels on sentence accent production is investigated. Two groups of adults were analysed (Dutch and English speakers). Fifty-eight participants with dysarthria and 30 healthy control participants (HCP) produced sentences with varying accent positions. All speech samples were evaluated perceptually and analysed acoustically with an algorithm that extracts ten meaningful prosodic features and allows a classification between accented and unaccented syllables based on a linear combination of these parameters. The data were statistically analysed using discriminant analysis. Within the Dutch and English dysarthric population, the algorithm correctly identified 82.8 and 91.9% of the accented target syllables, respectively, indicating that the capacity to discriminate between accented and unaccented syllables in a sentence is consistent with perceptual impressions. Moreover, different strategies for accent production across dysarthria severity levels could be demonstrated, which is an important step toward a better understanding of the nature of the deficit and the automatic classification of dysarthria severity using prosodic features

ACOUSTIC SPEECH MARKERS FOR TRACKING CHANGES IN HYPOKINETIC DYSARTHRIA ASSOCIATED WITH PARKINSON’S DISEASE

Previous research has identified certain overarching features of hypokinetic dysarthria associated with Parkinson’s Disease and found it manifests differently between individuals. Acoustic analysis has often been used to find correlates of perceptual features for differential diagnosis. However, acoustic parameters that are robust for differential diagnosis may not be sensitive to tracking speech changes. Previous longitudinal studies have had limited sample sizes or variable lengths between data collection. This study focused on using acoustic correlates of perceptual features to identify acoustic markers able to track speech changes in people with Parkinson’s Disease (PwPD) over six months. The thesis presents how this study has addressed limitations of previous studies to make a novel contribution to current knowledge. Speech data was collected from 63 PwPD and 47 control speakers using an online podcast software at two time points, six months apart (T1 and T2). Recordings of a standard reading passage, minimal pairs, sustained phonation, and spontaneous speech were collected. Perceptual severity ratings were given by two speech and language therapists for T1 and T2, and acoustic parameters of voice, articulation and prosody were investigated. Two analyses were conducted: a) to identify which acoustic parameters can track perceptual speech changes over time and b) to identify which acoustic parameters can track changes in speech intelligibility over time. An additional attempt was made to identify if these parameters showed group differences for differential diagnosis between PwPD and control speakers at T1 and T2. Results showed that specific acoustic parameters in voice quality, articulation and prosody could differentiate between PwPD and controls, or detect speech changes between T1 and T2, but not both factors. However, specific acoustic parameters within articulation could detect significant group and speech change differences across T1 and T2. The thesis discusses these results, their implications, and the potential for future studies