Acoustic measurement of overall voice quality in sustained vowels and continuous speech

Measurement of dysphonia severity involves auditory-perceptual evaluations and acoustic analyses of sound waves. Meta-analysis of proportional associations between these two methods showed that many popular perturbation metrics and noise-to-harmonics and others ratios do not yield reasonable results. However, this meta-analysis demonstrated that the validity of specific autocorrelation- and cepstrum-based measures was much more convincing, and appointed ‘smoothed cepstral peak prominence’ as the most promising metric of dysphonia severity. Original research confirmed this inferiority of perturbation measures and superiority of cepstral indices in dysphonia measurement of laryngeal-vocal and tracheoesophageal voice samples. However, to be truly representative for daily voice use patterns, measurement of overall voice quality is ideally founded on the analysis of sustained vowels ánd continuous speech. A customized method for including both sample types and calculating the multivariate Acoustic Voice Quality Index (i.e., AVQI), was constructed for this purpose. Original study of the AVQI revealed acceptable results in terms of initial concurrent validity, diagnostic precision, internal and external cross-validity and responsiveness to change. It thus was concluded that the AVQI can track changes in dysphonia severity across the voice therapy process. There are many freely and commercially available computer programs and systems for acoustic metrics of dysphonia severity. We investigated agreements and differences between two commonly available programs (i.e., Praat and Multi-Dimensional Voice Program) and systems. The results indicated that clinicians better not compare frequency perturbation data across systems and programs and amplitude perturbation data across systems. Finally, acoustic information can also be utilized as a biofeedback modality during voice exercises. Based on a systematic literature review, it was cautiously concluded that acoustic biofeedback can be a valuable tool in the treatment of phonatory disorders. When applied with caution, acoustic algorithms (particularly cepstrum-based measures and AVQI) have merited a special role in assessment and/or treatment of dysphonia severity

Models and Analysis of Vocal Emissions for Biomedical Applications

The MAVEBA Workshop proceedings, held on a biannual basis, collect the scientific papers presented both as oral and poster contributions, during the conference. The main subjects are: development of theoretical and mechanical models as an aid to the study of main phonatory dysfunctions, as well as the biomedical engineering methods for the analysis of voice signals and images, as a support to clinical diagnosis and classification of vocal pathologies

Retrospective longitudinal acoustic and perceptive study of substitution voice after partial laryngectomy.

International audienceThe goal of this longitudinal study in substitution voice after vertical and horizontal partial laryngectomy was i) to analyse perceptual and acoustic characteristics related to specific surgery, ii) to determine relevant acoustic measurements to classify voice quality. 30 male patients were recorded at 3, 6 and 12 months after surgery and 15 male controls. Two perceptual scales (GRB & IINFVo) were compared for relevance mean. Vowel [a, e, i, o, u] identification test was compared to acoustic analysis of the vocalic triangle to better understand the confusions. Long Term Average Spectrum (LTAS) could measure energy distribution in noisy voices. The first six months can be considered as an adaptation period for voicing features and improvement of breathy voice quality. Overlapping formant frequencies could explain the vocalic perceptual confusions. Voice and speech are better preserved with at least one vocal fold and the remaining of 2 arytenoids for neoglottic closure efficiency

Medical-Data-Models.org:A collection of freely available forms (September 2016)

MDM-Portal (Medical Data-Models) is a meta-data repository for creating, analysing, sharing and reusing medical forms, developed by the Institute of Medical Informatics, University of Muenster in Germany. Electronic forms for documentation of patient data are an integral part within the workflow of physicians. A huge amount of data is collected either through routine documentation forms (EHRs) for electronic health records or as case report forms (CRFs) for clinical trials. This raises major scientific challenges for health care, since different health information systems are not necessarily compatible with each other and thus information exchange of structured data is hampered. Software vendors provide a variety of individual documentation forms according to their standard contracts, which function as isolated applications. Furthermore, free availability of those forms is rarely the case. Currently less than 5 % of medical forms are freely accessible. Based on this lack of transparency harmonization of data models in health care is extremely cumbersome, thus work and know-how of completed clinical trials and routine documentation in hospitals are hard to be re-used. The MDM-Portal serves as an infrastructure for academic (non-commercial) medical research to contribute a solution to this problem. It already contains more than 4,000 system-independent forms (CDISC ODM Format, www.cdisc.org, Operational Data Model) with more than 380,000 dataelements. This enables researchers to view, discuss, download and export forms in most common technical formats such as PDF, CSV, Excel, SQL, SPSS, R, etc. A growing user community will lead to a growing database of medical forms. In this matter, we would like to encourage all medical researchers to register and add forms and discuss existing forms