2025/10/01 by Bence Mark Halpern, Halpern, Bence Mark, Thomas B. Tienkamp +13
Computer Science · #FOS: Computer and information sciences #Sound (cs.SD) #Speech Recognition and Synthesis #Speech and Audio Processing
paper · doi:10.48550/arxiv.2510.00657
openalex publication_date 2025/10/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28
Reliably evaluating the severity of a speech pathology is crucial in healthcare. However, the current reliance on expert evaluations by speech-language pathologists presents several challenges: while their assessments are highly skilled, they are also subjective, time-consuming, and costly, which can limit the reproducibility of clinical studies and place a strain on healthcare resources. While automated methods exist, they have significant drawbacks. Reference-based approaches require transcriptions or healthy speech samples, restricting them to read speech and limiting their applicability. Existing reference-free methods are also flawed; supervised models often learn spurious shortcuts from data, while handcrafted features are often unreliable and restricted to specific speech tasks. This paper introduces XPPG-PCA (x-vector phonetic posteriorgram principal component analysis), a novel, unsupervised, reference-free method for speech severity evaluation. Using three Dutch oral cancer datasets, we demonstrate that XPPG-PCA performs comparably to, or exceeds established reference-based methods. Our experiments confirm its robustness against data shortcuts and noise, showing its potential for real-world clinical use. Taken together, our results show that XPPG-PCA provides a robust, generalizable solution for the objective assessment of speech pathology, with the potential to significantly improve the efficiency and reliability of clinical evaluations across a range of disorders. An open-source implementation is available.