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An Early Study on Intelligent Analysis of Speech under COVID-19: Severity, Sleep Quality, Fatigue, and Anxiety

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 Added by Zixing Zhang
 Publication date 2020
and research's language is English




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The COVID-19 outbreak was announced as a global pandemic by the World Health Organisation in March 2020 and has affected a growing number of people in the past few weeks. In this context, advanced artificial intelligence techniques are brought to the fore in responding to fight against and reduce the impact of this global health crisis. In this study, we focus on developing some potential use-cases of intelligent speech analysis for COVID-19 diagnosed patients. In particular, by analysing speech recordings from these patients, we construct audio-only-based models to automatically categorise the health state of patients from four aspects, including the severity of illness, sleep quality, fatigue, and anxiety. For this purpose, two established acoustic feature sets and support vector machines are utilised. Our experiments show that an average accuracy of .69 obtained estimating the severity of illness, which is derived from the number of days in hospitalisation. We hope that this study can foster an extremely fast, low-cost, and convenient way to automatically detect the COVID-19 disease.



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The INTERSPEECH 2021 Computational Paralinguistics Challenge addresses four different problems for the first time in a research competition under well-defined conditions: In the COVID-19 Cough and COVID-19 Speech Sub-Challenges, a binary classification on COVID-19 infection has to be made based on coughing sounds and speech; in the Escalation SubChallenge, a three-way assessment of the level of escalation in a dialogue is featured; and in the Primates Sub-Challenge, four species vs background need to be classified. We describe the Sub-Challenges, baseline feature extraction, and classifiers based on the usual COMPARE and BoAW features as well as deep unsupervised representation learning using the AuDeep toolkit, and deep feature extraction from pre-trained CNNs using the Deep Spectrum toolkit; in addition, we add deep end-to-end sequential modelling, and partially linguistic analysis.
In the break of COVID-19 pandemic, mass testing has become essential to reduce the spread of the virus. Several recent studies suggest that a significant number of COVID-19 patients display no physical symptoms whatsoever. Therefore, it is unlikely that these patients will undergo COVID-19 test, which increases their chances of unintentionally spreading the virus. Currently, the primary diagnostic tool to detect COVID-19 is RT-PCR test on collected respiratory specimens from the suspected case. This requires patients to travel to a laboratory facility to be tested, thereby potentially infecting others along the way.It is evident from recent researches that asymptomatic COVID-19 patients cough and breath in a different way than the healthy people. Several research groups have created mobile and web-platform for crowdsourcing the symptoms, cough and breathing sounds from healthy, COVID-19 and Non-COVID patients. Some of these data repositories were made public. We have received such a repository from Cambridge University team under data-sharing agreement, where we have cough and breathing sound samples for 582 and 141 healthy and COVID-19 patients, respectively. 87 COVID-19 patients were asymptomatic, while rest of them have cough. We have developed an Android application to automatically screen COVID-19 from the comfort of people homes. Test subjects can simply download a mobile application, enter their symptoms, record an audio clip of their cough and breath, and upload the data anonymously to our servers. Our backend server converts the audio clip to spectrogram and then apply our state-of-the-art machine learning model to classify between cough sounds produced by COVID-19 patients, as opposed to healthy subjects or those with other respiratory conditions. The system can detect asymptomatic COVID-19 patients with a sensitivity more than 91%.
Phonation, or the vibration of the vocal folds, is the primary source of vocalization in the production of voiced sounds by humans. It is a complex bio-mechanical process that is highly sensitive to changes in the speakers respiratory parameters. Since most symptomatic cases of COVID-19 present with moderate to severe impairment of respiratory functions, we hypothesize that signatures of COVID-19 may be observable by examining the vibrations of the vocal folds. Our goal is to validate this hypothesis, and to quantitatively characterize the changes observed to enable the detection of COVID-19 from voice. For this, we use a dynamical system model for the oscillation of the vocal folds, and solve it using our recently developed ADLES algorithm to yield vocal fold oscillation patterns directly from recorded speech. Experimental results on a clinically curated dataset of COVID-19 positive and negative subjects reveal characteristic patterns of vocal fold oscillations that are correlated with COVID-19. We show that these are prominent and discriminative enough that even simple classifiers such as logistic regression yields high detection accuracies using just the recordings of isolated extended vowels.
149 - Songxiang Liu , Shan Yang , Dan Su 2021
Cross-speaker style transfer (CSST) in text-to-speech (TTS) synthesis aims at transferring a speaking style to the synthesised speech in a target speakers voice. Most previous CSST approaches rely on expensive high-quality data carrying desired speaking style during training and require a reference utterance to obtain speaking style descriptors as conditioning on the generation of a new sentence. This work presents Referee, a robust reference-free CSST approach for expressive TTS, which fully leverages low-quality data to learn speaking styles from text. Referee is built by cascading a text-to-style (T2S) model with a style-to-wave (S2W) model. Phonetic PosteriorGram (PPG), phoneme-level pitch and energy contours are adopted as fine-grained speaking style descriptors, which are predicted from text using the T2S model. A novel pretrain-refinement method is adopted to learn a robust T2S model by only using readily accessible low-quality data. The S2W model is trained with high-quality target data, which is adopted to effectively aggregate style descriptors and generate high-fidelity speech in the target speakers voice. Experimental results are presented, showing that Referee outperforms a global-style-token (GST)-based baseline approach in CSST.
Background: The inability to test at scale has become humanitys Achilles heel in the ongoing war against the COVID-19 pandemic. A scalable screening tool would be a game changer. Building on the prior work on cough-based diagnosis of respiratory diseases, we propose, develop and test an Artificial Intelligence (AI)-powered screening solution for COVID-19 infection that is deployable via a smartphone app. The app, named AI4COVID-19 records and sends three 3-second cough sounds to an AI engine running in the cloud, and returns a result within two minutes. Methods: Cough is a symptom of over thirty non-COVID-19 related medical conditions. This makes the diagnosis of a COVID-19 infection by cough alone an extremely challenging multidisciplinary problem. We address this problem by investigating the distinctness of pathomorphological alterations in the respiratory system induced by COVID-19 infection when compared to other respiratory infections. To overcome the COVID-19 cough training data shortage we exploit transfer learning. To reduce the misdiagnosis risk stemming from the complex dimensionality of the problem, we leverage a multi-pronged mediator centered risk-averse AI architecture. Results: Results show AI4COVID-19 can distinguish among COVID-19 coughs and several types of non-COVID-19 coughs. The accuracy is promising enough to encourage a large-scale collection of labeled cough data to gauge the generalization capability of AI4COVID-19. AI4COVID-19 is not a clinical grade testing tool. Instead, it offers a screening tool deployable anytime, anywhere, by anyone. It can also be a clinical decision assistance tool used to channel clinical-testing and treatment to those who need it the most, thereby saving more lives.
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