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Mar 11

The order in speech disorder: a scoping review of state of the art machine learning methods for clinical speech classification

Background:Speech patterns have emerged as potential diagnostic markers for conditions with varying etiologies. Machine learning (ML) presents an opportunity to harness these patterns for accurate disease diagnosis. Objective: This review synthesized findings from studies exploring ML's capability in leveraging speech for the diagnosis of neurological, laryngeal and mental disorders. Methods: A systematic examination of 564 articles was conducted with 91 articles included in the study, which encompassed a wide spectrum of conditions, ranging from voice pathologies to mental and neurological disorders. Methods for speech classifications were assessed based on the relevant studies and scored between 0-10 based on the reported diagnostic accuracy of their ML models. Results: High diagnostic accuracies were consistently observed for laryngeal disorders, dysarthria, and changes related to speech in Parkinsons disease. These findings indicate the robust potential of speech as a diagnostic tool. Disorders like depression, schizophrenia, mild cognitive impairment and Alzheimers dementia also demonstrated high accuracies, albeit with some variability across studies. Meanwhile, disorders like OCD and autism highlighted the need for more extensive research to ascertain the relationship between speech patterns and the respective conditions. Conclusion: ML models utilizing speech patterns demonstrate promising potential in diagnosing a range of mental, laryngeal, and neurological disorders. However, the efficacy varies across conditions, and further research is needed. The integration of these models into clinical practice could potentially revolutionize the evaluation and diagnosis of a number of different medical conditions.

Order-Disorder: Imitation Adversarial Attacks for Black-box Neural Ranking Models

Neural text ranking models have witnessed significant advancement and are increasingly being deployed in practice. Unfortunately, they also inherit adversarial vulnerabilities of general neural models, which have been detected but remain underexplored by prior studies. Moreover, the inherit adversarial vulnerabilities might be leveraged by blackhat SEO to defeat better-protected search engines. In this study, we propose an imitation adversarial attack on black-box neural passage ranking models. We first show that the target passage ranking model can be transparentized and imitated by enumerating critical queries/candidates and then train a ranking imitation model. Leveraging the ranking imitation model, we can elaborately manipulate the ranking results and transfer the manipulation attack to the target ranking model. For this purpose, we propose an innovative gradient-based attack method, empowered by the pairwise objective function, to generate adversarial triggers, which causes premeditated disorderliness with very few tokens. To equip the trigger camouflages, we add the next sentence prediction loss and the language model fluency constraint to the objective function. Experimental results on passage ranking demonstrate the effectiveness of the ranking imitation attack model and adversarial triggers against various SOTA neural ranking models. Furthermore, various mitigation analyses and human evaluation show the effectiveness of camouflages when facing potential mitigation approaches. To motivate other scholars to further investigate this novel and important problem, we make the experiment data and code publicly available.

MentalArena: Self-play Training of Language Models for Diagnosis and Treatment of Mental Health Disorders

Mental health disorders are one of the most serious diseases in the world. Most people with such a disease lack access to adequate care, which highlights the importance of training models for the diagnosis and treatment of mental health disorders. However, in the mental health domain, privacy concerns limit the accessibility of personalized treatment data, making it challenging to build powerful models. In this paper, we introduce MentalArena, a self-play framework to train language models by generating domain-specific personalized data, where we obtain a better model capable of making a personalized diagnosis and treatment (as a therapist) and providing information (as a patient). To accurately model human-like mental health patients, we devise Symptom Encoder, which simulates a real patient from both cognition and behavior perspectives. To address intent bias during patient-therapist interactions, we propose Symptom Decoder to compare diagnosed symptoms with encoded symptoms, and dynamically manage the dialogue between patient and therapist according to the identified deviations. We evaluated MentalArena against 6 benchmarks, including biomedicalQA and mental health tasks, compared to 6 advanced models. Our models, fine-tuned on both GPT-3.5 and Llama-3-8b, significantly outperform their counterparts, including GPT-4o. We hope that our work can inspire future research on personalized care. Code is available in https://github.com/Scarelette/MentalArena/tree/main

Hugging Rain Man: A Novel Facial Action Units Dataset for Analyzing Atypical Facial Expressions in Children with Autism Spectrum Disorder

Children with Autism Spectrum Disorder (ASD) often exhibit atypical facial expressions. However, the specific objective facial features that underlie this subjective perception remain unclear. In this paper, we introduce a novel dataset, Hugging Rain Man (HRM), which includes facial action units (AUs) manually annotated by FACS experts for both children with ASD and typical development (TD). The dataset comprises a rich collection of posed and spontaneous facial expressions, totaling approximately 130,000 frames, along with 22 AUs, 10 Action Descriptors (ADs), and atypicality ratings. A statistical analysis of static images from the HRM reveals significant differences between the ASD and TD groups across multiple AUs and ADs when displaying the same emotional expressions, confirming that participants with ASD tend to demonstrate more irregular and diverse expression patterns. Subsequently, a temporal regression method was presented to analyze atypicality of dynamic sequences, thereby bridging the gap between subjective perception and objective facial characteristics. Furthermore, baseline results for AU detection are provided for future research reference. This work not only contributes to our understanding of the unique facial expression characteristics associated with ASD but also provides potential tools for ASD early screening. Portions of the dataset, features, and pretrained models are accessible at: https://github.com/Jonas-DL/Hugging-Rain-Man.

PTSD in the Wild: A Video Database for Studying Post-Traumatic Stress Disorder Recognition in Unconstrained Environments

POST-traumatic stress disorder (PTSD) is a chronic and debilitating mental condition that is developed in response to catastrophic life events, such as military combat, sexual assault, and natural disasters. PTSD is characterized by flashbacks of past traumatic events, intrusive thoughts, nightmares, hypervigilance, and sleep disturbance, all of which affect a person's life and lead to considerable social, occupational, and interpersonal dysfunction. The diagnosis of PTSD is done by medical professionals using self-assessment questionnaire of PTSD symptoms as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM). In this paper, and for the first time, we collected, annotated, and prepared for public distribution a new video database for automatic PTSD diagnosis, called PTSD in the wild dataset. The database exhibits "natural" and big variability in acquisition conditions with different pose, facial expression, lighting, focus, resolution, age, gender, race, occlusions and background. In addition to describing the details of the dataset collection, we provide a benchmark for evaluating computer vision and machine learning based approaches on PTSD in the wild dataset. In addition, we propose and we evaluate a deep learning based approach for PTSD detection in respect to the given benchmark. The proposed approach shows very promising results. Interested researcher can download a copy of PTSD-in-the wild dataset from: http://www.lissi.fr/PTSD-Dataset/

edATLAS: An Efficient Disambiguation Algorithm for Texting in Languages with Abugida Scripts

Abugida refers to a phonogram writing system where each syllable is represented using a single consonant or typographic ligature, along with a default vowel or optional diacritic(s) to denote other vowels. However, texting in these languages has some unique challenges in spite of the advent of devices with soft keyboard supporting custom key layouts. The number of characters in these languages is large enough to require characters to be spread over multiple views in the layout. Having to switch between views many times to type a single word hinders the natural thought process. This prevents popular usage of native keyboard layouts. On the other hand, supporting romanized scripts (native words transcribed using Latin characters) with language model based suggestions is also set back by the lack of uniform romanization rules. To this end, we propose a disambiguation algorithm and showcase its usefulness in two novel mutually non-exclusive input methods for languages natively using the abugida writing system: (a) disambiguation of ambiguous input for abugida scripts, and (b) disambiguation of word variants in romanized scripts. We benchmark these approaches using public datasets, and show an improvement in typing speed by 19.49%, 25.13%, and 14.89%, in Hindi, Bengali, and Thai, respectively, using Ambiguous Input, owing to the human ease of locating keys combined with the efficiency of our inference method. Our Word Variant Disambiguation (WDA) maps valid variants of romanized words, previously treated as Out-of-Vocab, to a vocabulary of 100k words with high accuracy, leading to an increase in Error Correction F1 score by 10.03% and Next Word Prediction (NWP) by 62.50% on average.

Knowledge Guided Disambiguation for Large-Scale Scene Classification with Multi-Resolution CNNs

Convolutional Neural Networks (CNNs) have made remarkable progress on scene recognition, partially due to these recent large-scale scene datasets, such as the Places and Places2. Scene categories are often defined by multi-level information, including local objects, global layout, and background environment, thus leading to large intra-class variations. In addition, with the increasing number of scene categories, label ambiguity has become another crucial issue in large-scale classification. This paper focuses on large-scale scene recognition and makes two major contributions to tackle these issues. First, we propose a multi-resolution CNN architecture that captures visual content and structure at multiple levels. The multi-resolution CNNs are composed of coarse resolution CNNs and fine resolution CNNs, which are complementary to each other. Second, we design two knowledge guided disambiguation techniques to deal with the problem of label ambiguity. (i) We exploit the knowledge from the confusion matrix computed on validation data to merge ambiguous classes into a super category. (ii) We utilize the knowledge of extra networks to produce a soft label for each image. Then the super categories or soft labels are employed to guide CNN training on the Places2. We conduct extensive experiments on three large-scale image datasets (ImageNet, Places, and Places2), demonstrating the effectiveness of our approach. Furthermore, our method takes part in two major scene recognition challenges, and achieves the second place at the Places2 challenge in ILSVRC 2015, and the first place at the LSUN challenge in CVPR 2016. Finally, we directly test the learned representations on other scene benchmarks, and obtain the new state-of-the-art results on the MIT Indoor67 (86.7\%) and SUN397 (72.0\%). We release the code and models at~https://github.com/wanglimin/MRCNN-Scene-Recognition.

A Review of Automated Speech and Language Features for Assessment of Cognitive and Thought Disorders

It is widely accepted that information derived from analyzing speech (the acoustic signal) and language production (words and sentences) serves as a useful window into the health of an individual's cognitive ability. In fact, most neuropsychological testing batteries have a component related to speech and language where clinicians elicit speech from patients for subjective evaluation across a broad set of dimensions. With advances in speech signal processing and natural language processing, there has been recent interest in developing tools to detect more subtle changes in cognitive-linguistic function. This work relies on extracting a set of features from recorded and transcribed speech for objective assessments of speech and language, early diagnosis of neurological disease, and tracking of disease after diagnosis. With an emphasis on cognitive and thought disorders, in this paper we provide a review of existing speech and language features used in this domain, discuss their clinical application, and highlight their advantages and disadvantages. Broadly speaking, the review is split into two categories: language features based on natural language processing and speech features based on speech signal processing. Within each category, we consider features that aim to measure complementary dimensions of cognitive-linguistics, including language diversity, syntactic complexity, semantic coherence, and timing. We conclude the review with a proposal of new research directions to further advance the field.

MODMA dataset: a Multi-modal Open Dataset for Mental-disorder Analysis

According to the World Health Organization, the number of mental disorder patients, especially depression patients, has grown rapidly and become a leading contributor to the global burden of disease. However, the present common practice of depression diagnosis is based on interviews and clinical scales carried out by doctors, which is not only labor-consuming but also time-consuming. One important reason is due to the lack of physiological indicators for mental disorders. With the rising of tools such as data mining and artificial intelligence, using physiological data to explore new possible physiological indicators of mental disorder and creating new applications for mental disorder diagnosis has become a new research hot topic. However, good quality physiological data for mental disorder patients are hard to acquire. We present a multi-modal open dataset for mental-disorder analysis. The dataset includes EEG and audio data from clinically depressed patients and matching normal controls. All our patients were carefully diagnosed and selected by professional psychiatrists in hospitals. The EEG dataset includes not only data collected using traditional 128-electrodes mounted elastic cap, but also a novel wearable 3-electrode EEG collector for pervasive applications. The 128-electrodes EEG signals of 53 subjects were recorded as both in resting state and under stimulation; the 3-electrode EEG signals of 55 subjects were recorded in resting state; the audio data of 52 subjects were recorded during interviewing, reading, and picture description. We encourage other researchers in the field to use it for testing their methods of mental-disorder analysis.

Density Adaptive Attention-based Speech Network: Enhancing Feature Understanding for Mental Health Disorders

Speech-based depression detection poses significant challenges for automated detection due to its unique manifestation across individuals and data scarcity. Addressing these challenges, we introduce DAAMAudioCNNLSTM and DAAMAudioTransformer, two parameter efficient and explainable models for audio feature extraction and depression detection. DAAMAudioCNNLSTM features a novel CNN-LSTM framework with multi-head Density Adaptive Attention Mechanism (DAAM), focusing dynamically on informative speech segments. DAAMAudioTransformer, leveraging a transformer encoder in place of the CNN-LSTM architecture, incorporates the same DAAM module for enhanced attention and interpretability. These approaches not only enhance detection robustness and interpretability but also achieve state-of-the-art performance: DAAMAudioCNNLSTM with an F1 macro score of 0.702 and DAAMAudioTransformer with an F1 macro score of 0.72 on the DAIC-WOZ dataset, without reliance on supplementary information such as vowel positions and speaker information during training/validation as in previous approaches. Both models' significant explainability and efficiency in leveraging speech signals for depression detection represent a leap towards more reliable, clinically useful diagnostic tools, promising advancements in speech and mental health care. To foster further research in this domain, we make our code publicly available.

What Does This Acronym Mean? Introducing a New Dataset for Acronym Identification and Disambiguation

Acronyms are the short forms of phrases that facilitate conveying lengthy sentences in documents and serve as one of the mainstays of writing. Due to their importance, identifying acronyms and corresponding phrases (i.e., acronym identification (AI)) and finding the correct meaning of each acronym (i.e., acronym disambiguation (AD)) are crucial for text understanding. Despite the recent progress on this task, there are some limitations in the existing datasets which hinder further improvement. More specifically, limited size of manually annotated AI datasets or noises in the automatically created acronym identification datasets obstruct designing advanced high-performing acronym identification models. Moreover, the existing datasets are mostly limited to the medical domain and ignore other domains. In order to address these two limitations, we first create a manually annotated large AI dataset for scientific domain. This dataset contains 17,506 sentences which is substantially larger than previous scientific AI datasets. Next, we prepare an AD dataset for scientific domain with 62,441 samples which is significantly larger than the previous scientific AD dataset. Our experiments show that the existing state-of-the-art models fall far behind human-level performance on both datasets proposed by this work. In addition, we propose a new deep learning model that utilizes the syntactical structure of the sentence to expand an ambiguous acronym in a sentence. The proposed model outperforms the state-of-the-art models on the new AD dataset, providing a strong baseline for future research on this dataset.