Confounding Factor Analysis for Vocal Fold Oscillations

This paper provides a methodology to better understand the relationships between different aspects of vocal fold motion, which are used as features in machine learning-based approaches for detecting respiratory infections from voice recordings. The relationships are derived through a joint multivariate analysis of the vocal fold oscillations of speakers. Specifically, the multivariate setting explores the displacements and velocities of the left and right vocal folds derived from recordings of five extended vowel sounds for each speaker (/aa/, /iy/, /ey/, /uw/, and /ow/). In this multivariate setting, the differences between the bivariate and conditional interactions are analyzed by information-theoretic quantities based on transfer entropy. Incorporation of the conditional quantities reveals information regarding the confounding factors that can influence the statistical interactions among other pairs of variables. This is demonstrated on a vector autoregressive process where the analytical derivations can be carried out. As a proof of concept, the methodology is applied on a clinically curated dataset of COVID-19. The findings suggest that the interaction between the vocal fold oscillations can change according to individuals and presence of any respiratory infection, such as COVID-19. The results are important in the sense that the proposed approach can be utilized to determine the selection of appropriate features as a supplementary or early detection tool in voice-based diagnostics in future studies.