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Developing a smart system for binary classification of disordered voices using machine learning.

Yat Chun Au1, Manwa L Ng1

  • 1Speech Science Laboratory, Faculty of Education, 729 Meng Wah Complex, University of Hong Kong, Hong Kong, China.

American Journal of Otolaryngology
|May 17, 2025
PubMed
Summary
This summary is machine-generated.

Machine learning models, specifically Random Forest (RF), accurately classify voice disorders using acoustic features. This automated analysis offers a reliable, non-invasive method for early detection and improved patient outcomes in voice care.

Keywords:
Acoustic analysisMachine learningVoice classificationVoice disordersVoice pathology

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Area of Science:

  • Speech and Hearing Sciences
  • Computational Linguistics
  • Biomedical Engineering

Background:

  • Voice disorders stem from disrupted vocal fold vibration during phonation, impacting voice quality.
  • Accurate diagnosis is crucial for effective management and improved patient outcomes.
  • Traditional diagnostic methods can be subjective and time-consuming.

Purpose of the Study:

  • To explore the application of machine learning (Random Forest and Decision Tree models) for classifying normophonic and disordered voices.
  • To compare the diagnostic utility of RF and DT classifiers using acoustic features.
  • To evaluate individual acoustic parameters across multilingual databases, focusing on Cantonese voice samples.

Main Methods:

  • Utilized 1986 sustained vowel /a/ recordings from three databases, including a local Cantonese clinical repository.
  • Extracted 29 acoustic features using Parselmouth (Python interface to Praat).
  • Trained and validated RF and DT models, comparing performance via accuracy, sensitivity, specificity, and F1-score; assessed feature importance and performed ROC analysis.

Main Results:

  • The Random Forest (RF) model achieved 89% accuracy, outperforming the Decision Tree (DT) model (78% accuracy).
  • Key acoustic features for classification included age, CSID, shimmer, and jitter.
  • CSID and stdevF0Hz were reliable discriminators for males, while CSID, localabsoluteJitter, apq11Shimmer, and localdbShimmer were effective for females, though population-specific calibration is needed.

Conclusions:

  • Machine learning, particularly the RF algorithm, significantly enhances voice disorder diagnosis accuracy through automated acoustic feature analysis.
  • Integrating ML models offers reliable, non-invasive methods for early detection and management, potentially improving patient outcomes.
  • Further research should focus on dataset diversity and validation to improve generalizability and clinical applicability.