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Updated: Jan 16, 2026

06:04
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
756
Leveraging Self-Supervised Audio-Visual Pretrained Models to Improve Vocoded Speech Intelligibility in Cochlear
IEEE Transactions on Bio-Medical Engineering
|October 2, 2025
Summary
This study introduces Self-Supervised Learning-based Audio-Visual Speech Enhancement (SSL-AVSE) to improve speech understanding for individuals with hearing impairments using cochlear implant simulations. SSL-AVSE significantly enhances speech quality and intelligibility by integrating visual cues.
Area of Science:
- Audiology
- Speech Processing
- Machine Learning
Background:
- Hearing impairments present significant challenges in speech comprehension, especially in noisy environments.
- Cochlear implants (CIs) aim to restore hearing but can struggle with speech intelligibility, particularly with processed (vocoded) speech.
- Audio-visual speech enhancement (AVSE) offers a potential solution by leveraging visual cues like lip movements.
Purpose of the Study:
- To evaluate the effectiveness of a novel Self-Supervised Learning-based Audio-Visual Speech Enhancement (SSL-AVSE) framework for improving vocoded speech intelligibility in cochlear implant (CI) simulations.
- To investigate the performance of SSL-AVSE compared to existing methods.
- To assess the cross-lingual generalization capabilities of the proposed model.
Main Methods:
- Developed the SSL-AVSE framework, integrating visual speech cues (lip/mouth movements) with audio.
- Utilized the AV-HuBERT model for feature extraction and a bidirectional LSTM for refinement.
- Conducted experiments on the Taiwan Mandarin Speech with Video (TMSV) dataset.
Main Results:
- Objective metrics showed significant improvements: PESQ increased from 1.43 to 1.67, and STOI improved from 0.70 to 0.74.
- NCM scores saw an increase of up to 87.2% compared to the noisy baseline.
- Subjective listening tests revealed maximum gains of 45.2% in speech quality and 51.9% in word intelligibility.
Conclusions:
- SSL-AVSE demonstrates superior performance over AOSE and conventional AVSE baselines in CI simulations.
- Statistically significant listening tests confirm the effectiveness of SSL-AVSE.
- The model exhibits cross-lingual generalization, performing effectively on Mandarin speech despite English pretraining, highlighting the robustness of foundation model features.

