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Learning to Detect Vocal Hyperfunction From Ambulatory Neck-Surface Acceleration Features: Initial Results for Vocal Fold Nodules

Author(s)
Ghassemi, Marzyeh; Van Stan, Jarrad H.; Mehta, Daryush D.; Zanartu, Matias; Cheyne, Harold A.; Hillman, Robert E.; Guttag, John V.; ... Show more Show less
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Abstract
Voice disorders are medical conditions that often result from vocal abuse/misuse which is referred to generically as vocal hyperfunction. Standard voice assessment approaches cannot accurately determine the actual nature, prevalence, and pathological impact of hyperfunctional vocal behaviors because such behaviors can vary greatly across the course of an individual's typical day and may not be clearly demonstrated during a brief clinical encounter. Thus, it would be clinically valuable to develop noninvasive ambulatory measures that can reliably differentiate vocal hyperfunction from normal patterns of vocal behavior. As an initial step toward this goal we used an accelerometer taped to the neck surface to provide a continuous, noninvasive acceleration signal designed to capture some aspects of vocal behavior related to vocal cord nodules, a common manifestation of vocal hyperfunction. We gathered data from 12 female adult patients diagnosed with vocal fold nodules and 12 control speakers matched for age and occupation. We derived features from weeklong neck-surface acceleration recordings by using distributions of sound pressure level and fundamental frequency over 5-min windows of the acceleration signal and normalized these features so that intersubject comparisons were meaningful. We then used supervised machine learning to show that the two groups exhibit distinct vocal behaviors that can be detected using the acceleration signal. We were able to correctly classify 22 of the 24 subjects, suggesting that in the future measures of the acceleration signal could be used to detect patients with the types of aberrant vocal behaviors that are associated with hyperfunctional voice disorders.
Date issued
2014-01
URI
http://hdl.handle.net/1721.1/100244
Department
Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science
Journal
IEEE Transactions on Biomedical Engineering
Publisher
Institute of Electrical and Electronics Engineers (IEEE)
Citation
Ghassemi, Marzyeh, Jarrad H. Van Stan, Daryush D. Mehta, Matias Zanartu, Harold A. Cheyne, Robert E. Hillman, and John V. Guttag. “Learning to Detect Vocal Hyperfunction From Ambulatory Neck-Surface Acceleration Features: Initial Results for Vocal Fold Nodules.” IEEE Trans. Biomed. Eng. 61, no. 6 (June 2014): 1668–1675.
Version: Author's final manuscript
ISSN
0018-9294
1558-2531

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