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Content available remote Classification of speech intelligibility in Parkinson's disease
EN
A problem in the clinical assessment of running speech in Parkinson's disease (PD) is to track underlying deficits in a number of speech components including respiration, phonation, articulation and prosody, each of which disturbs the speech intelligibility. A set of 13 features, including the cepstral separation difference and Mel-frequency cepstral coefficients were computed to represent deficits in each individual speech component. These features were then used in training a support vector machine (SVM) using n-fold cross validation. The dataset used for method development and evaluation consisted of 240 running speech samples recorded from 60 PD patients and 20 healthy controls. These speech samples were clinically rated using the Unified Parkinson's Disease Rating Scale Motor Examination of Speech (UPDRS-S). The classification accuracy of SVM was 85% in 3 levels of UPDRS-S scale and 92% in 2 levels with the average area under the ROC (receiver operating characteristic) curves of around 91%. The strong classification ability of selected features and the SVM model supports suitability of this scheme to monitor speech symptoms in PD.
EN
This paper introduces a novel approach, Cepstral Separation Difference (CSD), for quantification of speech impairment in Parkinson's disease (PD). CSD represents a ratio between the magnitudes of glottal (source) and supra-glottal (filter) log-spectrums acquired using the source-filter speech model. The CSD-based features were tested on a database consisting of 240 clinically rated running speech samples acquired from 60 PD patients and 20 healthy controls. The Guttmann (μ2) monotonic correlations between the CSD features and the speech symptom severity ratings were strong (up to 0.78). This correlation increased with the increasing textual difficulty in different speech tests. CSD was compared with some non-CSD speech features (harmonic ratio, harmonic-to-noise ratio and Mel-frequency cepstral coefficients) for speech symptom characterization in terms of consistency and reproducibility. The high intra-class correlation coefficient (>0.9) and analysis of variance indicates that CSD features can be used reliably to distinguish between severity levels of speech impairment. Results motivate the use of CSD in monitoring speech symptoms in PD.
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