Classification of Huntington Disease Using Acoustic and Lexical Features

Speech is a critical biomarker for Huntington Disease (HD), with changes in speech increasing in severity as the disease progresses. Speech analyses are currently conducted using either transcriptions created manually by trained professionals or using global rating scales. Manual transcription is both expensive and time-consuming and global rating scales may lack sufficient sensitivity and fidelity [1]. Ultimately, what is needed is an unobtrusive measure that can cheaply and continuously track disease progression. We present first steps towards the development of such a system, demonstrating the ability to automatically differentiate between healthy controls and individuals with HD using speech cues. The results provide evidence that objective analyses can be used to support clinical diagnoses, moving towards the tracking of symptomatology outside of laboratory and clinical environments.

[1]  Frank Rudzicz,et al.  Comparing Humans and Automatic Speech Recognition Systems in Recognizing Dysarthric Speech , 2011, Canadian Conference on AI.

[2]  Emily Mower Provost,et al.  Automatic Assessment of Speech Intelligibility for Individuals With Aphasia , 2016, IEEE/ACM Transactions on Audio, Speech, and Language Processing.

[3]  Jane S. Paulsen,et al.  Unified Huntington's disease rating scale: Reliability and consistency , 1996, Movement disorders : official journal of the Movement Disorder Society.

[4]  H. Ackermann,et al.  Acoustic Analysis of Speech Timing in Huntington′s Disease , 1994, Brain and Language.

[5]  R. Patel,et al.  "The caterpillar": a novel reading passage for assessment of motor speech disorders. , 2013, American journal of speech-language pathology.

[6]  Ira Shoulson,et al.  Huntington's disease in Venezuela , 1986, Neurology.

[7]  Frank Rudzicz,et al.  Automatic speech recognition in the diagnosis of primary progressive aphasia , 2013, SLPAT.

[8]  Adam P. Vogel,et al.  Speech acoustic markers of early stage and prodromal Huntington's disease: A marker of disease onset? , 2012, Neuropsychologia.

[9]  A. Aronson,et al.  Motor Speech Disorders , 2014 .

[10]  N. Carlozzi,et al.  HDQLIFE: the development of two new computer adaptive tests for use in Huntington disease, Speech Difficulties, and Swallowing Difficulties , 2016, Quality of Life Research.

[11]  K. Marder,et al.  Acoustic Analysis of Voice and Speech Characteristics in Presymptomatic Gene Carriers of Huntington's Disease: Biomarkers for Preclinical Sign Onset? , 2011 .

[12]  Emily Mower Provost,et al.  Automatic Paraphasia Detection from Aphasic Speech: A Preliminary Study , 2017, INTERSPEECH.

[13]  J. Illes,et al.  Neurolinguistic characteristics of language production in Huntington's disease: A preliminary report , 1987, Brain and Language.

[14]  Kathleen C. Fraser,et al.  Automated classification of primary progressive aphasia subtypes from narrative speech transcripts , 2014, Cortex.

[15]  Gábor Gosztolya,et al.  Automatic detection of mild cognitive impairment from spontaneous speech using ASR , 2015, INTERSPEECH.

[16]  B. MacWhinney The Childes Project: Tools for Analyzing Talk, Volume II: the Database , 2000 .

[17]  Jamie Reilly,et al.  Sherlock Holmes and the strange case of the missing attribution: a historical note on "The Grandfather Passage". , 2012, Journal of speech, language, and hearing research : JSLHR.

[18]  Richard E. Daws,et al.  Predicting clinical diagnosis in Huntington's disease: An imaging polymarker , 2018, Annals of neurology.

[19]  Steve J. Young,et al.  Phone-level pronunciation scoring and assessment for interactive language learning , 2000, Speech Commun..

[20]  Reliability of Speech Intelligibility Ratings Using the Unified Huntington Disease Rating Scale , 2003 .

[21]  Frank Rudzicz,et al.  Speech Recognition in Alzheimer's Disease and in its Assessment , 2016, INTERSPEECH.

[22]  Roozbeh Sadeghian,et al.  Using automatic speech recognition to identify dementia in early stages , 2015 .

[23]  Yuan Yu,et al.  TensorFlow: A system for large-scale machine learning , 2016, OSDI.

[24]  E. Castillo Guerra,et al.  A modern approach to dysarthria classification , 2003, Proceedings of the 25th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (IEEE Cat. No.03CH37439).

[25]  Daniel Povey,et al.  The Kaldi Speech Recognition Toolkit , 2011 .

[26]  Wolfram Hinzen,et al.  A systematic linguistic profile of spontaneous narrative speech in pre-symptomatic and early stage Huntington's disease , 2017, Cortex.

[27]  Dimitra Vergyri,et al.  Learning diagnostic models using speech and language measures , 2008, 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[28]  Brian Roark,et al.  Spoken Language Derived Measures for Detecting Mild Cognitive Impairment , 2011, IEEE Transactions on Audio, Speech, and Language Processing.