Enhancing Phoneme Labeling in Dysarthric Speech with Digital Twin-Driven Multi-Modal Architecture
Source abstract
Abstract
Digital twin technology is revolutionizing personalized healthcare by creating dynamic virtual replicas of individual patients. This paper presents a novel multi-modal architecture leveraging digital twins to enhance precision in predictive diagnostics and treatment planning of phoneme labeling. By integrating real-time images, electronic health records, and genomic information, the system enables personalized simulations for disease progression modeling, treatment response prediction, and preventive care strategies. In dysarthric speech, which is characterized by articulation imprecision, temporal misalignments, and phoneme distortions, existing models struggle to capture these irregularities. Traditional approaches, often relying solely on audio features, fail to address the full complexity of phoneme variations, leading to increased phoneme error rates (PER) and word error rates (WER). To overcome these challenges, we propose a novel multi-modal architecture that integrates both audio and articulatory data through a combination of Temporal Convolutional Networks (TCNs), Graph Convolutional Networks (GCNs), Transformer Encoders, and a cross-modal attention mechanism. The audio branch of the model utilizes TCNs and Transformer Encoders to capture both short- and long-term dependencies in the audio signal, while the articulatory branch leverages GCNs to model spatial relationships between articulators, such as the lips, jaw, and tongue, allowing the model to detect subtle articulatory imprecisions. A cross-modal attention mechanism fuses the encoded audio and articulatory features, enabling dynamic adjustment of the model’s focus depending on input quality, which significantly improves phoneme labeling accuracy. The proposed model consistently outperforms existing methods, achieving lower Phoneme Error Rates (PER), Word Error Rates (WER), and Articulatory Feature Misclassification Rates (AFMR). Specifically, across all datasets, the model achieves an average PER of 13.43%, an average WER of 21.67%, and an average AFMR of 12.73%. By capturing both the acoustic and articulatory intricacies of speech, this comprehensive approach not only improves phoneme labeling precision but also marks substantial progress in speech recognition technology for individuals with dysarthria.
Source: openalex_inverted_index · Quality: baseline
Research context
OpenAlex topics: Voice and Speech Disorders · Phonetics and Phonology Research · Speech Recognition and Synthesis
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
References (39)
Show source-provided references
1. A survey of automatic speech recognition for dysarthric speech10.3390/electronics12204278 ↗
2. Maps and streams in the auditory cortex: nonhuman Primates illuminate human speech processing10.1038/nn.2331 ↗
3. End-to-end articulatory modeling for dysarthric articulatory attribute detection
4. Staged knowledge distillation for end-to-end dysarthric speech recognition and speech attribute transcription
5. Research on speech motor control and its disorders: a review and prospective10.1016/S0021-9924(00)00023-X ↗
6. Dysarthric speech augmentation using prosodic transformation and masking for subword end-to-end ASR
7. Changes in vocal loudness following intensive voice treatment (LSVT) in individuals with Parkinson’s disease: a comparison with untreated patients and normal age-matched controls10.1002/1531-8257(200101)16:1<79::AID-MDS1013>3.0.CO;2-H ↗
8. Hierarchical phoneme classification for improved speech recognition10.3390/app11010428 ↗
9. End-to-end dysarthric speech recognition using multiple databases
10. A hierarchical automatic phoneme recognition model for Hindi-Devanagari consonants using machine learning technique10.1111/exsy.13288 ↗
11. Potentials of telehealth devices for speech therapy in Parkinson’s disease
12. E2E-DASR: end-to-end deep learning-based dysarthric automatic speech recognition10.1016/j.eswa.2023.119797 ↗
13. Hmm-based and svm-based recognition of the speech of talkers with spastic dysarthria
14. Comparing speaker-dependent and speaker-adaptive acoustic models for recognizing dysarthric speech
15. Modelling errors in automatic speech recognition for dysarthric speakers10.1155/2009/308340 ↗
16. TASTA: text-assisted spatial and temporal attention network for video question answering10.1002/aisy.202200131 ↗
17. Modeling source and system features through multi-channel convolutional neural network for improving intelligibility assessment of dysarthric speech10.1007/s00034-024-02739-6 ↗
18. Audio-text multimodal speech recognition via dual-tower architecture for mandarin air traffic control communications
19. Combined convolution recurrent neural network for the classification of dysarthria speech10.4103/ijnpnd.ijnpnd_99_23 ↗
20. Evaluating the performance of pre-trained convolutional neural network for audio classification on embedded systems for anomaly detection in smart cities10.3390/s23136227 ↗
21. Uncertainty of vowel predictions as a digital biomarker for ataxic dysarthria10.1007/s12311-023-01539-z ↗
22. An automatic measure for speech intelligibility in dysarthrias-validation across multiple languages and neurological disorders10.3389/fdgth.2024.1440986 ↗
23. Inappropriate pause detection in dysarthric speech using large-scale speech recognition
24. Positional asymmetries in consonant production and intelligibility in dysarthric speech10.1080/02699206.2021.2019312 ↗
25. Measuring the intelligibility of dysarthric speech through automatic speech recognition in a pluricentric language10.1016/j.specom.2023.02.004 ↗
26. Speech and nonspeech parameters in the clinical assessment of dysarthria: a dimensional analysis10.3390/brainsci13010113 ↗
27. UTrans-DSR: a hybrid encoder-decoder architecture for dysarthric speech recognition
28. Speech conversion for dysarthric voice enhancement using fuzzy expectation maximization and diffusion probabilistic models
29. Data augmentation for automatic speech recognition using dysarthric speech synthesis
30. Kim H, Lee J. CoLM-DSR: a multimodal approach for dysarthric speech reconstruction with neural codec language modeling. arXiv:2406.08336. 2024.
31. Speech Vision: an end-to-end deep learning-based dysarthric automatic speech recognition system10.1109/TNSRE.2021.3076778 ↗
32. Lee W, Im S, Do H, Kim Y, Ok J, Lee GG. DyPCL: dynamic phoneme-level contrastive learning for dysarthric speech recognition. arXiv:2501.19010. 2025.10.18653/v1/2025.naacl-long.240 ↗
33. On using the UA-speech and torgo databases to validate automatic dysarthric speech classification approaches
34. Development of algorithm for person re-identification using extended openface method10.32604/csse.2023.024450 ↗
35. Well said: an analysis of the speech characteristics in the LibriSpeech corpus
36. Research on the recognition and application of Montreal forced aligner for singing audio
37. Exploring the impact of fine-tuning the wav2vec2 model in database-independent detection of dysarthric speech10.1109/JBHI.2024.3392829 ↗
38. Geng M, Jin Z, Wang T, Hu S, Deng J, Cui M, et al. Use of speech impairment severity for dysarthric speech recognition. arXiv:2305.10659. 2023.10.21437/Interspeech.2023-322 ↗
39. Multi-stage audio-visual fusion for dysarthric speech recognition with pre-trained models10.1109/TNSRE.2023.3262001 ↗