Interpretable Assessment of Speech Intelligibility Using Deep Learning: A Case Study on Speech Disorders Due to Head and Neck Cancers

Abstract

This paper sheds light on a relatively unexplored area which is deep learning interpretability for speech disorder assessment and characterization. Building upon a state-of-the-art methodology for the explainability and interpretability of hidden representation inside a deep-learning speech model, we provide a deeper understanding and interpretation of the final intelligibility assessment of patients experiencing speech disorders due to Head and Neck Cancers (HNC). Promising results have been obtained regarding the prediction of speech intelligibility and severity of HNC patients while giving relevant interpretations of the final assessment both at the phonemes and phonetic feature levels. The potential of this approach becomes evident as clinicians can acquire more valuable insights for speech therapy. Indeed, this can help identify the specific linguistic units that affect intelligibility from an acoustic point of view and enable the development of tailored rehabilitation protocols to improve the patient’s ability to communicate effectively, and thus, the patient’s quality of life.