The validity of the Acoustic Breathiness Index in the evaluation of breathy voice quality: A Meta‐Analysis

Latoszek, Ben Barsties v.; Kim, Geun‐Hyo; Hernández, Jonathan Delgado; Hosokawa, Kiyohito; Englert, Marina; Neumann, Katrin; Hetjens, Svetlana

doi:10.1111/coa.13629

Cited by 26 publications

(24 citation statements)

References 48 publications

(136 reference statements)

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“…2). Its diagnostic accuracy can be considered sufficient for clinical utility [27 ▪ ]. More than 3603 voice samples were used to determine its diagnostic accuracy.…”

Section: Acoustic Breathiness Indexmentioning

confidence: 99%

The cepstral spectral index of dysphonia, the acoustic voice quality index and the acoustic breathiness index as novel multiparametric indices for acoustic assessment of voice quality

Latoszek

Mathmann

Neumann

2021

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review The objective assessment of voice quality using acoustic measures is an important pillar of voice diagnostics. This article reviews three recent acoustic measures and their clinical use in phoniatrics and laryngology. Recent findings Two acoustic parameters, the cepstral spectral index of dysphonia (CSID) and the acoustic voice quality index (AVQI), have gained importance as validated multiparametric indices in the objective assessment of hoarseness because they include both continuous speech and sustained vowels. The acoustic breathiness index (ABI), another multiparametric index, assesses breathiness admixture during phonation and identifies it robustly, unaffected by other characteristics of dysphonia such as roughness. Summary Acoustic measurements are useful diagnostic tools when used correctly with an appropriate recording system, consideration of environment and use of software programs. CSID, AVQI and ABI objectively improve the detection of voice quality abnormalities. In addition to their proven validity, their application is simple and their usability for clinicians is high.

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“…2). Its diagnostic accuracy can be considered sufficient for clinical utility [27 ▪ ]. More than 3603 voice samples were used to determine its diagnostic accuracy.…”

Section: Acoustic Breathiness Indexmentioning

confidence: 99%

The cepstral spectral index of dysphonia, the acoustic voice quality index and the acoustic breathiness index as novel multiparametric indices for acoustic assessment of voice quality

Latoszek

Mathmann

Neumann

2021

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…Tylečková and Skarnitzl [ 52 ] proposed quantitative ranges of voice quality parameters on non-pathological voices based on speech reading tasks in Czechs, concluding that the estimated CPP values describe modal (e.g., non-breathy) phonation. Barsties v. Latoszek [ 40 ] quantifyied evidence for the diagnostic accuracy of ABI, in terms of sensitivity and specificity, from 34 research works, confirming the ABI’s robustness and validity. Murton et al [ 53 ] used CPP to evaluate clinical voice concluding in CPP cutoff thresholds indicating the presence of voice disorders.…”

Section: Introductionmentioning

confidence: 98%

“…Abduction (opening) and adduction (closing) of the vocal folds is a determining factor for phonation and text articulation [ 6 ]) during phonation. This makes breathiness a particularly important characteristic, as insufficient vocal fold closure may imply a medical condition [ 40 ] but could also result in one [ 41 ]. Despite the apparent multidisciplinary interest in the ’breathy’ voice quality, there are still publications reporting a lack of adequate data correlating the ’breathy voice’ perceptual, qualitative feature, to the pertinent biomechanical functions and the resulting acoustical, quantitative measures [ 32 ].…”

Section: Introductionmentioning

confidence: 99%

Towards a Singing Voice Multi-Sensor Analysis Tool: System Design, and Assessment Based on Vocal Breathiness

Angelakis

Kotsani

Georgaki

2021

Sensors

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Singing voice is a human quality that requires the precise coordination of numerous kinetic functions and results in a perceptually variable auditory outcome. The use of multi-sensor systems can facilitate the study of correlations between the vocal mechanism kinetic functions and the voice output. This is directly relevant to vocal education, rehabilitation, and prevention of vocal health issues in educators; professionals; and students of singing, music, and acting. In this work, we present the initial design of a modular multi-sensor system for singing voice analysis, and describe its first assessment experiment on the ‘vocal breathiness’ qualitative characteristic. A system case study with two professional singers was conducted, utilizing signals from four sensors. Participants sung a protocol of vocal trials in various degrees of intended vocal breathiness. Their (i) vocal output, (ii) phonatory function, and (iii) respiratory behavior-per-condition were recorded through a condenser microphone (CM), an Electroglottograph (EGG), and thoracic and abdominal respiratory effort transducers (RET), respectively. Participants’ individual respiratory management strategies were studied through qualitative analysis of RET data. Microphone audio samples breathiness degree was rated perceptually, and correlation analysis was performed between sample ratings and parameters extracted from CM and EGG data. Smoothed Cepstral Peak Prominence (CPPS) and vocal folds’ Open Quotient (OQ), as computed with the Howard method (HOQ), demonstrated the higher correlation coefficients, when analyzed individually. DECOM method-computed OQ (DOQ) was also examined. Interestingly, the correlation coefficient of pitch difference between estimates from CM and EGG signals appeared to be (based on the Pearson correlation coefficient) statistically insignificant (a result that warrants investigation in larger populations). The study of multi-variate models revealed even higher correlation coefficients. Models studied were the Acoustic Breathiness Index (ABI) and the proposed multiple regression model CDH (CPPS, DOQ, and HOQ), which was attempted in order to combine analysis results from microphone and EGG signals. The model combination of ABI and the proposed CDH appeared to yield the highest correlation with perceptual breathiness ratings. Study results suggest potential for the use of a completed system version in vocal pedagogy and research, as the case study indicated system practicality, a number of pertinent correlations, and introduced topics with further research possibilities.

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“…Breathy voices are characterised by turbulent noise during phonation with excessively high frequency resulting from air leakage during glottal closure 22 . This index has proven to be a reliable tool in the evaluation of the breathy voice 15,18–20,22,23 . In Spanish, 15 it has a high diagnostic accuracy (A ROC = 0.921).…”

Section: Introductionmentioning

confidence: 99%

“…22 This index has proven to be a reliable tool in the evaluation of the breathy voice. 15,[18][19][20]22,23 In Spanish, 15 it has a high diagnostic accuracy (A ROC = 0.921). Pathological threshold is at 3.4 with sensitivity of 73.7% and specificity of 95.4%.…”

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confidence: 99%

Objective Analysis Of Voice Quality In Patients With Thyroid Pathology

Gómez¹,

Hernández

Hernandez

et al. 2021

Clinical Otolaryngology

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Studies on thyroid surgery have mostly focused on post-surgical outcomes and have shown that one of the major complications is damage to the recurrent laryngeal nerve, and therefore, a voice alteration characterised by breathiness. [1][2][3][4][5] This vocal symptomatology could sometimes be caused by injury to the external branch of the upper laryngeal nerve, or simply present voice alterations without apparent nerve damage. [6][7][8] In recent years, pre-surgical assessments have been reported in some studies. 9-13 Symptoms include dysphagia, dysphonia, compressive symptoms and pharyngeal reflux. Percentages found to

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The validity of the Acoustic Breathiness Index in the evaluation of breathy voice quality: A Meta‐Analysis

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 26 publications

References 48 publications

The cepstral spectral index of dysphonia, the acoustic voice quality index and the acoustic breathiness index as novel multiparametric indices for acoustic assessment of voice quality

The cepstral spectral index of dysphonia, the acoustic voice quality index and the acoustic breathiness index as novel multiparametric indices for acoustic assessment of voice quality

Towards a Singing Voice Multi-Sensor Analysis Tool: System Design, and Assessment Based on Vocal Breathiness

Objective Analysis Of Voice Quality In Patients With Thyroid Pathology

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