Evidence map›Paper›PMID 33566756›Full record

ArticleIEEE transactions on bio-medical engineering2021

A Deep Learning Algorithm for Objective Assessment of Hypernasality in Children With Cleft Palate.

Vikram C Mathad, Nancy Scherer, Kathy Chapman, Julie M Liss, Visar Berisha

Open access · greenAbstract read
In one paragraph

Article in IEEE transactions on bio-medical engineering, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. It's Time to Define the Global Burden of Velopharyngeal Insufficiency.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  3. Article
  4. An End-to-End Overview of Clinical Speech AI.IEEE transactions on audio, speech, and language processing (2025) · 2026
    Article
  5. Article
  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Vikram C Mathad
Nancy Scherer
Kathy Chapman
Julie M Liss
Visar Berisha
Arizona State University · USUniversity of Utah · US

Funding

Perception of dysarthric speech: An objective model of dysarthric speech evaluation with actionable outcomesR01DC006859 · NIDCD · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI BERISHA, VISAR, LISS, JULIE M · 2004 to 2021
$4.8M
Objectively Quantifying Speech Outcomes of Children with Cleft PalateR21DE026252 · NIDCR · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI BERISHA, VISAR, SCHERER, NANCY J. · 2018 to 2019
$429k
NIDCD NIH HHS R01 DC006859NIDCR NIH HHS R21 DE026252
6 · The paper itself

Abstract

objectivesEvaluation of hypernasality requires extensive perceptual training by clinicians and extending this training on a large scale internationally is untenable; this compounds the health disparities that already exist among children with cleft. In this work, we present the objective hypernasality measure (OHM), a speech-based algorithm that automatically measures hypernasality in speech, and validate it relative to a group of trained clinicians.

methodsWe trained a deep neural network (DNN) on approximately 100 hours of a publicly-available healthy speech corpus to detect the presence of nasal acoustic cues generated through the production of nasal consonants and nasalized phonemes in speech. Importantly, this model does not require any clinical data for training. The posterior probabilities of the deep learning model were aggregated at the sentence and speaker-levels to compute the OHM.

resultsThe results showed that the OHM was significantly correlated with perceptual hypernasality ratings from the Americleft database (r = 0.797, p < 0.001) and the New Mexico Cleft Palate Center (NMCPC) database (r = 0.713, p < 0.001). In addition, we evaluated the relationship between the OHM and articulation errors; the sensitivity of the OHM in detecting the presence of very mild hypernasality; and established the internal reliability of the metric. Further, the performance of the OHM was compared with a DNN regression algorithm directly trained on the hypernasal speech samples. SIGNIFICANCE: The results indicate that the OHM is able to measure the severity of hypernasality on par with Americleft-trained clinicians on thisdataset.

Indexed as

Cleft PalateDeep LearningVoice DisordersChildHumansReproducibility of ResultsSpeech Production Measurement

Identifiers

PMID33566756
PMCPMC9023650
OpenAlexW3088325611

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.