Evidence map›Paper›PMID 42527512›Full record

Articlenpj health systems2026

Beyond fingerprint and voice print: cough sequence sound for identity verification.

Haomiao Li, Siyan Wang, Linh He, Joseph Colonel, Robin Zhao, Anaïs Rameau

Abstract read
In one paragraph

Article in npj health systems, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Haomiao Li *Cornell Tech, New York, NY, USA.
Siyan Wang *Cornell Tech, New York, NY, USA.
Linh He *Sean Parker Institute for the Voice, Department of Otolaryngology - Head and Neck Surgery, Weill Cornell Medical College, New York, NY, USA.
Joseph ColonelIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Robin ZhaoCornell Tech, New York, NY, USA.
Anaïs RameauSean Parker Institute for the Voice, Department of Otolaryngology - Head and Neck Surgery, Weill Cornell Medical College, New York, NY, USA. anr2783@med.cornell.edu.

Funding

Bridge2AI: Voice as a Biomarker of Health - Building an ethically sourced, bioaccoustic database to understand disease like never beforeOT2OD032720 · OD · UNIVERSITY OF SOUTH FLORIDA · PI BENSOUSSAN, YAEL EMILIE, BÉLISLE-PIPON, JEAN-CHRISTOPHE · 2022 to 2025
$18.0M
Developing an App-Based Voice Clinical Decision Support Tool to Augment the Sensitivity of the Bedside Swallow Evaluation in Older AdultsK76AG079040 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Anais Rameau · 2022 to 2026
$972k
AIM-AHEAD: Traineeship in Advanced Data Analytics 3OT2OD032581-01S1-665NIA NIH HHS K76 AG079040NIH HHS OT2 OD032720ODCDC CDC HHS OT2 OD032720
6 · The paper itself

Abstract

Traditional speaker verification systems rely on speech-based features such as fundamental frequency, resonance, and spectral characteristics. In clinical and remote monitoring settings where patients may be unable or unwilling to speak, non-speech sounds like coughs could provide a passive biometric signal for identity verification. While prior research has shown that individual coughs carry identity-specific features, most studies rely on single, voluntary coughs collected in controlled settings, limiting generalizability. Here, we investigated whether cough sequences contain sufficient information for speaker verification. We used the Coswara dataset, which contains 2746 cough recordings. The ECAPA-TDNN (Emphasized Channel Attention, Propagation, and Aggregation in Time Delay Neural Network) model, pre-trained on VoxCeleb, was adapted for cough-specific features. Speaker embeddings were extracted using SpeechBrain. Rejection rates were calculated by comparing shallow and heavy coughs from the same user, while false acceptance rates were computed by comparing a user's shallow cough with another's heavy cough. Equal Error Rate (EER) balanced false acceptance and rejection rates, while the F1 score measured precision and recall. We achieved an EER of 13.39% with an F1 score of 0.8559, indicating strong performance. Cosine distance between model embeddings effectively distinguished between genuine and impostor cough samples, confirming the model's ability to verify identity using cough sounds. We demonstrate the feasibility of using cough sequences for speaker verification, highlighting coughs as a viable signal for identity verification.

Identifiers

PMID42527512
PMCPMC13354190

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LicenceCC BY-NC-ND
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Registered trials

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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.