LLM-based speaker diarization correction: A generalizable approach

Speaker diarization is necessary for interpreting conversations transcribed using automated speech recognition (ASR) tools. Despite significant developments in diarization methods, diarization accuracy remains an issue. Here, we investigate the use of large language models (LLMs) for diarization correction as a post-processing step. LLMs were fine-tuned using the Fisher corpus, a large dataset of transcribed conversations. The ability of the models to improve diarization accuracy in a holdout dataset was measured. We report that fine-tuned LLMs can markedly improve diarization accuracy. However, model performance is constrained to transcripts produced using the same ASR tool as the transcripts used for fine-tuning, limiting generalizability. To address this constraint, an ensemble model was developed by combining weights from three separate models, each fine-tuned using transcripts from a different ASR tool. The ensemble model demonstrated better overall performance than each of the ASR-specific models, suggesting that a generalizable and ASR-agnostic approach may be achievable. We hope to make these models accessible through public-facing APIs for use by third-party applications.

Prediction of clinical tremor severity using Rank Consistent Ordinal Regression

Tremor is a key diagnostic feature of Parkinson's Disease (PD), Essential Tremor (ET), and other central nervous system (CNS) disorders. Clinicians or trained raters assess tremor severity with TETRAS scores by observing patients. Lacking quantitative measures, inter- or intra- observer variabilities are almost inevitable as the distinction between adjacent tremor scores is subtle. Moreover, clinician assessments also require patient visits, which limits the frequency of disease progress evaluation. Therefore it is beneficial to develop an automated assessment that can be performed remotely and repeatably at patients' convenience for continuous monitoring. In this work, we proposed to train a deep neural network (DNN) with rank-consistent ordinal regression using 276 clinical videos from 36 essential tremor patients. The videos are coupled with clinician assessed TETRAS scores, which are used as ground truth labels to train the DNN. To tackle the challenge of limited training data, optical flows are used to eliminate irrelevant background and statistic objects from RGB frames. In addition to optical flows, transfer learning is also applied to leverage pre-trained network weights from a related task of tremor frequency estimate. The approach was evaluated by splitting the clinical videos into training (67%) and testing sets (0.33%). The mean absolute error on TETRAS score of the testing results is 0.45, indicating that most of the errors were from the mismatch of adjacent labels, which is expected and acceptable. The model predications also agree well with clinical ratings. This model is further applied to smart phone videos collected from a PD patient who has an implanted device to turn "On" or "Off" tremor. The model outputs were consistent with the patient tremor states. The results demonstrate that our trained model can be used as a means to assess and track tremor severity.