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Oct 3

Automating Feedback Analysis in Surgical Training: Detection, Categorization, and Assessment

This work introduces the first framework for reconstructing surgical dialogue from unstructured real-world recordings, which is crucial for characterizing teaching tasks. In surgical training, the formative verbal feedback that trainers provide to trainees during live surgeries is crucial for ensuring safety, correcting behavior immediately, and facilitating long-term skill acquisition. However, analyzing and quantifying this feedback is challenging due to its unstructured and specialized nature. Automated systems are essential to manage these complexities at scale, allowing for the creation of structured datasets that enhance feedback analysis and improve surgical education. Our framework integrates voice activity detection, speaker diarization, and automated speech recaognition, with a novel enhancement that 1) removes hallucinations (non-existent utterances generated during speech recognition fueled by noise in the operating room) and 2) separates speech from trainers and trainees using few-shot voice samples. These aspects are vital for reconstructing accurate surgical dialogues and understanding the roles of operating room participants. Using data from 33 real-world surgeries, we demonstrated the system's capability to reconstruct surgical teaching dialogues and detect feedback instances effectively (F1 score of 0.79+/-0.07). Moreover, our hallucination removal step improves feedback detection performance by ~14%. Evaluation on downstream clinically relevant tasks of predicting Behavioral Adjustment of trainees and classifying Technical feedback, showed performances comparable to manual annotations with F1 scores of 0.82+/0.03 and 0.81+/0.03 respectively. These results highlight the effectiveness of our framework in supporting clinically relevant tasks and improving over manual methods.

VANPY: Voice Analysis Framework

Voice data is increasingly being used in modern digital communications, yet there is still a lack of comprehensive tools for automated voice analysis and characterization. To this end, we developed the VANPY (Voice Analysis in Python) framework for automated pre-processing, feature extraction, and classification of voice data. The VANPY is an open-source end-to-end comprehensive framework that was developed for the purpose of speaker characterization from voice data. The framework is designed with extensibility in mind, allowing for easy integration of new components and adaptation to various voice analysis applications. It currently incorporates over fifteen voice analysis components - including music/speech separation, voice activity detection, speaker embedding, vocal feature extraction, and various classification models. Four of the VANPY's components were developed in-house and integrated into the framework to extend its speaker characterization capabilities: gender classification, emotion classification, age regression, and height regression. The models demonstrate robust performance across various datasets, although not surpassing state-of-the-art performance. As a proof of concept, we demonstrate the framework's ability to extract speaker characteristics on a use-case challenge of analyzing character voices from the movie "Pulp Fiction." The results illustrate the framework's capability to extract multiple speaker characteristics, including gender, age, height, emotion type, and emotion intensity measured across three dimensions: arousal, dominance, and valence.

Moshi: a speech-text foundation model for real-time dialogue

We introduce Moshi, a speech-text foundation model and full-duplex spoken dialogue framework. Current systems for spoken dialogue rely on pipelines of independent components, namely voice activity detection, speech recognition, textual dialogue and text-to-speech. Such frameworks cannot emulate the experience of real conversations. First, their complexity induces a latency of several seconds between interactions. Second, text being the intermediate modality for dialogue, non-linguistic information that modifies meaning -- such as emotion or non-speech sounds -- is lost in the interaction. Finally, they rely on a segmentation into speaker turns, which does not take into account overlapping speech, interruptions and interjections. Moshi solves these independent issues altogether by casting spoken dialogue as speech-to-speech generation. Starting from a text language model backbone, Moshi generates speech as tokens from the residual quantizer of a neural audio codec, while modeling separately its own speech and that of the user into parallel streams. This allows for the removal of explicit speaker turns, and the modeling of arbitrary conversational dynamics. We moreover extend the hierarchical semantic-to-acoustic token generation of previous work to first predict time-aligned text tokens as a prefix to audio tokens. Not only this "Inner Monologue" method significantly improves the linguistic quality of generated speech, but we also illustrate how it can provide streaming speech recognition and text-to-speech. Our resulting model is the first real-time full-duplex spoken large language model, with a theoretical latency of 160ms, 200ms in practice, and is available at https://github.com/kyutai-labs/moshi.

Dealing with training and test segmentation mismatch: FBK@IWSLT2021

This paper describes FBK's system submission to the IWSLT 2021 Offline Speech Translation task. We participated with a direct model, which is a Transformer-based architecture trained to translate English speech audio data into German texts. The training pipeline is characterized by knowledge distillation and a two-step fine-tuning procedure. Both knowledge distillation and the first fine-tuning step are carried out on manually segmented real and synthetic data, the latter being generated with an MT system trained on the available corpora. Differently, the second fine-tuning step is carried out on a random segmentation of the MuST-C v2 En-De dataset. Its main goal is to reduce the performance drops occurring when a speech translation model trained on manually segmented data (i.e. an ideal, sentence-like segmentation) is evaluated on automatically segmented audio (i.e. actual, more realistic testing conditions). For the same purpose, a custom hybrid segmentation procedure that accounts for both audio content (pauses) and for the length of the produced segments is applied to the test data before passing them to the system. At inference time, we compared this procedure with a baseline segmentation method based on Voice Activity Detection (VAD). Our results indicate the effectiveness of the proposed hybrid approach, shown by a reduction of the gap with manual segmentation from 8.3 to 1.4 BLEU points.