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Kist AM, Gómez P, Dubrovskiy D, Schlegel P, Kunduk M, Echternach M, Patel R, Semmler M, Bohr C, Dürr S, Schützenberger A, Döllinger M. A Deep Learning Enhanced Novel Software Tool for Laryngeal Dynamics Analysis. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2021; 64:1889-1903. [PMID: 34000199 DOI: 10.1044/2021_jslhr-20-00498] [Citation(s) in RCA: 43] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Purpose High-speed videoendoscopy (HSV) is an emerging, but barely used, endoscopy technique in the clinic to assess and diagnose voice disorders because of the lack of dedicated software to analyze the data. HSV allows to quantify the vocal fold oscillations by segmenting the glottal area. This challenging task has been tackled by various studies; however, the proposed approaches are mostly limited and not suitable for daily clinical routine. Method We developed a user-friendly software in C# that allows the editing, motion correction, segmentation, and quantitative analysis of HSV data. We further provide pretrained deep neural networks for fully automatic glottis segmentation. Results We freely provide our software Glottis Analysis Tools (GAT). Using GAT, we provide a general threshold-based region growing platform that enables the user to analyze data from various sources, such as in vivo recordings, ex vivo recordings, and high-speed footage of artificial vocal folds. Additionally, especially for in vivo recordings, we provide three robust neural networks at various speed and quality settings to allow a fully automatic glottis segmentation needed for application by untrained personnel. GAT further evaluates video and audio data in parallel and is able to extract various features from the video data, among others the glottal area waveform, that is, the changing glottal area over time. In total, GAT provides 79 unique quantitative analysis parameters for video- and audio-based signals. Many of these parameters have already been shown to reflect voice disorders, highlighting the clinical importance and usefulness of the GAT software. Conclusion GAT is a unique tool to process HSV and audio data to determine quantitative, clinically relevant parameters for research, diagnosis, and treatment of laryngeal disorders. Supplemental Material https://doi.org/10.23641/asha.14575533.
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Affiliation(s)
- Andreas M Kist
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology-Head & Neck Surgery, University Hospital Erlangen, Germany
| | - Pablo Gómez
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology-Head & Neck Surgery, University Hospital Erlangen, Germany
| | - Denis Dubrovskiy
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology-Head & Neck Surgery, University Hospital Erlangen, Germany
| | - Patrick Schlegel
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology-Head & Neck Surgery, University Hospital Erlangen, Germany
| | - Melda Kunduk
- Department of Communication Sciences and Disorders, Louisiana State University, Baton Rouge
| | - Matthias Echternach
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Munich University Hospital (LMU), Germany
| | - Rita Patel
- Department of Speech, Language and Hearing Sciences, College of Arts and Sciences, Indiana University, Bloomington
| | - Marion Semmler
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology-Head & Neck Surgery, University Hospital Erlangen, Germany
| | - Christopher Bohr
- Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde Universitätsklinikum Regensburg, Germany
| | - Stephan Dürr
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology-Head & Neck Surgery, University Hospital Erlangen, Germany
| | - Anne Schützenberger
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology-Head & Neck Surgery, University Hospital Erlangen, Germany
| | - Michael Döllinger
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology-Head & Neck Surgery, University Hospital Erlangen, Germany
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Gómez P, Kist AM, Schlegel P, Berry DA, Chhetri DK, Dürr S, Echternach M, Johnson AM, Kniesburges S, Kunduk M, Maryn Y, Schützenberger A, Verguts M, Döllinger M. BAGLS, a multihospital Benchmark for Automatic Glottis Segmentation. Sci Data 2020; 7:186. [PMID: 32561845 PMCID: PMC7305104 DOI: 10.1038/s41597-020-0526-3] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Accepted: 05/15/2020] [Indexed: 02/06/2023] Open
Abstract
Laryngeal videoendoscopy is one of the main tools in clinical examinations for voice disorders and voice research. Using high-speed videoendoscopy, it is possible to fully capture the vocal fold oscillations, however, processing the recordings typically involves a time-consuming segmentation of the glottal area by trained experts. Even though automatic methods have been proposed and the task is particularly suited for deep learning methods, there are no public datasets and benchmarks available to compare methods and to allow training of generalizing deep learning models. In an international collaboration of researchers from seven institutions from the EU and USA, we have created BAGLS, a large, multihospital dataset of 59,250 high-speed videoendoscopy frames with individually annotated segmentation masks. The frames are based on 640 recordings of healthy and disordered subjects that were recorded with varying technical equipment by numerous clinicians. The BAGLS dataset will allow an objective comparison of glottis segmentation methods and will enable interested researchers to train their own models and compare their methods.
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Affiliation(s)
- Pablo Gómez
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Waldstraße 1, 91054, Erlangen, Germany.
| | - Andreas M Kist
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Waldstraße 1, 91054, Erlangen, Germany.
| | - Patrick Schlegel
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Waldstraße 1, 91054, Erlangen, Germany
| | - David A Berry
- Department of Head and Neck Surgery, David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California, USA
| | - Dinesh K Chhetri
- Department of Head and Neck Surgery, David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California, USA
| | - Stephan Dürr
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Waldstraße 1, 91054, Erlangen, Germany
| | - Matthias Echternach
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Munich University Hospital (LMU), Munich, Germany
| | - Aaron M Johnson
- NYU Voice Center, Department of Otolaryngology - Head and Neck Surgery, New York University School of Medicine, New York, New York, USA
| | - Stefan Kniesburges
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Waldstraße 1, 91054, Erlangen, Germany
| | - Melda Kunduk
- Department of Communication Sciences and Disorders, Louisiana State University, Baton Rouge, Louisiana, USA
| | - Youri Maryn
- European Institute for ORL-HNS, Department of Otorhinolaryngology and Head & Neck Surgery, Sint-Augustinus GZA, Wilrijk, Belgium
- Department of Speech, Language and Hearing sciences, University of Ghent, Ghent, Belgium
- Faculty of Education, Health and Social Work, University College Ghent, Ghent, Belgium
- Faculty of Psychology and Educational Sciences, School of Logopedics, Université Catholique de Louvain, Louvain-la-Neuve, Belgium
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Anne Schützenberger
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Waldstraße 1, 91054, Erlangen, Germany
| | - Monique Verguts
- European Institute for ORL-HNS, Department of Otorhinolaryngology and Head & Neck Surgery, Sint-Augustinus GZA, Wilrijk, Belgium
- Department of Otorhinolaryngology and Voice Disorders, Diest General Hospital, Diest, Belgium
| | - Michael Döllinger
- Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Waldstraße 1, 91054, Erlangen, Germany
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Abstract
This review provides a comprehensive compilation, from a digital image processing point of view of the most important techniques currently developed to characterize and quantify the vibration behaviour of the vocal folds, along with a detailed description of the laryngeal image modalities currently used in the clinic. The review presents an overview of the most significant glottal-gap segmentation and facilitative playbacks techniques used in the literature for the mentioned purpose, and shows the drawbacks and challenges that still remain unsolved to develop robust vocal folds vibration function analysis tools based on digital image processing.
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