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Cognitively Inspired Feature Extraction and Speech Recognition for Automated Hearing Loss Testing

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Hearing loss, a partial or total inability to hear, is one of the most commonly reported disabilities. A hearing test can be carried out by an audiologist to assess a patient’s auditory system. However, the procedure requires an appointment, which can result in delays and practitioner fees. In addition, there are often challenges associated with the unavailability of equipment and qualified practitioners, particularly in remote areas. This paper presents a novel idea that automatically identifies any hearing impairment based on a cognitively inspired feature extraction and speech recognition approach. The proposed system uses an adaptive filter bank with weighted Mel-frequency cepstral coefficients for feature extraction. The adaptive filter bank implementation is inspired by the principle of spectrum sensing in cognitive radio that is aware of its environment and adapts to statistical variations in the input stimuli by learning from the environment. Comparative performance evaluation demonstrates the potential of our automated hearing test method to achieve comparable results to the clinical ground truth, established by the expert audiologist’s tests. The overall absolute error of the proposed model when compared with the expert audiologist test is less than 4.9 dB and 4.4 dB for the pure tone and speech audiometry tests, respectively. The overall accuracy achieved is 96.67% with a hidden Markov model (HMM). The proposed method potentially offers a second opinion to audiologists, and serves as a cost-effective pre-screening test to predict hearing loss at an early stage. In future work, authors intend to explore the application of advanced deep learning and optimization approaches to further enhance the performance of the automated testing prototype considering imperfect datasets with real-world background noise.

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The authors would like to acknowledge the support of Prof. Hidayat Ullah from Khyber Teaching Hospital (ENT department) in Pakistan, for his kind support with pure tone and speech audiometry. The authors would like to acknowledge audiologists, Kamran Mulk from Rehman Medical Institute and Muhammad Saeed from Khyber Teaching Hospital for highlighting pure tone and speech audiometry-related issues. The authors would like to acknowledge the support of Dr. Muhammad Arsalan Khan from Khyber Teaching Hospital for inviting participants (patients). Lastly, the authors would like to gratefully acknowledge the support of deepCI and Taibah Valley (Taibah University, Madinah, Saudi Arabia).


This research was supported by deepCI and Taibah Valley (Taibah University, Saudi Arabia).

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Correspondence to Ahsan Adeel.

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Nisar, S., Tariq, M., Adeel, A. et al. Cognitively Inspired Feature Extraction and Speech Recognition for Automated Hearing Loss Testing. Cogn Comput 11, 489–502 (2019).

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