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Jan 7

HiFi-SR: A Unified Generative Transformer-Convolutional Adversarial Network for High-Fidelity Speech Super-Resolution

The application of generative adversarial networks (GANs) has recently advanced speech super-resolution (SR) based on intermediate representations like mel-spectrograms. However, existing SR methods that typically rely on independently trained and concatenated networks may lead to inconsistent representations and poor speech quality, especially in out-of-domain scenarios. In this work, we propose HiFi-SR, a unified network that leverages end-to-end adversarial training to achieve high-fidelity speech super-resolution. Our model features a unified transformer-convolutional generator designed to seamlessly handle both the prediction of latent representations and their conversion into time-domain waveforms. The transformer network serves as a powerful encoder, converting low-resolution mel-spectrograms into latent space representations, while the convolutional network upscales these representations into high-resolution waveforms. To enhance high-frequency fidelity, we incorporate a multi-band, multi-scale time-frequency discriminator, along with a multi-scale mel-reconstruction loss in the adversarial training process. HiFi-SR is versatile, capable of upscaling any input speech signal between 4 kHz and 32 kHz to a 48 kHz sampling rate. Experimental results demonstrate that HiFi-SR significantly outperforms existing speech SR methods across both objective metrics and ABX preference tests, for both in-domain and out-of-domain scenarios (https://github.com/modelscope/ClearerVoice-Studio).

  • 6 authors
·
Jan 17, 2025 3

Towards Accurate Differential Diagnosis with Large Language Models

An accurate differential diagnosis (DDx) is a cornerstone of medical care, often reached through an iterative process of interpretation that combines clinical history, physical examination, investigations and procedures. Interactive interfaces powered by Large Language Models (LLMs) present new opportunities to both assist and automate aspects of this process. In this study, we introduce an LLM optimized for diagnostic reasoning, and evaluate its ability to generate a DDx alone or as an aid to clinicians. 20 clinicians evaluated 302 challenging, real-world medical cases sourced from the New England Journal of Medicine (NEJM) case reports. Each case report was read by two clinicians, who were randomized to one of two assistive conditions: either assistance from search engines and standard medical resources, or LLM assistance in addition to these tools. All clinicians provided a baseline, unassisted DDx prior to using the respective assistive tools. Our LLM for DDx exhibited standalone performance that exceeded that of unassisted clinicians (top-10 accuracy 59.1% vs 33.6%, [p = 0.04]). Comparing the two assisted study arms, the DDx quality score was higher for clinicians assisted by our LLM (top-10 accuracy 51.7%) compared to clinicians without its assistance (36.1%) (McNemar's Test: 45.7, p < 0.01) and clinicians with search (44.4%) (4.75, p = 0.03). Further, clinicians assisted by our LLM arrived at more comprehensive differential lists than those without its assistance. Our study suggests that our LLM for DDx has potential to improve clinicians' diagnostic reasoning and accuracy in challenging cases, meriting further real-world evaluation for its ability to empower physicians and widen patients' access to specialist-level expertise.

  • 28 authors
·
Nov 30, 2023 1