From voice biomarkers to telemedicine screening: developing and evaluating a voice-based AI model for laryngeal lesion detection using the Bridge2AI-Voice dataset - Report - MDSpire

From voice biomarkers to telemedicine screening: developing and evaluating a voice-based AI model for laryngeal lesion detection using the Bridge2AI-Voice dataset

  • By

  • Phillip D. Jenkins

  • Steven Bedrick

  • Lisa Karstens

  • William Hersh

  • the Bridge2AI-Voice Consortium

  • David A. Dorr

  • July 1, 2026

  • 0 min

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Clinical Report: Advancing Laryngeal Lesion Detection with AI

Overview

This study evaluates a voice-based AI model using the Bridge2AI-Voice dataset for screening laryngeal lesions. The model demonstrated high sensitivity and moderate specificity.

Background

Current screening for laryngeal lesions relies heavily on in-person laryngoscopy, which can be resource-intensive and limit access to care. The human voice contains significant acoustic information that may indicate laryngeal pathology. The Bridge2AI-Voice initiative aims to provide a large, standardized dataset to enhance the development of AI models for this purpose.

Data Highlights

MetricValue95% CI
AUC0.8120.744–0.876
Sensitivity0.8700.767–0.939
Specificity0.5660.479–0.651

Key Findings

  • The AI model achieved a cross-validated AUC of 0.812, indicating good discrimination ability.
  • Sensitivity was high at 0.870, while specificity was moderate at 0.566.
  • Model performance significantly exceeded an age-only baseline (DeLong p = 0.0008).
  • Subgroup analysis showed consistent sensitivity across benign and precancerous lesions.
  • Alternative feature modalities did not enhance model performance beyond the OpenSMILE features.

Clinical Implications

Further validation in larger cohorts is warranted to confirm these results.

Conclusion

Future research should focus on larger, prospectively recruited cohorts for confirmatory analysis.

Related Resources & Content

  1. Conexiant, Accuracy of AI Laryngeal Disorder Detection, 2025 -- Article
  2. Frontiers in Digital Health, Data-driven refinements for voice disorder classification: improving accuracy and generalisability, 2026 -- Article
  3. Frontiers in Digital Health, Classifying voice disorders for machine learning: a pilot study using the USVAC-C2025 diagnostic framework, 2026 -- Article
  4. Journal of Medical Internet Research (JMIR), Explainable and Interpretable AI for Voice and Speech Analysis in Clinical Care: Systematic Review, 2026 -- Article
  5. AAO-HNSF Clinical Practice Guideline: Hoarseness (Dysphonia) (Update), 2018 -- Article
  6. Application of artificial intelligence in laryngeal lesions: a systematic review and meta-analysis, 2025 -- Article
  7. Bridge2AI-Voice: An ethically-sourced, diverse voice dataset linked to health information v2.0.0 -- Dataset
  8. Clinical Practice Guideline: Hoarseness (Dysphonia) (Update) - Stachler - 2018 - Otolaryngology–Head and Neck Surgery - Wiley Online Library
  9. Application of artificial intelligence in laryngeal lesions: a systematic review and meta-analysis - PubMed
  10. Bridge2AI-Voice: An ethically-sourced, diverse voice dataset linked to health information v2.0.0

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