Patent Application
20210177340
The present disclosure relates to a cognitive function evaluation device, a cognitive function evaluation system, a cognitive function evaluation method, and a storage medium.
Typical tests for evaluating cognitive functions include the Hasegawa dementia scale-revised (HDS-R), the mini-mental state examination (MMSE), and the clinical dementia rating (CDR) that cause evaluatees being suspected patients, whose cognitive functions are to be evaluated, to answer questions on test papers. These methods are used for evaluatees in medical institutions by doctors, clinical psychologists, or other practitioners trained to some extent.
Such an evaluation method using test papers requires a long test time, that is, a burden on evaluatees. Repeatedly taking the same test, evaluatees may remember the answers. To solve these problems, disclosed is a technique that a doctor or any other practitioner records the voice of an evaluatee answering questions in a test and analyzes the voice of the evaluatee (see, e.g., Patent Literature (PTL) 1).
PTL 1: International Publication No. WO2012/165602
There is a demand for simple and accurate evaluation on the cognitive function of an evaluatee.
To meet the demand, it is an objective of the present disclosure to provide a cognitive function evaluation device, for example, capable of simply and accurately evaluating the cognitive function of an evaluatee.
A cognitive function evaluation device according to an aspect of the present disclosure includes: an obtainment unit configured to obtain utterance data indicating a voice of an evaluatee uttering a sentence as instructed; a calculation unit configured to calculate, from the utterance data obtained by the obtainment unit, a feature based on the utterance data; an evaluation unit configured to compare the feature calculated by the calculation unit to reference data indicating a relationship between voice data indicating a voice of a person and a cognitive function of the person to evaluate the cognitive function of the evaluatee; and an output unit configured to output the sentence to be uttered by the evaluatee and output a result of the evaluation by the evaluation unit.
A cognitive function evaluation system according to an aspect of the present disclosure includes: the cognitive function evaluation device; a voice collection device that detects the voice of the evaluatee; and a display device that displays the sentence and the result of the evaluation output by the output unit.
A cognitive function evaluation method according to an aspect of the present disclosure is executed by a computer. The cognitive function evaluation method includes: outputting a sentence to be uttered by an evaluatee; obtaining utterance data indicating a voice of the evaluatee uttering the sentence; calculating, from the utterance data obtained in the obtaining, a feature based on the utterance data; evaluating a cognitive function of the evaluatee by comparing the feature calculated in the calculating to reference data indicating a relationship between voice data indicating a voice of a person and a cognitive function of the person; and outputting a result of the evaluating.
The present disclosure may be implemented as a non-transitory computer-readable storage medium storing a program for causing the computer to execute the cognitive function evaluation method.
A cognitive function evaluation device, for example, according to the present disclosure allows simple and accurate evaluation on the cognitive function of an evaluatee.
Now, an embodiment will be described with reference to the drawings. Note that the embodiment described below is a mere comprehensive or specific example of the present disclosure. The numerical values, shapes, materials, constituent elements, the arrangement and connection of the constituent elements, steps, step orders etc. shown in the following embodiment are thus mere examples, and are not intended to limit the scope of the present disclosure. Among the constituent elements in the following embodiment, those not recited in any of the independent claims defining the broadest concept of the present disclosure are described as optional constituent elements.
The figures are schematic representations and not necessarily drawn strictly to scale. In the figures, substantially the same constituent elements are assigned with the same reference marks, and redundant descriptions will be omitted or simplified.
The following embodiment employs expressions for directions. For example, “horizontal” means not only “completely horizontal” but also “substantially horizontal”, that is, including differences of about several percent, for example.
A configuration of a cognitive function evaluation system according to the embodiment will be described.
Cognitive function evaluation system 200 is for evaluating the cognitive function of evaluatee U from the voice of evaluatee U. The cognitive function represents capabilities such as recognition, remembering, or judgment. As a specific example, cognitive function evaluation device 100 evaluates whether evaluatee U has dementia (i.e., whether the evaluatee is a dementia patient).
The symptoms of dementia include a decline in the cognitive function described above. Specific examples of dementia include Alzheimer's disease (AD). Since dementia patients are often not aware of any symptoms, the family of a suspected dementia patient or a third person encourages him/her to receive a medical examination at a hospital. Only then, the suspected patient sees a doctor. Alternatively, evaluatee U takes a batch test for dementia, such as the Montreal cognitive assessment (MoCA) test, to check whether evaluatee U has dementia.
The MoCA test takes, however, about 15 minutes each time. The MoCA test needs to be conducted a plurality of times at an interval to examine evaluatee U's change over time, thereby determining whether evaluatee U has dementia. That is, one set of the MoCA test requires a long time to examine whether evaluatee U has dementia.
It is known that there tends to be a difference in the voice between dementia patients and non-dementia people (i.e., healthy people), even when they utter the same word.
Cognitive function evaluation system 200 analyzes the voice of evaluatee U, thereby accurately evaluating the cognitive function level of evaluatee U.
As shown in
Cognitive function evaluation device 100 is a computer that evaluates the cognitive function of evaluatee U from utterance data (i.e., voice data) obtained by voice collection device 300 and indicating the voice of evaluatee U. Specifically, cognitive function evaluation device 100 causes display device 400 to display sentence data indicating a certain sentence to be uttered by evaluatee U (i.e., image data including the sentence). The device obtains utterance data indicating the voice of evaluatee U via voice collection device 300.
Voice collection device 300 is a microphone that detects the voice of evaluatee U and outputs utterance data indicating the detected voice to cognitive function evaluation device 100. In order to accurately detect the voice of evaluatee U, at least one of isolation shield 310 or pop guard 320 may be arranged around voice collection device 300.
Display device 400 displays images based on image data output from cognitive function evaluation device 100. Specifically, display device 400 obtains and displays sentence data and the result of the evaluation on the cognitive function of evaluatee U. The sentence data is output from output unit 140 (see, e.g.,
Cognitive function evaluation device 100, voice collection device 300, and display device 400 may be connected in a wired or wireless fashion, as long as capable of sending and receiving utterance data or image data.
Cognitive function evaluation device 100 analyzes the voice of evaluatee U based on the utterance data detected by voice collection device 300, evaluates the cognitive function of evaluatee U from the result of the analyzation, and outputs an image indicating the result of the evaluation to display device 400. This configuration causes cognitive function evaluation device 100 to notify a dementia patient, who is not aware of any symptoms, of the cognitive function level and thus to encourage the dementia patient, for example, to see a doctor. In other words, cognitive function evaluation device 100 notifies a dementia patient, who is not aware of any symptoms, of the cognitive function level, thereby encouraging the dementia patient to see a doctor.
Note that cognitive function evaluation device 100 is a personal computer, for example, but may be a server device.
Obtainment unit 110 obtains utterance data indicating the voice of evaluatee U uttering a sentence as instructed. Specifically, the obtainment unit obtains the utterance data detected by voice collection device 300. Obtainment unit 110 is a communication interface that performs wired or wireless communications, for example.
Calculation unit 120 is a processing unit that analyzes the utterance data on evaluatee U obtained by obtainment unit 110 to calculate a feature based on the utterance data. Specifically, calculation unit 120 may be configured as hardware using a processor, a microcomputer, or a dedicated circuit.
For example, the sentence indicated by the sentence data output from output unit 140 contains a character string with consecutive syllables, each of which consists of a vowel. Calculation unit 120 may calculate, as the feature, at least one of the amounts of changes in the first and second formant frequencies of the vowel, the times required for the changes in the first and second formant frequencies of the vowel, or the rates of changes that are the ratios of the amounts of changes to the required times.
The first formant frequency is a peak frequency of the amplitude that can be seen first, counting from the lowest frequency of the human voice. It is known that the first formant frequency tends to reflect the feature related to the movement of the tongue. As compared to healthy people, dementia patients often fail to move their tongue well. It is thus considered that there tends to be a difference in the first formant frequency between healthy people and dementia patients.
The second formant frequency is a peak frequency of the amplitude that can be seen second, counting from the lowest frequency of the human voice. It is known that the second formant frequency tends to reflect the influence related to the position of the tongue, out of the resonance caused by the vocal cord sound source in the vocal tract, the nasal cavity, and the oral cavity such as lips, and the tongue. As compared to healthy people, dementia patients often suffer from a decline in the motor function maintaining the position of the tongue or the chin. It is thus considered that there tends to be a difference in the second formant frequency and the amplitude between healthy people and dementia patients.
For example, the sentence indicated by the sentence data output from output unit 140 may contain a plurality of syllables, each of which includes a vowel. Calculation unit 120 may calculate, as the feature, a variation in at least one of the first formant frequency of the vowel, the second formant frequency of the vowel, or the ratio of the second formant frequency of the vowel to the first formant frequency of the vowel. The degree of variation calculated as the feature is, for example, a standard deviation.
For example, the sentence indicated by the sentence data output from output unit 140 may contain at least three syllables including different vowels. Calculation unit 120 may calculate, as the feature, at least one of the shape or the area of the polygon defined by plotting the value of the second formant frequency with respect to the first formant frequency calculated from each of the at least three vowels in the coordinate space defined by the second formant frequency of the vowel with respect to the first formant frequency of the vowel.
For example, the sentence indicated by the sentence data output from output unit 140 may contain at least two syllables including different vowels. Calculation unit 120 may calculate, as the feature, the positional relationship when plotting the value of the second formant frequency with respect to the first formant frequency calculated from the at least two vowels in the coordinate space defined by the second formant frequency of the vowel with respect to the first formant frequency of the vowel.
For example, the sentence indicated by the sentence data output from output unit 140 may contain a syllable including a consonant and a vowel subsequent to the consonant (i.e., a subsequent vowel). Calculation unit 120 may calculate, as the feature, the difference in the voice pressure between the consonant and the subsequent vowel. Note that, in this specification, the subsequent vowel is the phoneme that is a vowel such as “a”, “i”, “u”, “e”, or “o” subsequent to the phoneme that is a consonant such as “k”, “s”, “t”, “n”, or “h”. For example, “ta” includes “t” as a consonant and “a” as a subsequent vowel following the consonant. For example, in the case of “ta”, the difference in the voice pressure between the consonant and the subsequent vowel corresponds to the difference between the voice pressure of “t” and the voice pressure of “a”. Examples of the “consonant and the subsequent vowel following the consonant” include what is called “open syllables” except for syllables, each of which consists of a vowel only. In particular, the consonant employed in calculating the feature may be a stop consonant (i.e., what is called a “plosive”) such as “p”, “t”, or “k” that tends to cause a difference between healthy people and dementia patients.
For example, calculation unit 120 may calculate, as the feature, the time required by evaluatee U to utter the sentence.
For example, output unit 140 may further output an instruction that causes evaluatee U to utter a sentence a plurality of times. Calculation unit 120 may calculate, as the feature, the amount of change in the reading time calculated from reading times obtained for the plurality of times U evaluatee uttered the sentence.
Evaluation unit 130 compares a plurality of features that are ones calculated by calculation unit 120 or selected freely to reference data 151 stored in storage unit 150 to evaluate the cognitive function of evaluatee U. For example, storage unit 150 stores, as reference data 151, a threshold of a feature for distinguishing healthy people, mild dementia patients, and dementia patients from each other. Evaluation unit 130 compares the feature calculated by calculation unit 120 and the threshold stored as reference data 151 to evaluate that evaluatee U is a healthy person, a mild dementia patient, or a dementia patient. Evaluation unit 130 is a processor, a microcomputer, or a dedicated circuit, for example. Note that calculation unit 120 and evaluation unit 130 may be integrated in a single processor, a microcomputer, or a dedicated circuit with corresponding functions, or may be achieved by a combination of two or more of processors, microcomputers, and dedicated circuits.
Output unit 140 outputs sentence data (i.e., image data) indicating a certain sentence to be uttered by evaluatee U and the result of the evaluation on the cognitive function of evaluatee U by evaluation unit 130 to display device 400. Output unit 140 is a communication interface that performs wired or wireless communications, for example. For example, the sentence indicated by the sentence data output from output unit 140 may contain a character string of at least one of consecutive syllables, each of which consists of a consonant and a vowel subsequent to the consonant (i.e., a subsequent vowel), or consecutive syllables, each of which consists of a vowel only. That is, the sentence indicated by the sentence data output from output unit 140 may contain a character string of consecutive open syllables.
For example, the sentence indicated by the sentence data output from output unit 140 may contain five or more characters, each of which consists of a stop consonant and a subsequent vowel. Specifically, the sentence indicated by the sentence data output from output unit 140 may contain at least one of character strings “Kitakaze to taiyo ga deteimasu”, “Tankenka wa bouken ga daisuki desu”, or “Kita kara kita kata tatakiki”.
Storage unit 150 is a storage device that stores reference data 151 indicating the relationship between a feature based on voice data indicating the voices of people and the cognitive functions of the people. Reference data 151 is referenced by evaluation unit 130 in evaluating the cognitive function of evaluatee U and stored in advance in storage unit 150. Storage unit 150 is read-only memory (ROM), a random-access memory (RAM), for example.
Storage unit 150 also stores programs executed by calculation unit 120 and evaluation unit 130, image data including the sentence to be uttered by evaluatee U, and image data to be used in outputting the result of the evaluation on the cognitive function of evaluatee U and indicating the result of the evaluation.
Instruction unit 160 is a control device that causes output unit 140 to output the sentence data indicating the sentence to be uttered by evaluatee U. Instruction unit 160 is communicatively coupled to cognitive function evaluation device 100, for example. The instruction unit obtains an instruction indicating start of evaluation on the cognitive function of evaluatee U from a user interface (not shown), such as a touch panel or buttons, operated by a user (e.g., evaluatee U or an assistant of evaluatee U) of cognitive function evaluation device 100. Upon receipt of the instruction, the instruction unit causes output unit 140 to output image data (e.g., image 410 shown in (a) of
Now, a specific processing procedure of a cognitive function evaluation method executed by cognitive function evaluation device 100 will be described.
First, output unit 140 outputs sentence data stored in storage unit 150 and indicating the sentence to be uttered by evaluatee U to display device 400 (step S101). Specifically, in step S101, instruction unit 160 causes output unit 140 to output sentence data stored in storage unit 150 and indicating a certain sentence that instructs evaluatee U to utter a sentence. Display device 400 displays an image indicated by the sentence data obtained from output unit 140.
Next, obtainment unit 110 obtains utterance data on evaluatee U via voice collection device 300 (step S102). In step S102, for example, evaluatee U utters a sentence such as “Kita kara kita kata tatakiki” displayed on display device 400. Obtainment unit 110 obtains, as the utterance data, the voice of evaluatee U uttering the sentence “Kita kara kita kata tatakiki” via voice collection device 300.
After that, calculation unit 120 calculates the feature based on the utterance data obtained in step S102 (step S103). In step S103, for example, calculation unit 120 extracts “ta” uttered first in “Kita kara kita kata tatakiki” contained in the utterance data and calculates, as the feature, the difference in the voice pressure between the consonant and the subsequent vowel of the extracted “ta”.
As described above, the feature calculated by calculation unit 120 is not limited thereto. Specific examples of the feature calculated by calculation unit 120 which will be described later.
Next, evaluation unit 130 evaluates the cognitive function of evaluatee U from the feature calculated by calculation unit 120 in step S103 (step S104). In step S104, evaluation unit 130 evaluates the cognitive function of evaluatee U from, for example, the feature calculated by calculation unit 120 in step S103 and reference data 151 stored in storage unit 150.
After that, output unit 140 outputs the result of the evaluation on the cognitive function of evaluatee U by evaluation unit 130 (step S105). In step S105, output unit 140 obtains, for example, an image corresponding to the result of the evaluation by evaluation unit 130 in step S104 from storage unit 150 and sends the obtained image to display device 400.
Display device 400 obtains the image output from output unit 140 and displays the image. Accordingly, evaluatee U easily knows the result of the evaluation on the cognitive function.
As shown in (a) of
Next, as shown in (b) of
After that, as shown in (c) of
In this manner, the sentence to be uttered by evaluatee U is displayed as image 420 not to cause a noise when detecting the voice of evaluatee U, as compared to the case where a doctor or any other practitioner tells the contents of the sentence to evaluatee U.
Now, details of the feature used when cognitive function evaluation device 100 evaluates the cognitive function level of evaluatee U will be described.
In the graph shown in
Note that the feature may be a variation in the standard deviation among a plurality of differences in the voice pressure. In this case, calculation unit 120 calculates, for example, differences ΔP1 to ΔP9 in the voice pressure shown in
As indicated by the broken lines in
According to the graph shown in
For example, cognitive function evaluation device 100 causes evaluatee U to utter syllables including consecutive vowels such as “aiueo”. Specifically, output unit 140 outputs, to display device 400, sentence data indicating a sentence containing a character string of the syllables including the consecutive vowels such as “aiueo” to cause display device 400 to display the sentence. This causes evaluatee U to utter the syllables including the consecutive vowels such as “aiueo”. Calculation unit 120 calculates first formant frequency F1 and second formant frequency F2 of each vowel from the utterance data indicating the voice of evaluatee U. In addition, calculation unit 120 calculates, as the feature, at least one of the amounts of changes in first formant frequency F1 and second formant frequency F2 of each consecutive vowel of the character string, the times required for the changes in first formant frequency F1 and second formant frequency F2 of each consecutive vowel of the character string, or the rates of the changes that are the ratios of the amounts of changes to the required times.
As compared to healthy people, dementia patients have large amounts, long times, and high rates of changes in first formant frequency F1 and second formant frequency F2. If one of the amounts of changes, the required times, or the rates of changes is employed as the feature, reference data 151 contains a threshold that is the value of one of the amounts of changes, the required times, or the rates of changes. For example, evaluation unit 130 determines that evaluatee U has dementia, if the value is greater than or equal to the threshold; and evaluates the evaluatee as a healthy person, for example, if the value is smaller than the threshold.
The vowels contained in the sentence uttered by evaluatee U may not be consecutive. Specifically, output unit 140 may output, to display device 400, sentence data indicating a sentence containing a character string of inconsecutive vowels, such as “i” and “u” of “taiyou” to cause display device 400 to display the sentence. In this case, calculation unit 120 may calculate, as the feature, a variation in at least one of first formant frequency F1 of each vowel, second formant frequency F2 of each vowel, or the ratio of second formant frequency vowel F2 of each vowel to first formant frequency F1 of the vowel. The degree of variation calculated as the feature is, for example, a standard deviation. As compared to healthy people, dementia patients have a larger variation. If the variation (specifically, the standard deviation) is employed as the feature, reference data 151 contains a threshold that is the value of the standard deviation. For example, evaluation unit 130 determines that evaluatee U has dementia, if the value is greater than or equal to the threshold, evaluates the evaluatee as a healthy person, for example, if the value is smaller than the threshold.
A sentence such as “Kita kara kita kata tatakiki” contains no syllables consisting of a vowel only but open syllables, each of which consists of a consonant and a subsequent vowel. In this case, calculation unit 120 may extract, for example, the phoneme of a subsequent vowel and calculate the formant frequency of the subsequent vowel to calculate the amounts of a change, the required time, or the rate of change in the formant frequency. Each character string of the consecutive vowels may be a character string of a subsequent vowel and a vowel following the subsequent vowel.
Note that cognitive function evaluation device 100 may include a time measurement unit such as a real time clock (RTC) to measure the time.
As shown in
As compared to healthy people, dementia patients have the polygon defined in this manner with a small area. If the area of the polygon is employed as the feature, reference data 151 contains a threshold that is the value of the area of the polygon. For example, evaluation unit 130 determines that evaluatee U is a healthy person, if the value is greater than or equal to the threshold; and evaluates the evaluatee as having dementia, for example, if the value is smaller than the threshold.
As compared to healthy people, dementia patients have the polygon defined in this manner in a shape with the points close to each other. Assume that the polygon is a pentagon and the shape of the polygon is approximated to a regular pentagon. As compared to healthy people, dementia patients have a polygon in a shape largely deviated from the regular pentagon. If the shape of the polygon is employed as the feature, reference data 151 contains a threshold that is the value of the distance between the points constituting the polygon, or the amount of deviation of each point when the pentagon is approximated to a regular pentagon. For example, evaluation unit 130 determines that evaluatee U is a healthy person, if the value is greater than or equal to the threshold; and evaluates the evaluatee as having dementia, for example, if the value is smaller than the threshold.
The vowels employed for plotting may be subsequent vowels subsequent to consonants. In a language other than Japanese, any other element such as “A”, a phonetic symbol, may be used in addition to or in place of the vowels “a”, “i”, “u”, “e”, and “o” in the Japanese language.
The number of plotted points may be three or more, as long as at least one of the shape or the area of the polygon defined by the points can be calculated.
As shown in
As compared to healthy people, dementia patients have the points plotted in this manner at a small distance. If the positional relationship among the points is employed as the feature, reference data 151 contains a threshold that is the distance between the points. For example, evaluation unit 130 determines that evaluatee U is a healthy person, if the value is greater than or equal to the threshold; and evaluates the evaluatee as having dementia, for example, if the value is smaller than the threshold.
Whether a person has dementia is determined by the MoCA test, which is a batch test for examination of dementia, taken by the person.
The present inventors gathered evaluatees including healthy people with normal controls (NC), mild dementia patients with mild cognitive impairment (MCI), and dementia patients with AD to conduct the MoCA test. The number of evaluatees (i.e., the number of subjects) with NC was 90, the number of evaluatees with MCI was 94, and the number of evaluatees with AD was 93.
It is found from
The features, which are described above and based on the voice data (i.e., the utterance data) indicating the voices of the people, are calculated from the people who have taken the MoCA test. From the calculation, reference data 151 is prepared, which indicates the relationship between the features of the people and is based on the voice data and the cognitive functions of the people. For example, if evaluation unit 130 determines that evaluatee U has NC, MCI, or AD, reference data 151 corresponds to two thresholds (e.g., a first threshold and a second threshold) with different values as the threshold of the feature described above. For example, evaluation unit 130 evaluates evaluatee U as having NC, if the feature calculated from the utterance data obtained from evaluatee U is smaller than the first threshold. The evaluation unit evaluates evaluatee U as having MCI, if the feature is greater than or equal to the first threshold and smaller than the second threshold. The evaluation unit evaluates evaluatee U as having AD, if the feature is greater than or equal to the second threshold. Cognitive function evaluation device 100 uses reference data 151 to simply evaluate the cognitive function of evaluatee U from the feature based on utterance data on evaluatee U and reference data 151. Note that one, two, or more threshold(s) of the feature may be used as reference data 151.
Display device 400 displays, as the result of the evaluation by evaluation unit 130, image 430 as shown in
Like “Kita kara kita kata tatakiki” shown in (c) of
Like image 440 shown in
Evaluatee U here may utter a single sentence a plurality of times. Specifically, output unit 140 may further output an instruction that causes evaluatee U to utter the sentence the plurality of times. Calculation unit 120 may calculate, as the feature, the amount of change in the reading time calculated from reading times obtained for the plurality of times evaluatee U uttered the sentence.
For example, if the time required for evaluatee U to utter the sentence for the first time is ten seconds and the time required for evaluatee U to utter the sentence for the second time is eight seconds, the amount of change is two seconds. Alternatively, assume that evaluatee U utters a sentence three or more times. In this case, for example, calculation unit 120 may calculate, as the feature, the standard deviation of the time required for evaluatee U to utter the sentence each time, or the average of the amount of changes calculated the plurality of times.
As compared to healthy people, dementia patients have a large amount of change in the reading time for the sentence. In this case, reference data 151 contains the amount of change in the reading time. For example, evaluation unit 130 determines that evaluatee U has dementia, if the value is greater than or equal to the threshold, and evaluates the evaluatee as a healthy person, for example, if the value is smaller than the threshold.
While
The sentence data containing the sentence to be uttered by evaluatee U as instructed by output unit 140 may contain an explanation that causes the evaluatee to utter a sentence a plurality of times or to utter a plurality of sentences.
As described above, cognitive function evaluation device 100 according to the embodiment includes obtainment unit 110, calculation unit 120, evaluation unit 130, and output unit 140. Obtainment unit 110 obtains utterance data indicating the voice of evaluatee U uttering a sentence as instructed. Calculation unit 120 calculates, from the utterance data obtained by obtainment unit 110, a feature based on the utterance data. Evaluation unit 130 compares the feature calculated by calculation unit 120 to reference data 151 indicating a relationship between voice data indicating voices of people and cognitive functions of the people to evaluate the cognitive function of the evaluatee. Output unit 140 outputs the sentence to be uttered by evaluatee U and output a result of the evaluation by evaluation unit 130.
With this configuration, cognitive function evaluation device 100 obtains, from evaluatee U, the voice data from which the cognitive function is accurately evaluated by evaluation unit 130. Accordingly, cognitive function evaluation device 100 simply and accurately evaluates the cognitive function of evaluatee U.
For example, the sentence to be uttered by evaluatee U may contain a character string of at least one of consecutive syllables, each of which consists of a consonant and a vowel subsequent to the consonant, or consecutive syllables, each of which consists of a vowel only.
That is, the voice data evaluated by evaluation unit 130 may contain at least one of consecutive syllables, each of which consists of a consonant and a vowel subsequent to the consonant, or consecutive syllables, each of which consists of a vowel only. For example, it is found from
For example, the sentence to be uttered by evaluatee U may contain at least one of character strings of “Kitakaze to taiyo ga deteimasu”, “Tankenka wa bouken ga daisuki desu”, or “Kita kara kita kata tatakiki”. Like these, the sentence indicated by the sentence data output from output unit 140 may contain five or more character strings, each of which includes a stop consonant and a vowel subsequent to the stop consonant. There tends to be a difference in the stop consonant between the voice data on the patients with AD and the people with NC. The sentence to be uttered by evaluatee U may thus be, for example, “Kitakaze to taiyo ga deteimasu”, “Tankenka wa bouken ga daisuki desu”, and “Kita kara kita kata tatakiki”. This allows more accurate evaluation of the cognitive function of evaluatee U.
For example, the sentence to be uttered by evaluatee U may contain a character string of consecutive syllables, each of which includes a vowel. Calculation unit 120 may calculate, as the feature, at least one of the amounts of changes in first formant frequency F1 and second formant frequency F2 of the vowel, times required for the changes in first formant frequency F1 and second formant frequency F2 of the vowel, or the rates of changes that are the ratios of the amount of changes to the required times.
First formant frequency F1 is a peak frequency of an amplitude that can be seen first, counting from the lowest frequency of the human voice. It is known that the first formant frequency tends to reflect the feature related to the movement of the tongue. As compared to the people with NC, the patients with AD often fail to move their tongue well. It is thus considered that there tends to be a difference in first formant frequency F1 between the people with NC and the patients with AD. For example, the patients with AD often suffer from a decline in the motor function maintaining the position of the tongue or the chin. It is thus considered that the patients with AD thus utter an unstable voice as compared to the people with NC. It is thus considered that, since there are fluctuations in the voices of the patients with AD as compared to the people with NC, the time change in each of first formant frequency F1 and second formant frequency F2 tends to be large. In this point of view, one of the amounts of changes in first formant frequency F1 and second formant frequency F2, the required times, and the rates of changes that are the ratios of the amounts of changes to the required times is used as the feature to evaluate the cognitive function. This allows more accurate evaluation on the cognitive function of evaluatee U.
For example, the sentence to be uttered by evaluatee U may contain a plurality of syllables, each of which includes a vowel. Calculation unit 120 may calculate, as the feature, at least one of variations in first formant frequency F1 of the vowel, second formant frequency F2 of the vowel, or the ratio of second formant frequency F2 of the vowel to first formant frequency F1 of the vowel.
As described above, as compared to the people with NC, the patients with AD tend to utter a fluctuating voice, and thus first formant frequency F1 and second formant frequency F2 tend to vary. It is considered that there is an individual difference in the formant frequency. It is also considered that, there is a correlation between first formant frequency F1 and second formant frequency F2, which also depends on the individual difference. In this point of view, the variation in the ratio of second formant frequency F2 of the vowel to first formant frequency F1 of the vowel is used as the feature. This allows more accurate evaluation of the cognitive function of evaluatee U.
For example, the sentence to be uttered by evaluatee U may contain at least three syllables, each of which includes a vowel different from the vowels of the other syllables. Calculation unit 120 may calculate, as the feature, at least one of the shape or the area of the polygon defined by plotting the ratio of second formant frequency F2 to first formant frequency F1 calculated from the vowel of each of the at least three syllables in the coordinate space defined by second formant frequency F2 of the vowel with respect to first formant frequency F1 of the vowel.
As described above, as compared to healthy people, dementia patients have the polygon defined in this manner with a small area. As compared to healthy people, dementia patients have the polygon defined in this manner in a shape with the points close to each other. Assume that the polygon is a pentagon and the shape of the polygon is approximated to a regular pentagon. As compared to healthy people, dementia patients have a polygon in a shape largely deviated from the regular pentagon. In this point of view, at least one of the shape or the area of the polygon is employed as the feature, which allows more accurate evaluation on the cognitive function of evaluatee U.
For example, the sentence to be uttered by evaluatee U may contain at least two consecutive syllables, each of which includes a vowel different from the vowel of the other syllable. Calculation unit 120 may calculate, as the feature, the positional relationship when plotting the ratio of second formant frequency F2 to first formant frequency F1 calculated from the vowel of each of the at least two consecutive syllables in the coordinate space defined by second formant frequency F2 of the vowel with respect to first formant frequency F1 of the vowel.
As described above, as compared to healthy people, dementia patients have the points plotted in this manner at a small distance. In this point of view, the positional relationship between the points is employed as the feature, which allows more accurate evaluation on the cognitive function of evaluatee U.
For example, the sentence to be uttered by evaluatee U may contain a syllable including a consonant and a vowel subsequent to the consonant. Calculation unit 120 may calculate, as the feature, the difference in the voice pressure between the consonant and the vowel.
For example, evaluation unit 130 determines that evaluatee U has dementia, if the value is greater than or equal to the threshold, and evaluates the evaluatee as a healthy person, for example, if the value is smaller than the threshold. For example, the feature may be a variation in the standard deviation among a plurality of differences in the voice pressure. In this case, calculation unit 120 calculates differences ΔP1 to ΔP9 in the voice pressure shown in
For example, calculation unit 120 may calculate, as the feature, a time required for evaluatee U to utter the sentence.
As described above, as compared to healthy people, dementia patients need a long time to read a sentence. In this point of view, the reading time for the sentence is employed as the feature, which allows more accurate evaluation on the cognitive function of evaluatee U.
For example, output unit 140 may further output an instruction for causing evaluatee U to utter the sentence a plurality of times. Calculation unit 120 may calculate, as the feature, the amount of change in the reading time calculated when the evaluatee utters the sentence.
As described above, as compared to healthy people, dementia patients have a large amount of change in the reading time for a sentence. In this point of view, the amount of change in the reading time for the sentence is employed as the feature. This allows more accurate evaluation on the cognitive function of evaluatee U.
For example, cognitive function evaluation device 100 may include storage unit 150 that stores reference data 151.
That is, cognitive function evaluation device 100 may communicate with an external server device or any other device that stores reference data 151 to evaluate the cognitive function of evaluatee U. Alternatively, the device may include storage unit 150 being a storage device that stores reference data 151. With this configuration, cognitive function evaluation device 100 evaluates the cognitive function of evaluatee U without being connected to a network for communications with an external server device. This improves the convenience of cognitive function evaluation device 100.
Cognitive function evaluation system 200 according to the embodiment includes cognitive function evaluation device 100, voice collection device 300, and display device 400. Voice collection device 300 detects the voice of evaluatee U. Display device 400 displays the sentence and the result of the evaluation output from output unit 140.
With this configuration, cognitive function evaluation system 200 displays the sentence to be uttered by evaluatee U using display device 400, detects the voice of evaluatee U using voice collection device 300, evaluates the cognitive function of evaluatee U using cognitive function evaluation device 100, and displays the result of the evaluation using display device 400. That is, cognitive function evaluation system 200 obtains, from evaluatee U, voice data from which the cognitive function is accurately evaluated by evaluation unit 130. Accordingly, cognitive function evaluation device 200 simply and accurately evaluates the cognitive function of evaluatee U.
A cognitive function evaluation method according to the embodiment is executed by a computer (specifically, cognitive function evaluation device 100). The cognitive function evaluation method includes: outputting a sentence to be uttered by evaluatee U; obtaining utterance data indicating the voice of evaluatee U; calculating, from the utterance data obtained in the obtaining, a feature based on the utterance data; evaluating the cognitive function of evaluatee U by comparing the feature calculated in the calculating to reference data indicating a relationship between voice data indicating the voices of people and the cognitive functions of the people; and outputting the result of the evaluating.
With this feature, the cognitive function evaluation method according to the present disclosure allows obtainment of voice data from which the cognitive function is accurately evaluated, from evaluatee U. Accordingly, the cognitive function evaluation method according to the present disclosure allows simple and accurate evaluation on the cognitive function of evaluatee U.
The present disclosure may be implemented as a non-transitory computer-readable storage medium storing a program that causes a computer to execute the steps included in the cognitive function evaluation method.
Now, cognitive function evaluation systems according to Variation 1 and Variation 2 of the embodiment will be described. Note that substantially the same constituent elements are assigned with the same reference marks, and redundant descriptions may be omitted or simplified.
Like cognitive function evaluation system 200 according to the embodiment, cognitive function evaluation system 200a according to Variation 1 of the embodiment includes cognitive function evaluation device 100, voice collection device 300, and display device 400. Cognitive function evaluation system 200a may include pop guard 320 to cover voice collection device 300, for example.
Cognitive function evaluation system 200a employs directional voice collection device 300. Voice collection device 300 and display device 400 are here arranged such that the direction in which voice collection device 300 exhibits the maximum sensitivity (i.e., voice collection direction V2 shown in
With this configuration, voice collection direction V2 tends to agree with the direction into which evaluatee U speaks even while viewing display device 400. The positional relationship as in cognitive function evaluation system 200a causes voice collection device 300 to accurately detect the voice of evaluatee U.
Now, a cognitive function evaluation system according to Variation 2 of the embodiment will be described.
Like cognitive function evaluation system 200 according to the embodiment, cognitive function evaluation system 200b according to Variation 2 of the embodiment includes cognitive function evaluation device 100, voice collection device 300a, and display device 400.
Like voice collection device 300, voice collection device 300a is a microphone that detects the voice of evaluatee U and outputs voice data indicating the detected voice to cognitive function evaluation device 100. Like voice collection device 300 in cognitive function evaluation system 200a according to Variation 1 of the embodiment, voice collection device 300a is directional.
In cognitive function evaluation system 200b, voice collection device 300a and display device 400 are formed integrally. Specifically, voice collection device 300a and display device 400 are arranged in a housing. In the manufacturing process, voice collection device 300a and display device 400 may be integrally formed such that normal direction V1 agrees with voice collection direction V2. This may reduce the deviation between normal direction V1 and voice collection direction V2 when evaluatee U utilizes cognitive function evaluation system 200b.
The cognitive function evaluation devices or other elements have been described above in the embodiment and Variations 1 and 2 of the embodiment. The present disclosure is not limited to the embodiment and variations.
In the embodiment described above, Alzheimer's disease is named as a specific example of a decline in the cognitive function. The “cognitive function” represents, however, capabilities such as recognition, remembering, or judgment, and the “dementia” represents the symptoms of decreased cognitive function as described above. That is, the cognitive function evaluation device evaluates the cognitive function levels not only in Alzheimer's disease but also in vascular dementia or drunkenness, for example.
In the embodiment described above, in order to evaluate the cognitive function level of evaluatee U, the data indicating the relationship between the scores in the MoCA test and the features based on the formants is, as reference data 151, stored in advance in storage unit 150. However, the reference data may be any data as long as being compared to the features of the formants to allow evaluation on the cognitive function level. The reference data is not limited to the data indicating the relationship between the scores in the MoCA test and the features of the formants. For example, the reference data may be data indicating the relationship between scores in a mini-mental state examination (MMSE), for example, and the features of formants.
The embodiment described above includes the expressions such as “greater than or equal to the threshold” and “smaller than the threshold”, which are not used in a strict sense. For example, the expression “greater than or equal to the threshold” may simply mean “greater than the threshold”. The comparative expressions such as “greater than or equal to the threshold” and “smaller than the threshold” mean that distinction is made using the threshold as the boundary, and may also mean “greater than the threshold” and “smaller than or equal to the threshold”, respectively.
The relationship between the utterance data and the degree of dementia in the reference data described above is based on data analysis of the evaluatees gathered by the present inventors at present. In the future, data analysis may be performed with more evaluatees or under modified conditions, which may change the evaluation standard. In the embodiment described above, the difference in the voice pressure is employed as the feature. For example, the evaluation unit determines that evaluatee U has dementia, if the value is greater than or equal to the threshold; and evaluates the evaluatee as a healthy person, for example, if the value is smaller than the threshold. The evaluation standard is not limited thereto. In this case, for example, the evaluation unit may determine that evaluatee U has dementia, if the value is smaller than the threshold; and evaluates the evaluatee as a healthy person, for example, if the value is greater than or equal to the threshold. It also applies to how to treat any other threshold as the feature.
In the embodiment described above, only the utterance data obtained from the evaluatee is calculated as the feature to evaluates the cognitive function of the evaluatee. The evaluation may be however performed by combining data sets that allow evaluation on other known cognitive functions. For example, it is known that there is a correlation between a cognitive function and walking data such as a step length, a step width, or a walking speed. A combination of the utterance data on the evaluatee evaluated in the embodiment described above and the walking data on the evaluatee may be used for the evaluation on the cognitive function, which leads to more accurate evaluation on the cognitive function of the evaluatee.
The present disclosure may be implemented not only by the cognitive function evaluation device and the cognitive function evaluation system, but by a program containing, as steps, the processing performed by the constituent elements of the cognitive function evaluation device and the cognitive function evaluation system. The present disclosure may also be implemented by a computer-readable recording medium storing the program, for example, a recording medium such as a flexible disk, a hard disk, a CD-ROM, an MO, a DVD, a DVD-ROM, a DVD-RAM, a Blu-ray Disk (registered trademark, BD), or a semiconductor memory. The program may be distributed via a communication channel such as internet.
The general and specific aspects described above may be implemented by a system, a device, an integrated circuit, a computer program, or a computer-readable recording medium, or any combination of systems, device, integrated circuits, computer programs, and computer-readable recording media. For example, the constituent elements of the cognitive function evaluation device are not necessarily included in a housing, buy may be arranged in different places and connected with various data transfer available.
The present disclosure includes other embodiments, such as those obtained by variously modifying the embodiment as conceived by those skilled in the art or those achieved by freely combining the constituent elements and functions in the embodiment without departing from the scope and spirit of the present disclosure.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2017-213157 | Nov 2017 | JP | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/JP2018/038346 | 10/15/2018 | WO | 00 |
