Pituitary & hypothalamus

Evaluation of voice features using Wav2vec2.0-based deep learning as a diagnostic tool in acromegaly

PituitaryPublished single-center case-control study

Authors' conclusion

Voice analysis Wav2Vec2.0-based model demonstrates good diagnostic accuracy for acromegaly. These preliminary findings suggest that voice may serve as a promising non-invasive digital biomarker, pending validation in larger and more diverse cohorts.

Study context

Population
Patients with acromegaly and age- and sex-matched controlspatients with acromegaly 70 · age- and sex-matched controls 68
Index test or model
Wav2Vec2.0-based voice analysis against acromegaly status defined by standard biochemical criteria, symptoms, comorbidities, and residual tumor
Target condition
acromegaly
Methodological detailsage- and sex-matched controls, 80%/20% train-test split with five-fold cross-validation
  • Age- and sex-matched controls
  • 80%/20% train-test split with five-fold cross-validation

Performance

As reported in the abstract

Logisitic Regression model AUC

0.84

Logisitic Regression model specificity

0.92

Logisitic Regression model sensitivity

0.71

Logisitic Regression model Brier score

0.165

95% CI 0.057–0.289

Further findings

Decision curve analysis

LR provided the highest benefit across a clinically relevant range of threshold probabilities
≈15-85%

Demographics

Acromegaly mean age
45.5 years
Acromegaly female
57.1%
Control mean age
47.5 years
Control female
61.8%
  • Demographics were similar between groups

Original publication

Evaluation of voice features using Wav2vec2.0-based deep learning as a diagnostic tool in acromegaly. Pituitary. Published 13 November 2026. doi:10.1007/s11102-026-01768-5

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