{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T09:18:51Z","timestamp":1791883131983,"version":"4.3.4"},"reference-count":50,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T00:00:00Z","timestamp":1703289600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Regional Development Fund","award":["13.1.1-LMT-K-718-05-0027"],"award-info":[{"award-number":["13.1.1-LMT-K-718-05-0027"]}]},{"name":"European Regional Development Fund","award":["S-MIP-23-46"],"award-info":[{"award-number":["S-MIP-23-46"]}]},{"name":"European Union\u2019s measure in response to the COVID-19 pandemic","award":["13.1.1-LMT-K-718-05-0027"],"award-info":[{"award-number":["13.1.1-LMT-K-718-05-0027"]}]},{"name":"European Union\u2019s measure in response to the COVID-19 pandemic","award":["S-MIP-23-46"],"award-info":[{"award-number":["S-MIP-23-46"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The study aimed to investigate and compare the accuracy and robustness of the multiparametric acoustic voice indices (MAVIs), namely the Dysphonia Severity Index (DSI), Acoustic Voice Quality Index (AVQI), Acoustic Breathiness Index (ABI), and Voice Wellness Index (VWI) measures in differentiating normal and dysphonic voices. The study group consisted of 129 adult individuals including 49 with normal voices and 80 patients with pathological voices. The diagnostic accuracy of the investigated MAVI in differentiating between normal and pathological voices was assessed using receiver operating characteristics (ROC). Moderate to strong positive linear correlations were observed between different MAVIs. The ROC statistical analysis revealed that all used measurements manifested in a high level of accuracy (area under the curve (AUC) of 0.80 and greater) and an acceptable level of sensitivity and specificity in discriminating between normal and pathological voices. However, with AUC 0.99, the VWI demonstrated the highest diagnostic accuracy. The highest Youden index equaled 0.93, revealing that a VWI cut-off of 4.45 corresponds with highly acceptable sensitivity (97.50%) and specificity (95.92%). In conclusion, the VWI was found to be beneficial in describing differences in voice quality status and discriminating between normal and dysphonic voices based on clinical diagnosis, i.e., dysphonia type, implying the VWI\u2019s reliable voice screening potential.<\/jats:p>","DOI":"10.3390\/jcm13010099","type":"journal-article","created":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T20:49:27Z","timestamp":1703450967000},"page":"99","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Accuracy Analysis of the Multiparametric Acoustic Voice Indices, the VWI, AVQI, ABI, and DSI Measures, in Differentiating between Normal and Dysphonic Voices"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8985-5472","authenticated-orcid":false,"given":"Virgilijus","family":"Uloza","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Lithuanian University of Health Sciences, 50061 Kaunas, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kipras","family":"Pribui\u0161is","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Lithuanian University of Health Sciences, 50061 Kaunas, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nora","family":"Ulozaite-Staniene","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Lithuanian University of Health Sciences, 50061 Kaunas, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadas","family":"Petrauskas","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Lithuanian University of Health Sciences, 50061 Kaunas, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9990-1084","authenticated-orcid":false,"given":"Robertas","family":"Dama\u0161evi\u010dius","sequence":"additional","affiliation":[{"name":"Faculty of Informatics, Kaunas University of Technology, 51368 Kaunas, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2809-2213","authenticated-orcid":false,"given":"Rytis","family":"Maskeli\u016bnas","sequence":"additional","affiliation":[{"name":"Faculty of Informatics, Kaunas University of Technology, 51368 Kaunas, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"5459","DOI":"10.1007\/s00405-023-08211-6","article-title":"Consensus for voice quality assessment in clinical practice: Guidelines of the European Laryngological Society and Union of the European Phoniatricians","volume":"280","author":"Lechien","year":"2023","journal-title":"Eur. 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