# VocalAgent: Large Language Models for Vocal Health Diagnostics with Safety-Aware Evaluation

arXiv: https://arxiv.org/abs/2505.13577 · HTML: https://mlsanity.com/paper/2505.13577/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 24 of its 40 references that are in the map.
- First posted on arXiv 19 May 2025.

## Builds on (most cited first, 24 of 24)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [Self-Consistency Improves Chain of Thought Reasoning in Language Models](https://mlsanity.com/paper/2203.11171/) (2022)
- [Robust Speech Recognition via Large-Scale Weak Supervision](https://mlsanity.com/paper/2212.04356/) (2022)
- [wav2vec 2.0: A Framework for Self-Supervised Learning of Speech Representations](https://mlsanity.com/paper/2006.11477/) (2020)
- [Qwen Technical Report](https://mlsanity.com/paper/2309.16609/) (2023)
- [HuBERT: Self-Supervised Speech Representation Learning by Masked Prediction of Hidden Units](https://mlsanity.com/paper/2106.07447/) (2021)
- [WavLM: Large-Scale Self-Supervised Pre-Training for Full Stack Speech Processing](https://mlsanity.com/paper/2110.13900/) (2021)
- [Qwen-Audio: Advancing Universal Audio Understanding via Unified Large-Scale Audio-Language Models](https://mlsanity.com/paper/2311.07919/) (2023)
- [Deliberative Alignment: Reasoning Enables Safer Language Models](https://mlsanity.com/paper/2412.16339/) (2024)
- [Listen, Think, and Understand](https://mlsanity.com/paper/2305.10790/) (2023)
- [MDAgents: An Adaptive Collaboration of LLMs for Medical Decision-Making](https://mlsanity.com/paper/2404.15155/) (2024)
- [WavLLM: Towards Robust and Adaptive Speech Large Language Model](https://mlsanity.com/paper/2404.00656/) (2024)
- [A Fine-tuned Wav2vec 2.0/HuBERT Benchmark For Speech Emotion Recognition, Speaker Verification and Spoken Language Understanding](https://mlsanity.com/paper/2111.02735/) (2021)
- [Towards Conversational Diagnostic AI](https://mlsanity.com/paper/2401.05654/) (2024)
- [Health-LLM: Large Language Models for Health Prediction via Wearable Sensor Data](https://mlsanity.com/paper/2401.06866/) (2024)
- [MedSafetyBench: Evaluating and Improving the Medical Safety of Large Language Models](https://mlsanity.com/paper/2403.03744/) (2024)
- [Challenges in Human-Agent Communication](https://mlsanity.com/paper/2412.10380/) (2024)
- [Voice Disorder Analysis: a Transformer-based Approach](https://mlsanity.com/paper/2406.14693/) (2024)
- [Transferring speech-generic and depression-specific knowledge for Alzheimer's disease detection](https://mlsanity.com/paper/2310.04358/) (2023)
- [SA-WavLM: Speaker-Aware Self-Supervised Pre-training for Mixture Speech](https://mlsanity.com/paper/2407.02826/) (2024)
- [WavRx: a Disease-Agnostic, Generalizable, and Privacy-Preserving Speech Health Diagnostic Model](https://mlsanity.com/paper/2406.18731/) (2024)

## Built on by (most cited first, 2 of 2)

- [Tiered Agentic Oversight: A Hierarchical Multi-Agent System for Healthcare Safety](https://mlsanity.com/paper/2506.12482/) (2025)
- [An AI Co-Data-Scientist for Prioritizing Candidate Biomarkers from Wearable Sensor Data](https://mlsanity.com/paper/2604.14615/) (2026)

## Abstract (arXiv)

Vocal health plays a crucial role in peoples' lives, significantly impacting their communicative abilities and interactions. However, despite the global prevalence of voice disorders, many lack access to convenient diagnosis and treatment. This paper introduces VocalAgent, an audio large language model (LLM) to address these challenges through vocal health diagnosis. We leverage Qwen-Audio-Chat fine-tuned on three datasets collected in-situ from hospital patients, and present a multifaceted evaluation framework encompassing a safety assessment to mitigate diagnostic biases, cross-lingual performance analysis, and modality ablation studies. VocalAgent demonstrates superior accuracy on voice disorder classification compared to state-of-the-art baselines. Its LLM-based method offers a scalable solution for broader adoption of health diagnostics, while underscoring the importance of ethical and technical validation.