# Automated Measurement of Geniohyoid Muscle Thickness During Speech Using Deep Learning and Ultrasound

arXiv: https://arxiv.org/abs/2603.03350 · HTML: https://mlsanity.com/paper/2603.03350/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 6 of its 29 references that are in the map.
- First posted on arXiv 26 Feb 2026.

## Builds on (most cited first, 6 of 6)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [Attention U-Net: Learning Where to Look for the Pancreas](https://mlsanity.com/paper/1804.03999/) (2018)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [Revisiting Data Augmentation for Ultrasound Images](https://mlsanity.com/paper/2501.13193/) (2025)
- [UltraUNet: Real-Time Ultrasound Tongue Segmentation for Diverse Linguistic and Imaging Conditions](https://mlsanity.com/paper/2509.23225/) (2025)

## Abstract (arXiv)

Manual measurement of muscle morphology from ultrasound during speech is time-consuming and limits large-scale studies. We present SMMA, a fully automated framework that combines deep-learning segmentation with skeleton-based thickness quantification to analyze geniohyoid (GH) muscle dynamics. Validation demonstrates near-human-level accuracy (Dice = 0.9037, MAE = 0.53 mm, r = 0.901). Application to Cantonese vowel production (N = 11) reveals systematic patterns: /a:/ shows significantly greater GH thickness (7.29 mm) than /i:/ (5.95 mm, p < 0.001, Cohen's d > 1.3), suggesting greater GH activation during production of /a:/ than /i:/, consistent with its role in mandibular depression. Sex differences (5-8% greater in males) reflect anatomical scaling. SMMA achieves expert-validated accuracy while eliminating the need for manual annotation, enabling scalable investigations of speech motor control and objective assessment of speech and swallowing disorders.