Navigating Speech Enhancement for Real-Time MRI: A Systematic Assessment of Signal Quality, Source Preservation, and Downstream Tasks

Audio recorded during real-time magnetic resonance imaging (rtMRI) is heavily contaminated by scanner noise, but it remains unclear whether general-purpose speech enhancement improves the signal for speech research and downstream processing. Three off-the-shelf systems---Denoiser, PASE, and RE-USE---are evaluated across five rtMRI corpora using naturally recorded inputs, a clean-input probe, and an archived paired additive-noise probe. The multi-task evaluation spans learned quality predictors, speaker and phone representations, reference-based intelligibility and quality measures, acoustic--phonetic probes, automatic speech recognition (ASR), and paralinguistic tasks. The central result is that enhancement effects are endpoint dependent: higher predicted-quality scores do not reliably imply better ASR performance or greater source fidelity. Across 15 corpus--recognizer comparisons using corpus-provided processed inputs, RE-USE yielded lower word-error-rate point estimates in 11, whereas Denoiser yielded higher estimates in 13. In the paired additive-noise probe, PASE and RE-USE improved recognized-phone agreement, intelligibility, and perceptual-quality point estimates. Denoiser improved recognized-phone agreement and short-time objective intelligibility (STOI) but reduced speaker-embedding similarity. No system was uniformly best across corpora, recognizers, and endpoints. Enhanced rtMRI audio should therefore be treated as a task-specific transformed derivative rather than a universally improved replacement for the original or DSP-processed waveform.