Task-adaptive anonymisation enables privacy-preserving sharing of clinical speech data

Ziyun Cui, Haoyu Niu, Wen Wu, Hao Sun, Sihan Zhang +10

Clinical speech is increasingly used for disease screening and clinical assessment, but directly distributing speech recordings poses privacy risks because they contain both speaker-identifying voiceprints and sensitive spoken content. Existing speech anonymisation approaches are primarily developed for general speech applications or task-specific clinical speech and overlook that different clinical tasks rely on distinct speech characteristics, necessitating task-adaptive anonymisation strategies to protect patient privacy while preserving clinical utility. Here we introduce CASA, a clinically adaptive speech anonymisation agent that transforms anonymisation from a fixed processing procedure into a task-guided optimisation process, dynamically tailoring voiceprint and content anonymisation to task-specific privacy and clinical utility requirements. Through recursive self-improvement (RSI), CASA iteratively evaluates and refines anonymisation strategies against task-specific privacy and clinical utility requirements, while learning from these outcomes to guide more efficient planning in subsequent clinical tasks. CASA is validated across 14 clinical tasks encompassing five…