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    <abstract>In this study, we present Healthcare Codec-Fake Detection (HCFD), a new task for detecting codec-fakes under pathological speech conditions. We intentionally focus on codec based synthetic speech in this work, since neural codec decoding forms a core building block in modern speech generation pipelines. First, we release Healthcare CodecFake, the first pathology-aware dataset containing paired real and NAC-synthesized speech across multiple clinical conditions and codec families. Our evaluations show that SOTA codec-fake detectors trained primarily on healthy speech perform poorly on Healthcare CodecFake, highlighting the need for HCFD-specific models. Second, we demonstrate that PaSST outperforms existing speech-based models for HCFD, benefiting from its patch-based spectro-temporal representation. Finally, we propose PHOENIX-Mamba, a geometry-aware framework that models codec-fakes as multiple self-discovered modes in hyperbolic space and achieves the strongest performance on HCFD across clinical conditions and codecs. Experiments on HCFK show that PHOENIX-Mamba (PaSST) achieves the best overall performance, reaching 97.04 Acc on E-Dep, 96.73 on E-Alz, and 96.57 on E-Dys, while maintaining strong results on Chinese with 94.41 (Dep), 94.40 (Alz), and 93.20 (Dys). This geometry-aware formulation enables self-discovered clustering of heterogeneous codec-fake modes in hyperbolic space, facilitating robust discrimination under pathological speech variability. PHOENIX-Mamba achieves topmost performance on the HCFD task across clinical conditions and codecs.</abstract>
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%0 Conference Proceedings
%T HCFD: A Benchmark for Audio Deepfake Detection in Healthcare
%A Akhtar, Mohd Mujtaba
%A Singh, Muskaan
%Y Liakata, Maria
%Y Moreira, Viviane P.
%Y Zhang, Jiajun
%Y Jurgens, David
%A Girish
%S Findings of the Association for Computational Linguistics: ACL 2026
%D 2026
%8 July
%I Association for Computational Linguistics
%C San Diego, California, United States
%@ 979-8-89176-395-1
%F akhtar-etal-2026-hcfd
%X In this study, we present Healthcare Codec-Fake Detection (HCFD), a new task for detecting codec-fakes under pathological speech conditions. We intentionally focus on codec based synthetic speech in this work, since neural codec decoding forms a core building block in modern speech generation pipelines. First, we release Healthcare CodecFake, the first pathology-aware dataset containing paired real and NAC-synthesized speech across multiple clinical conditions and codec families. Our evaluations show that SOTA codec-fake detectors trained primarily on healthy speech perform poorly on Healthcare CodecFake, highlighting the need for HCFD-specific models. Second, we demonstrate that PaSST outperforms existing speech-based models for HCFD, benefiting from its patch-based spectro-temporal representation. Finally, we propose PHOENIX-Mamba, a geometry-aware framework that models codec-fakes as multiple self-discovered modes in hyperbolic space and achieves the strongest performance on HCFD across clinical conditions and codecs. Experiments on HCFK show that PHOENIX-Mamba (PaSST) achieves the best overall performance, reaching 97.04 Acc on E-Dep, 96.73 on E-Alz, and 96.57 on E-Dys, while maintaining strong results on Chinese with 94.41 (Dep), 94.40 (Alz), and 93.20 (Dys). This geometry-aware formulation enables self-discovered clustering of heterogeneous codec-fake modes in hyperbolic space, facilitating robust discrimination under pathological speech variability. PHOENIX-Mamba achieves topmost performance on the HCFD task across clinical conditions and codecs.
%U https://aclanthology.org/2026.findings-acl.1739/
%P 34829-34843

Markdown (Informal)

[HCFD: A Benchmark for Audio Deepfake Detection in Healthcare](https://aclanthology.org/2026.findings-acl.1739/) (Akhtar et al., Findings 2026)

• HCFD: A Benchmark for Audio Deepfake Detection in Healthcare (Akhtar et al., Findings 2026)

ACL

• Mohd Mujtaba Akhtar, Girish, and Muskaan Singh. 2026. HCFD: A Benchmark for Audio Deepfake Detection in Healthcare. In Findings of the Association for Computational Linguistics: ACL 2026, pages 34829–34843, San Diego, California, United States. Association for Computational Linguistics.