@inproceedings{akhtar-etal-2026-hcfd,
    title = "{HCFD}: A Benchmark for Audio Deepfake Detection in Healthcare",
    author = "Akhtar, Mohd Mujtaba  and
      Girish  and
      Singh, Muskaan",
    editor = "Liakata, Maria  and
      Moreira, Viviane P.  and
      Zhang, Jiajun  and
      Jurgens, David",
    booktitle = "Findings of the {A}ssociation for {C}omputational {L}inguistics: {ACL} 2026",
    month = jul,
    year = "2026",
    address = "San Diego, California, United States",
    publisher = "Association for Computational Linguistics",
    url = "https://preview.aclanthology.org/ingest-acl/2026.findings-acl.1739/",
    pages = "34829--34843",
    ISBN = "979-8-89176-395-1",
    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."
}