This technical report investigates the performance of pre-trained audio models on COVID-19 detection tasks using established benchmark datasets. We fine-tuned Audio-MAE and three PANN architectures (CNN6, CNN10, CNN14) on the Coswara and COUGHVID datasets, evaluating both intra-dataset and cross-dataset generalization. We implemented a strict demographic stratification by age and gender to prevent models from exploiting spurious correlations between demographic characteristics and COVID-19 status. Intra-dataset results showed moderate performance, with Audio-MAE achieving the strongest result on Coswara (0.82 AUC, 0.76 F1-score), while all models demonstrated limited performance on Coughvid (AUC 0.58-0.63). Cross-dataset evaluation revealed severe generalization failure across all models (AUC 0.43-0.68), with Audio-MAE showing strong performance degradation (F1-score 0.00-0.08). Our experiments demonstrate that demographic balancing, while reducing apparent model performance, provides more realistic assessment of COVID-19 detection capabilities by eliminating demographic leakage - a confounding factor that inflate performance metrics. Additionally, the limited dataset sizes after balancing (1,219-2,160 samples) proved insufficient for deep learning models that typically require substantially larger training sets. These findings highlight fundamental challenges in developing generalizable audio-based COVID-19 detection systems and underscore the importance of rigorous demographic controls for clinically robust model evaluation.

Masked Autoencoders (MAEs) learn rich semantic representations in audio classification through an efficient self-supervised reconstruction task. However, general-purpose models fail to generalize well when applied directly to fine-grained audio domains. Specifically, bird-sound classification requires distinguishing subtle inter-species differences and managing high intra-species acoustic variability, revealing the performance limitations of general-domain Audio-MAEs. This work demonstrates that bridging this domain gap domain gap requires full-pipeline adaptation, not just domain-specific pretraining data. We systematically revisit and adapt the pretraining recipe, fine-tuning methods, and frozen feature utilization to bird sounds using BirdSet, a large-scale bioacoustic dataset comparable to AudioSet. Our resulting Bird-MAE achieves new state-of-the-art results in BirdSet's multi-label classification benchmark. Additionally, we introduce the parameter-efficient prototypical probing, enhancing the utility of frozen MAE representations and closely approaching fine-tuning performance in low-resource settings. Bird-MAE's prototypical probes outperform linear probing by up to 37 percentage points in mean average precision and narrow the gap to fine-tuning across BirdSet downstream tasks. Bird-MAE also demonstrates robust few-shot capabilities with prototypical probing in our newly established few-shot benchmark on BirdSet, highlighting the potential of tailored self-supervised learning pipelines for fine-grained audio domains.

The decoder then re-orders and decodes the encoded context padded with mask tokens, in order to reconstruct the input spectrogram.

We contrast high effectiveness of state of the art deep learning architectures designed for general audio classification tasks, refined for respiratory insufficiency (RI) detection and blood oxygen saturation (SpO$_2$) estimation and classification through automated audio analysis. Recently, multiple deep learning architectures have been proposed to detect RI in COVID patients through audio analysis, achieving accuracy above 95% and F1-score above 0.93. RI is a condition associated with low SpO$_2$ levels, commonly defined as the threshold SpO$_2$ <92%. While SpO$_2$ serves as a crucial determinant of RI, a medical doctor's diagnosis typically relies on multiple factors. These include respiratory frequency, heart rate, SpO$_2$ levels, among others. Here we study pretrained audio neural networks (CNN6, CNN10 and CNN14) and the Masked Autoencoder (Audio-MAE) for RI detection, where these models achieve near perfect accuracy, surpassing previous results. Yet, for the regression task of estimating SpO$_2$ levels, the models achieve root mean square error values exceeding the accepted clinical range of 3.5% for finger oximeters. Additionally, Pearson correlation coefficients fail to surpass 0.3. As deep learning models perform better in classification than regression, we transform SpO$_2$-regression into a SpO$_2$-threshold binary classification problem, with a threshold of 92%. However, this task still yields an F1-score below 0.65. Thus, audio analysis offers valuable insights into a patient's RI status, but does not provide accurate information about actual SpO$_2$ levels, indicating a separation of domains in which voice and speech biomarkers may and may not be useful in medical diagnostics under current technologies.

Audio self-supervised learning (SSL) pre-training, which aims to learn good representations from unlabeled audio, has made remarkable progress. However, the extensive computational demands during pre-training pose a significant barrier to the potential application and optimization of audio SSL models. In this paper, inspired by the success of data2vec 2.0 in image modality and Audio-MAE in audio modality, we introduce Efficient Audio Transformer (EAT) to further improve the effectiveness and efficiency in audio SSL. The proposed EAT adopts the bootstrap self-supervised training paradigm to the audio domain. A novel Utterance-Frame Objective (UFO) is designed to enhance the modeling capability of acoustic events. Furthermore, we reveal that the masking strategy is critical in audio SSL pre-training, and superior audio representations can be obtained with large inverse block masks. Experiment results demonstrate that EAT achieves state-of-the-art (SOTA) performance on a range of audio-related tasks, including AudioSet (AS-2M, AS-20K), ESC-50, and SPC-2, along with a significant pre-training speedup up to ~15x compared to existing audio SSL models.