2021 — present

Digital biomarkers of hearing disorders

1 flagship paper · 2 manuscripts in review · $200k independent funding as PI

Sound intolerance is hidden in plain sight

Harvard Medical School · Massachusetts Eye and Ear, USA · Advisor: Prof. Daniel Polley

Auditory perceptual disorders (sound sensitivity disorders, tinnitus) are lacking in objective, physiological tests, with diagnosis and monitoring largely relying on patient self-report. This work reads the body's threat-detection system instead, through autonomic and motor activity measured using the latest advances in computer vision.

Methods: computer vision (MediaPipe, OpenCV) · pupillometry · EMG · EEG · rPPG · elastic net regression · discriminant classification

Smith SS, Jahn KN, Sugai JA, Hancock KE, Polley DB. Objective autonomic signatures of tinnitus and sound sensitivity disorders. Science Translational Medicine 17(796), eadp1934 (2025).

90+ news stories · top 1% attention for its age

Compared autonomic and facial responses to emotionally evocative sounds in 97 adults (47 with tinnitus and sound sensitivity, 50 controls). A neurophysiological measure of central auditory gain was elevated in the patient group but didn't track symptom severity; pupil dilation and facial movements did, accurately predicting individual differences in validated tinnitus and hyperacusis severity scores.

Paper: Science Translational Medicine · Data: Dryad · Code: Zenodo

REAM Foundation & San Francisco Foundation, Misophonia Research Fund, Postdoctoral Research Impact Award, $200,000 (2024–present).

Principal Investigator · Psycho-physiological indicators of misophonia

Developing tools to measure physiological responses to triggering sounds and symptom severity in an ongoing study of 80+ participants, intended for use in diagnostic and treatment settings.

Grant: Misophonia Research Fund

Predicting when listening difficulties will occur, and in whom

Harvard Medical School · Massachusetts Eye and Ear, USA · Advisor: Prof. Daniel Polley

Neural and autonomic activity serve as non-invasive markers of listening errors, before they occur. In older adults specifically, this vulnerability points to a distinct, measurable contributor to age-related listening difficulty, invisible to a standard hearing test.

Methods: pupillometry · EEG · psychophysics · mixed-effects modelling · cluster-based permutation tests

Smith SS, Sugai JA, Hancock KE, Polley DB. Neural and autonomic dynamics shape perceptual errors during sustained listening. Preprint, bioRxiv (2026).

Under review

In 39 adults monitoring streams of tone pips, a target-evoked neural response graded with listening outcome (strongest for correct reports, weaker for misclassifications, weakest for misses) within 500 ms, before enough information was available to classify the target. Pupil diameter and EEG state beforehand added further, independent prediction of upcoming errors.

Preprint: bioRxiv

Smith SS, Sugai JA, Polley DB. Arousal state fluctuations are a source of internal noise underlying age-related declines in speech intelligibility. Preprint, bioRxiv (2025).

Under review

Across a cohort of 183 adults completing a multi-talker listening task, speech recognition errors in older (but not younger) participants followed an inverted-U relationship with pre-trial pupil-linked arousal. Errors were more common at both very low and very high arousal. This arousal-linked deficit predicted everyday listening difficulty (self-reported) better than hearing thresholds did.

Preprint: bioRxiv

Presented at CASC 2026, SfN 2023.

2016 — 2021

Quantitative models of hearing and perception

4 peer-reviewed publications · 1 PhD thesis

Deriving binaural computations with deep learning

University of Nottingham · Hearing Sciences, UK · Advisor: Prof. Michael Akeroyd

Binaural detection is how the brain uses spatial information to detect sounds masked by background noise. Deep neural networks were trained to reproduce this behavior, then interrogated to reverse-engineer the mechanism in silico, converging on the same computation the brain is thought to use.

Methods: variational autoencoders · explainable AI · TensorFlow · Python · closed-form equation derivation

Smith SS, Sollini J, Akeroyd MA. Inferring the basis of binaural detection with a modified autoencoder. Frontiers in Neuroscience 17:1000079 (2023).

Trained autoencoder networks to reproduce human binaural detection behaviour, then inspected the trained networks directly: the optimal networks had spontaneously developed timing-sensitive units consistent with a cross-correlation mechanism, reproducing classic human masking-level-difference data.

Paper: Frontiers in Neuroscience · Code: GitHub

Akeroyd MA, Firth J, Graetzer S, Smith SS. A set of equations for numerically calculating the interaural level difference in the horizontal plane. JASA Express Letters 1(4), 044402 (2021).

Derived closed-form equations for computing interaural level difference at any frequency and horizontal-plane angle, fit to classic head-related transfer function measurements to within 0.5 dB.

Paper: JASA Express Letters

Presented at ARO 2021, ASA 2020.

Equations for multi-stage audiovisual integration

Nottingham Trent University, UK · Advisor: Dr. Christian Sumner

Watching someone's face helps you understand speech in noisy environments, but whether that benefit comes from earlier sensory processing or later integration is disputed. This work derived equations to examine the question directly.

Methods: signal detection theory · mathematical derivation · Bayesian modelling · R

Equations unifying early- and late-noise accounts of audiovisual integration.

This work derived equations, from first principles, describing the relative contributions of early (sensory) and late (decision-stage) noise to audiovisual performance, using signal detection theory within a Bayesian framework. This project is ongoing, and data is now being collected to fit and test the model directly.

Machine-learned phenotypes of tinnitus

University of Nottingham · Hearing Sciences, UK · Collaboration: Nottingham Health Informatics Collective

Identifying tinnitus phenotypes matters for individualizing treatment, but earlier attempts using clustering algorithms have cast doubt on whether such phenotypes even exist. This work used a probabilistic model that avoids forcing patients into fixed clusters, and found four underlying phenotypes, each linked differently to patients' tinnitus.

Methods: unsupervised learning · psychological questionnaires

Smith SS, Kitterick PT, Scutt P, Baguley DM, Pierzycki RH. An exploration of psychological symptom-based phenotyping of adult cochlear implant users with and without tinnitus using a machine learning approach. Progress in Brain Research 260, 283–300 (2021).

Shortlisted, Marie and Jack Shapiro Prize (British Tinnitus Association)

Used Gaussian mixture modelling and cross-validation to test whether adult cochlear implant users with tinnitus form distinct psychological symptom-based phenotypes (anxiety, depression, insomnia), addressing conflicting evidence from earlier tinnitus-phenotyping studies that relied on simpler clustering methods.

Peer-reviewed book chapter: Progress in Brain Research

Presented at BCIG 2020.

Inferring speech-in-noise from neural codes

University of Nottingham · Hearing Sciences, UK · Advisors: Dr. Christian Sumner, Prof. Michael Akeroyd, Dr. Mark Wallace

Classical accounts assume the brain segregates competing sounds using cues like pitch and timing before recognition happens. This work modelled recognition directly from midbrain neural codes, using a classifier that infers the whole scene at once. It reproduced human performance and errors without ever needing to extract those cues.

Methods: multi-channel electrophysiology · auditory scene analysis · ideal-observer modelling · naive Bayes classification · speech synthesis

Smith SS. Neural coding of overlapping speech and the effects of hearing loss. PhD thesis (Otorhinolaryngology), University of Nottingham, UK (2020).

Proposed a model of concurrent vowel perception that, unlike standard segregation-based accounts, predicts the combined neural representation of overlapping vowels without first separating them, matching both midbrain recordings and human perceptual data, and extending to show how hearing loss degrades recognition of overlapping speech.

Thesis: Nottingham ePrints

Smith SS, Chintanpalli A, Heinz MG, Sumner CJ. Revisiting models of concurrent vowel identification: the critical case of no pitch differences. Acta Acustica united with Acustica 104(5), 922–925 (2018).

Built a computational model that predicts listeners' vowel-pair confusions when two vowels share the same pitch (a case prior segregation-based models badly under-predicted) by modelling the combined neural representation directly rather than separating the two vowels first.

Paper: Acta Acustica

Medical Research Council Studentship, £60,000 (2016–2019).

2012 — 2016

Mathematics & computational neuroscience

1 BSc · 1 MSc

MSc Cognitive & Computational Neuroscience - Distinction (2016).

University of Sheffield, UK

Dissertation: Investigating frequency selectivity using spiking models (Advisors: Dr. James Stone, Dr. Christian Sumner).

BSc (Hons) Mathematics - First Class (2015).

University of Leeds, UK

Dissertation: Dynamics of a driven pendulum (Advisor: Prof. Rainer Hollerbach).
Summer Research Placement: Lymphocyte damage due to neuro-oncological radiotherapy: a mathematical model (2014, Advisors: Prof. Carmen Molina-Paris, Prof. Susan Short).