“…Based on studies conducted using this index, the DSI, as well as other vocal acoustic assessments are able to determine the severity of voice disorders, changes made before and after the treatment of vocal damage, and differentiate between individuals with and without voice problems (12,14,16). Another advantage of this index is the strong correlation with perceptual valid tools, such as VHI, GRBAS, CAPE-V, and instrumental evaluations, such as Video Laryngostroboscopy (12,16,17). Wuyts et al also believed that the DSI is not influenced by gender, since the maximum phonation time in males is compensated by the highest frequency in the female population and the average score of the DSI in females and males are relatively similar (11,18).…”