Pain Level Detection From Facial Image Captured by Smartphone

Accurate symptom of cancer patient in regular basis is highly concern to the medical service provider for clinical decision making such as adjustment of medication. Since patients have limitations to provide self-reported symptoms, we have investigated how mobile phone application can play the vital role to help the patients in this case. We have used facial images captured by smart phone to detect pain level accurately. In this pain detection process, existing algorithms and infrastructure are used for cancer patients to make cost low and user-friendly. The pain management solution is the first mobile-based study as far as we found today. The proposed algorithm has been used to classify faces, which is represented as a weighted combination of Eigenfaces. Here, angular distance, and support vector machines (SVMs) are used for the classification system. In this study, longitudinal data was collected for six months in Bangladesh. Again, cross-sectional pain images were collected from three different countries: Bangladesh, Nepal and the United States. In this study, we found that personalized model for pain assessment performs better for automatic pain assessment. We also got that the training set should contain varying levels of pain in each group: low, medium and high

Multi-Channel Neural Network for Assessing Neonatal Pain from Videos

Neonates do not have the ability to either articulate pain or communicate it non-verbally by pointing. The current clinical standard for assessing neonatal pain is intermittent and highly subjective. This discontinuity and subjectivity can lead to inconsistent assessment, and therefore, inadequate treatment. In this paper, we propose a multi-channel deep learning framework for assessing neonatal pain from videos. The proposed framework integrates information from two pain indicators or channels, namely facial expression and body movement, using convolutional neural network (CNN). It also integrates temporal information using a recurrent neural network (LSTM). The experimental results prove the efficiency and superiority of the proposed temporal and multi-channel framework as compared to existing similar methods.Comment: Accepted to IEEE SMC 201

Personalized Pain Study Platform Using Evidence-Based Continuous Learning Tool

With the increased accessibility to mobile technologies, research utilizing mobile technologies in medical and public health area has also increased. The efficiency and effectiveness of healthcare services are also improved by introduction of mobile technologies. Effective pain treatment requires regular and continuous pain assessment of the patients. Mobile Health or mHealth has been an active interdisciplinary research area for more than a decade to research pain assessment through different software research tools. Different mHealth support systems are developed to assess pain level of patient using different techniques. Close attention to participant’s self- reported pain along with data mining based pain level detection could help the healthcare industry and researchers to deliver effective health services in pain treatment. Pain expression recognition can be a good way for data mining based approach though pain expression recognition itself may utilize different approach based on the research study scope. Most of the pain research tools are study or disease specific. Some of the tools are pain specific (lumber pain, cancer pain etc) and some are patient group specific (neonatal, adult, woman etc). This results in recurrent but potentially avoidable costs such as time, money, and workforce to develop similar service or software research tools for each research study. Based on the pain study research characteristics, it is possible to design and implement a customizable and extensible generic pain research tool. In this thesis, we have proposed, designed, and implemented a customizable personalized pain study platform tool following a micro service architecture. It has most of the common software research modules that are needed for a pain research study. These include real-time data collection, research participant management, role based access control, research data anonymization etc. This software research tool is also used to investigate pain level detection accuracy using evidence-based continuous learning from facial expression which yielded about 71% classification accuracy. This tool is also HIPAA compliant and platform independent which makes it device independent, privacy-aware, and security-aware

Neonatal pain detection in videos using the iCOPEvid dataset and an ensemble of descriptors extracted from Gaussian of Local Descriptors

Diagnosing pain in neonates is difficult but critical. Although approximately thirty manual pain instruments have been developed for neonatal pain diagnosis, most are complex, multifactorial, and geared toward research. The goals of this work are twofold: 1) to develop a new video dataset for automatic neonatal pain detection called iCOPEvid (infant Classification Of Pain Expressions videos), and 2) to present a classification system that sets a challenging comparison performance on this dataset. The iCOPEvid dataset contains 234 videos of 49 neonates experiencing a set of noxious stimuli, a period of rest, and an acute pain stimulus. From these videos 20 s segments are extracted and grouped into two classes: pain (49) and nopain (185), with the nopain video segments handpicked to produce a highly challenging dataset. An ensemble of twelve global and local descriptors with a Bag-of-Features approach is utilized to improve the performance of some new descriptors based on Gaussian of Local Descriptors (GOLD). The basic classifier used in the ensembles is the Support Vector Machine, and decisions are combined by sum rule. These results are compared with standard methods, some deep learning approaches, and 185 human assessments. Our best machine learning methods are shown to outperform the human judges

Neonatal pain detection in videos using the iCOPEvid dataset and an ensemble of descriptors extracted from Gaussian of Local Descriptors

Abstract Diagnosing pain in neonates is difficult but critical. Although approximately thirty manual pain instruments have been developed for neonatal pain diagnosis, most are complex, multifactorial, and geared toward research. The goals of this work are twofold: 1) to develop a new video dataset for automatic neonatal pain detection called iCOPEvid (infant Classification Of Pain Expressions videos), and 2) to present a classification system that sets a challenging comparison performance on this dataset. The iCOPEvid dataset contains 234 videos of 49 neonates experiencing a set of noxious stimuli, a period of rest, and an acute pain stimulus. From these videos 20 s segments are extracted and grouped into two classes: pain (49) and nopain (185), with the nopain video segments handpicked to produce a highly challenging dataset. An ensemble of twelve global and local descriptors with a Bag-of-Features approach is utilized to improve the performance of some new descriptors based on Gaussian of Local Descriptors (GOLD). The basic classifier used in the ensembles is the Support Vector Machine, and decisions are combined by sum rule. These results are compared with standard methods, some deep learning approaches, and 185 human assessments. Our best machine learning methods are shown to outperform the human judges