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Automated Newborn Pain Assessment Framework Using Computer Vision Techniques

Published: 08 December 2017 Publication History

Abstract

Pain evaluation in newborns is becoming a mandatory task in clinical practice. Currently, despite its complexity, pain assessment is entirely delegated to subjective estimates. The aim of this study is to propose an automated -- thus objective -- approach for neonatal pain evaluation focusing on facial expressions. From patients' face detection, a set of relevant parameters were extracted; both pixel-based image processing and analysis of facial landmarks led to final pain scores which were computed with respect to 3 widely adopted pain scales. The algorithm has been validated in a trial based on 15 videos acquired at the Neonatal Unit of AO Ordine Mauriziano Hospital, Turin, during heel stick procedure for blood sampling. The proposed algorithm scores have been compared to those subjectively assigned by health care professionals. The results confirm that manual pain assessment is a challenging task that often results in an elevated variance across scores between different operators, making automated evaluation highly desirable. The proposed algorithm is a first step in this direction, and despite difficulties in handling rapid facial changes, it is preparatory to the definition of an experimental protocol which merges video analysis, including the most relevant facial metrics, with audio processing for improved reliability.

References

[1]
K. D'Apolito. The neonate's response to pain. MCN: The American Journal of Maternal/Child Nursing, 9(4):256--257, 1984.
[2]
J. A. Lemons, L. R. Blackmon, Jr Kanto W.P., H. M. MacDonald, C. A. Miller, L. A. Papile, W. Rosenfeld, C. T. Shoemaker, M. E. Speer, M. F. Greene, et al. Prevention and management of pain and stress in the neonate. Pediatrics, 105(2):454--461, 2000.
[3]
P. Lago, E. Garetti, G. Boccuzzo, D. Merazzi, A. Pirelli, L. Pieragostini, S. Piga, M. Cuttini, and G. Ancora. Procedural pain in neonates: the state of the art in the implementation of national guidelines in Italy. Pediatric Anesthesia, 23(5):407--414, 2013.
[4]
C. Domenicali, E. Ballardini, G. Garani, C. Borgna-Pignatti, and M. Dondi. Le scale per la valutazione del dolore neonatale. Medico e Bambino, 33(4):223--231, 2014.
[5]
P. Ekman and E. L. Rosenberg. What the face reveals: Basic and applied studies of spontaneous expression using the Facial Action Coding System (FACS). Oxford University Press, USA, 1997.
[6]
M. Schiavenato. Facial expression and pain assessment in the pediatric patient: the primal face of pain. Journal for Specialists in Pediatric Nursing, 13(2):89--97, 2008.
[7]
G. Zamzmi, C. Pai, D. Goldgof, R. Kasturi, Y. Sun, and T. Ashmeade. Machine-based multimodal pain assessment tool for infants: A review. arXiv preprint arXiv:1607.00331, 2016.
[8]
J. Kovac, P. Peer, and F. Solina. Human skin color clustering for face detection, volume 2. IEEE, 2003.
[9]
A. Asthana, S. Zafeiriou, S. Cheng, and M. Pantic. Incremental face alignment in the wild. In Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pages 1859--1866, 2014.
[10]
P. Viola and M. Jones. Rapid object detection using a boosted cascade of simple features. In Computer Vision and Pattern Recognition, 2001. CVPR 2001. Proceedings of the 2001 IEEE Computer Society Conference on, volume 1, pages I--I. IEEE, 2001.
[11]
R. Carbajal, A. Paupe, E. Hoenn, R. Lenclen, and M. Olivier-Martin. Dan: une échelle comportementale d'évaluation de la douleur aiguë du nouveau-né. Archives de pédiatrie, 4(7):623--628, 1997.
[12]
R. V. E. Grunau and K. D. Craig. Pain expression in neonates: facial action and cry. Pain, 28(3):395--410, 1987.
[13]
B. Stevens, C. Johnston, P. Petryshen, and A. Taddio. Premature infants pain profile (PIPP): development and initial validation. The Clinical journal of pain, 12:13.22, 1996.
[14]
C. Tomasi and T. Kanade. Detection and tracking of point features. Carnegie Mellon University Technical Report CMU-CS-91-132, April 1991.

Cited By

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  • (2024)IoT-Enabled Pediatric Pain Care Leveraging Majority Vote-Based Transfer Learning Models2024 7th Conference on Cloud and Internet of Things (CIoT)10.1109/CIoT63799.2024.10757022(1-8)Online publication date: 29-Oct-2024
  • (2024)Enhanced emotion recognition in an IoMT platform: leveraging data augmentation and the random forest algorithm for ECG-based E-healthInternational Journal of Information Technology10.1007/s41870-024-01951-6Online publication date: 9-Jun-2024
  • (2024)Pain Assessment in Neonatal Clinical Practice via Facial Expression Analysis and Deep LearningBioinformatics and Biomedical Engineering10.1007/978-3-031-64636-2_19(249-263)Online publication date: 15-Jul-2024
  • Show More Cited By

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cover image ACM Other conferences
ICBRA '17: Proceedings of the 4th International Conference on Bioinformatics Research and Applications
December 2017
91 pages
ISBN:9781450353823
DOI:10.1145/3175587
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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Association for Computing Machinery

New York, NY, United States

Publication History

Published: 08 December 2017

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Author Tags

  1. Video processing
  2. edge detection
  3. facial expression
  4. landmarks tracking
  5. pain assessment

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Cited By

View all
  • (2024)IoT-Enabled Pediatric Pain Care Leveraging Majority Vote-Based Transfer Learning Models2024 7th Conference on Cloud and Internet of Things (CIoT)10.1109/CIoT63799.2024.10757022(1-8)Online publication date: 29-Oct-2024
  • (2024)Enhanced emotion recognition in an IoMT platform: leveraging data augmentation and the random forest algorithm for ECG-based E-healthInternational Journal of Information Technology10.1007/s41870-024-01951-6Online publication date: 9-Jun-2024
  • (2024)Pain Assessment in Neonatal Clinical Practice via Facial Expression Analysis and Deep LearningBioinformatics and Biomedical Engineering10.1007/978-3-031-64636-2_19(249-263)Online publication date: 15-Jul-2024
  • (2023)Measurement of Acute Pain in the Pediatric Emergency Department Through Automatic Detection of Behavioral Parameters: A Pilot StudyBioinformatics and Biomedical Engineering10.1007/978-3-031-34953-9_37(469-481)Online publication date: 29-Jun-2023

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