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BACKGROUND
Given the unreliable self-report in patients with dementia, pain assessment should also rely on the observation of pain behaviors, such as facial expressions. Ideal observers should be well trained and should observe the patient continuously in order to pick up any pain-indicative behavior; which are requisitions beyond realistic possibilities of pain care. Therefore, the need for video-based pain detection systems has been repeatedly voiced. Such systems would allow for constant monitoring of pain behaviors and thereby allow for a timely adjustment of pain management in these fragile patients, who are often undertreated for pain.
METHODS
In this road map paper we describe an interdisciplinary approach to develop such a video-based pain detection system. The development starts with the selection of appropriate video material of people in pain as well as the development of technical methods to capture their faces. Furthermore, single facial motions are automatically extracted according to an international coding system. Computer algorithms are trained to detect the combination and timing of those motions, which are pain-indicative.
RESULTS/CONCLUSION
We hope to encourage colleagues to join forces and to inform end-users about an imminent solution of a pressing pain-care problem. For the near future, implementation of such systems can be foreseen to monitor immobile patients in intensive and postoperative care situations.
It is only a matter of time until autonomous vehicles become ubiquitous; however, human driving supervision will remain a necessity for decades. To assess the drive's ability to take control over the vehicle in critical scenarios, driver distractions can be monitored using wearable sensors or sensors that are embedded in the vehicle, such as video cameras. The types of driving distractions that can be sensed with various sensors is an open research question that this study attempts to answer. This study compared data from physiological sensors (palm electrodermal activity (pEDA), heart rate and breathing rate) and visual sensors (eye tracking, pupil diameter, nasal EDA (nEDA), emotional activation and facial action units (AUs)) for the detection of four types of distractions. The dataset was collected in a previous driving simulation study. The statistical tests showed that the most informative feature/modality for detecting driver distraction depends on the type of distraction, with emotional activation and AUs being the most promising. The experimental comparison of seven classical machine learning (ML) and seven end-to-end deep learning (DL) methods, which were evaluated on a separate test set of 10 subjects, showed that when classifying windows into distracted or not distracted, the highest F1-score of 79%; was realized by the extreme gradient boosting (XGB) classifier using 60-second windows of AUs as input. When classifying complete driving sessions, XGB's F1-score was 94%. The best-performing DL model was a spectro-temporal ResNet, which realized an F1-score of 75%; when classifying segments and an F1-score of 87%; when classifying complete driving sessions. Finally, this study identified and discussed problems, such as label jitter, scenario overfitting and unsatisfactory generalization performance, that may adversely affect related ML approaches.