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Register a new userSharing Pain: Using Domain Transfer Between Pain Types for Recognition of Sparse Pain Expressions in Horses
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Added by
Sofia Broom\\'e
Publication date
2021
fields
Informatics Engineering
and research's language is
English
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Orthopedic disorders are a common cause for euthanasia among horses, which often could have been avoided with earlier detection. These conditions often create varying degrees of subtle but long-term pain. It is challenging to train a visual pain recognition method with video data depicting such pain, since the resulting pain behavior also is subtle, sparsely appearing, and varying, making it challenging for even an expert human labeler to provide accurate ground-truth for the data. We show that transferring features from a dataset of horses with acute nociceptive pain (where labeling is less ambiguous) can aid the learning to recognize more complex orthopedic pain. Moreover, we present a human expert baseline for the problem, as well as an extensive empirical study of various domain transfer methods and of what is detected by the pain recognition method trained on acute pain in the orthopedic dataset. Finally, this is accompanied with a discussion around the challenges posed by real-world animal behavior datasets and how best practices can be established for similar fine-grained action recognition tasks. Our code is available at https://github.com/sofiabroome/painface-recognition.
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Transfer learning using pre-trained Convolutional Neural Networks (CNNs) has been successfully applied to images for different classification tasks. In this paper, we propose a new pipeline for pain expression recognition in neonates using transfer learning. Specifically, we propose to exploit a pre-trained CNN that was originally trained on a relatively similar dataset for face recognition (VGG Face) as well as CNNs that were pre-trained on a relatively different dataset for image classification (iVGG F,M, and S) to extract deep features from neonates faces. In the final stage, several supervised machine learning classifiers are trained to classify neonates facial expression into pain or no pain expression. The proposed pipeline achieved, on a testing dataset, 0.841 AUC and 90.34 accuracy, which is approx. 7 higher than the accuracy of handcrafted traditional features. We also propose to combine deep features with traditional features and hypothesize that the mixed features would improve pain classification performance. Combining deep features with traditional features achieved 92.71 accuracy and 0.948 AUC. These results show that transfer learning, which is a faster and more practical option than training CNN from the scratch, can be used to extract useful features for pain expression recognition in neonates. It also shows that combining deep features with traditional handcrafted features is a good practice to improve the performance of pain expression recognition and possibly the performance of similar applications.
Automatic pain assessment has an important potential diagnostic value for populations that are incapable of articulating their pain experiences. As one of the dominating nonverbal channels for eliciting pain expression events, facial expressions has been widely investigated for estimating the pain intensity of individual. However, using state-of-the-art deep learning (DL) models in real-world pain estimation applications poses several challenges related to the subjective variations of facial expressions, operational capture conditions, and lack of representative training videos with labels. Given the cost of annotating intensity levels for every video frame, we propose a weakly-supervised domain adaptation (WSDA) technique that allows for training 3D CNNs for spatio-temporal pain intensity estimation using weakly labeled videos, where labels are provided on a periodic basis. In particular, WSDA integrates multiple instance learning into an adversarial deep domain adaptation framework to train an Inflated 3D-CNN (I3D) model such that it can accurately estimate pain intensities in the target operational domain. The training process relies on weak target loss, along with domain loss and source loss for domain adaptation of the I3D model. Experimental results obtained using labeled source domain RECOLA videos and weakly-labeled target domain UNBC-McMaster videos indicate that the proposed deep WSDA approach can achieve significantly higher level of sequence (bag)-level and frame (instance)-level pain localization accuracy than related state-of-the-art approaches.
Estimation of pain intensity from facial expressions captured in videos has an immense potential for health care applications. Given the challenges related to subjective variations of facial expressions, and operational capture conditions, the accuracy of state-of-the-art DL models for recognizing facial expressions may decline. Domain adaptation has been widely explored to alleviate the problem of domain shifts that typically occur between video data captured across various source and target domains. Moreover, given the laborious task of collecting and annotating videos, and subjective bias due to ambiguity among adjacent intensity levels, weakly-supervised learning is gaining attention in such applications. State-of-the-art WSL models are typically formulated as regression problems, and do not leverage the ordinal relationship among pain intensity levels, nor temporal coherence of multiple consecutive frames. This paper introduces a new DL model for weakly-supervised DA with ordinal regression that can be adapted using target domain videos with coarse labels provided on a periodic basis. The WSDA-OR model enforces ordinal relationships among intensity levels assigned to target sequences, and associates multiple relevant frames to sequence-level labels. In particular, it learns discriminant and domain-invariant feature representations by integrating multiple instance learning with deep adversarial DA, where soft Gaussian labels are used to efficiently represent the weak ordinal sequence-level labels from target domain. The proposed approach was validated using RECOLA video dataset as fully-labeled source domain data, and UNBC-McMaster shoulder pain video dataset as weakly-labeled target domain data. We have also validated WSDA-OR on BIOVID and Fatigue datasets for sequence level estimation.
Recent advances in Natural Language Processing (NLP), and specifically automated Question Answering (QA) systems, have demonstrated both impressive linguistic fluency and a pernicious tendency to reflect social biases. In this study, we introduce Q-Pain, a dataset for assessing bias in medical QA in the context of pain management, one of the most challenging forms of clinical decision-making. Along with the dataset, we propose a new, rigorous framework, including a sample experimental design, to measure the potential biases present when making treatment decisions. We demonstrate its use by assessing two reference Question-Answering systems, GPT-2 and GPT-3, and find statistically significant differences in treatment between intersectional race-gender subgroups, thus reaffirming the risks posed by AI in medical settings, and the need for datasets like ours to ensure safety before medical AI applications are deployed.
Chronic pain is recognized as a major health problem, with impacts not only at the economic, but also at the social, and individual levels. Being a private and subjective experience, it is impossible to externally and impartially experience, describe, and interpret chronic pain as a purely noxious stimulus that would directly point to a causal agent and facilitate its mitigation, contrary to acute pain, the assessment of which is usually straightforward. Verbal communication is, thus, key to convey relevant information to health professionals that would otherwise not be accessible to external entities, namely, intrinsic qualities about the painful experience and the patient. We propose and discuss a topic modelling approach to recognize patterns in verbal descriptions of chronic pain, and use these patterns to quantify and qualify experiences of pain. Our approaches allow for the extraction of novel insights on chronic pain experiences from the obtained topic models and latent spaces. We argue that our results are clinically relevant for the assessment and management of chronic pain.
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