AI Screening for Parkinson's Disease Through Facial Expressions
AI analyzes facial expressions to help screen for Parkinson's disease at home.
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Parkinson's Disease (PD) is a neurological condition that makes it hard for people to control their movements. It is the fastest-growing neurological disorder in the world. Diagnosing PD can be quite tough because there is no reliable test or marker for it. In fact, many individuals go undiagnosed until the disease has progressed significantly. The lack of access to healthcare adds to the problem, especially for elderly individuals living in remote areas. This article discusses a new method that uses artificial intelligence (AI) to analyze Facial Expressions, particularly SMILES, to help screen for PD at home.
The Challenge of Diagnosing Parkinson’s Disease
Diagnosing Parkinson's disease is challenging for several reasons. For one, there are no definitive tests, such as blood tests or imaging, that confirm the disease. Doctors often rely on a patient's medical history and a series of physical exams to make a diagnosis. This process can be time-consuming and may require multiple visits to different specialists. Additionally, access to Neurologists is limited in many parts of the world. For instance, there are very few neurologists available in developing countries compared to the number of people who may need their help.
Timely diagnosis is vital to the quality of life for those suffering from PD. Early treatment can improve symptoms and help manage the condition better. Sadly, many people may not receive the care they need until the disease has significantly affected their daily life. This predicament is especially true for the elderly, who may have mobility issues that make it hard to get to appointments.
The Role of Facial Expressions in Screening
Researchers have been looking into different ways to assess PD, and one promising method involves analyzing facial expressions. One specific symptom of PD is hypomimia, which is characterized by reduced facial movement and expression. A person with hypomimia may appear to have a mask-like face, showing little emotion. This is caused by a decrease in dopamine levels in the brain, which affects how well people can express themselves.
Facial expressions, particularly smiles, can serve as important indicators for diagnosing conditions like PD. Analyzing facial movements can be done using video recordings, which are easy to obtain. Participants can record themselves at home using a webcam, and these recordings can then be analyzed using AI techniques.
How the AI Screening Works
The AI-based screening system focuses on analyzing micro-expressions captured during video recordings. Participants are asked to mimic various facial expressions, including smiles, disgust, and surprise. Facial landmarks and action units are extracted from these videos using advanced computer vision techniques. This involves identifying key points on the face and analyzing movements associated with different expressions.
Through this method, researchers can quantify the differences in facial expressions between people with and without Parkinson's disease. The AI models can evaluate features from these expressions, allowing for the classification of individuals based on their likelihood of having PD.
Data Collection and Diversity
To develop and validate this AI-based system, researchers collected a large dataset of video recordings. The dataset consists of videos from a diverse group of participants from different countries. The goal was to make sure that the model can work well across various populations, considering differences in age, gender, ethnicity, and environmental conditions.
Participants were recruited through various channels, including social media and clinical settings. In the end, thousands of videos were collected, which include both people diagnosed with PD and those without the condition. This diverse data is crucial for training the AI model effectively.
Feature Extraction
Feature extraction involves gathering relevant information from each facial expression recorded. Researchers use two tools, OpenFace and MediaPipe, to detect facial actions and key points in the video frames. These tools analyze aspects like eye movements, mouth openings, and overall facial configuration, which can indicate how expressive or unexpressive a person's face is during the recorded tasks.
Once the features are gathered, researchers summarized them using statistical measures to create a comprehensive profile for each participant. This set of features is then used to train AI models capable of distinguishing between those with and without Parkinson’s disease.
The AI Models
Once the features are extracted, several machine learning models are trained to evaluate the video data. The best-performing models are selected based on their accuracy and ability to generalize across different datasets. The AI models aim to classify individuals into two groups: those who likely have PD and those who do not.
An ensemble of models is employed to improve prediction accuracy. This means using multiple models and combining their results to make the final classification. The goal is to create a system that can function effectively, even in real-world conditions where the models encounter diverse populations and face variations in expression quality.
Performance and Results
The AI screening system was tested on various datasets to evaluate its performance. The results showed that the model could achieve high accuracy in distinguishing between individuals with and without Parkinson’s disease. The AI system demonstrated promising results especially when focusing on specific facial expressions, particularly smiles.
Even when only using smile videos, the model maintained a competitive accuracy level, suggesting that smiles could be a strong predictor of the disease. This makes the model not only useful for initial screenings but also a tool that individuals can use from home, making it accessible to a broader audience.
Addressing Potential Biases
One important aspect of developing the AI model was assessing its performance across different demographic groups. Researchers carried out a bias analysis to ensure the model works effectively for different sexes, age groups, and ethnicities. This step is essential to make sure that the model does not favor one group over another, thereby maintaining fairness in its predictions.
The analysis revealed that while the model performed well across most groups, there were some variations in accuracy. For example, the model was less accurate for older participants. Researchers are aware of these limitations and continue to refine the model to ensure that it serves a diverse population effectively.
Future Directions
To enhance the effectiveness of the AI screening system, ongoing research will look into improving data diversity. Gaining access to more comprehensive datasets from different regions and cultures will help bolster the model’s overall robustness. Collaborations with institutions in various countries could facilitate gathering data needed for refining the tool.
The ultimate goal of this research is to provide an easy, accurate, and non-invasive way for individuals to assess their risk for Parkinson’s disease at home. By using simple video recordings, people can gain insights into their health without the need for costly and time-consuming physician visits.
Conclusion
In summary, the development of an AI-enabled screening framework for Parkinson's disease represents a significant advancement in how we diagnose and monitor this condition. By focusing on facial expressions, particularly smiles, the system aims to provide an accessible, reliable initial screening method.
This innovative approach has the potential to reshape the landscape of PD assessment, making it more attainable for individuals, regardless of their geographical location or access to healthcare. The hope is that such advancements will lead to earlier diagnosis and better management of Parkinson’s disease, improving the quality of life for those affected by this challenging condition.
Title: Unmasking Parkinson's Disease with Smile: An AI-enabled Screening Framework
Abstract: We present an efficient and accessible PD screening method by leveraging AI-driven models enabled by the largest video dataset of facial expressions from 1,059 unique participants. This dataset includes 256 individuals with PD, 165 clinically diagnosed, and 91 self-reported. Participants used webcams to record themselves mimicking three facial expressions (smile, disgust, and surprise) from diverse sources encompassing their homes across multiple countries, a US clinic, and a PD wellness center in the US. Facial landmarks are automatically tracked from the recordings to extract features related to hypomimia, a prominent PD symptom characterized by reduced facial expressions. Machine learning algorithms are trained on these features to distinguish between individuals with and without PD. The model was tested for generalizability on external (unseen during training) test videos collected from a US clinic and Bangladesh. An ensemble of machine learning models trained on smile videos achieved an accuracy of 87.9+-0.1% (95% Confidence Interval) with an AUROC of 89.3+-0.3% as evaluated on held-out data (using k-fold cross-validation). In external test settings, the ensemble model achieved 79.8+-0.6% accuracy with 81.9+-0.3% AUROC on the clinical test set and 84.9+-0.4% accuracy with 81.2+-0.6% AUROC on participants from Bangladesh. In every setting, the model was free from detectable bias across sex and ethnic subgroups, except in the cohorts from Bangladesh, where the model performed significantly better for female participants than males. Smiling videos can effectively differentiate between individuals with and without PD, offering a potentially easy, accessible, and cost-efficient way to screen for PD, especially when a clinical diagnosis is difficult to access.
Authors: Tariq Adnan, Md Saiful Islam, Wasifur Rahman, Sangwu Lee, Sutapa Dey Tithi, Kazi Noshin, Imran Sarker, M Saifur Rahman, Ehsan Hoque
Last Update: 2024-11-18 00:00:00
Language: English
Source URL: https://arxiv.org/abs/2308.02588
Source PDF: https://arxiv.org/pdf/2308.02588
Licence: https://creativecommons.org/licenses/by/4.0/
Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.
Thank you to arxiv for use of its open access interoperability.