{"title":"Automatic Identification of Facial Tics Using Selfie-Video.","authors":"Yocheved Loewenstern, Noa Benaroya-Milshtein, Katya Belelovsky, Izhar Bar-Gad","doi":"10.1109/JBHI.2024.3488285","DOIUrl":null,"url":null,"abstract":"<p><p>The intrinsic nature of tic disorders, characterized by symptom variability and fluctuation, poses challenges in clinical evaluations. Currently, tic assessments predominantly rely on subjective questionnaires administered periodically during clinical visits, thus lacking continuous quantitative evaluation. This study aims to establish an automatic objective measure of tic expression in natural behavioral settings. A custom-developed smartphone application was used to record selfie-videos of children and adolescents with tic disorders exhibiting facial motor tics. Facial landmarks were utilized to extract tic-related features from video segments labeled as either \"tic\" or \"non-tic\". These features were then passed through a tandem of custom deep neural networks to learn spatial and temporal properties for tic classification of these segments according to their labels. The model achieved a mean accuracy of 95% when trained on data across all subjects, and consistently exceeded 90% accuracy in leave-one-session-out and leave-one-subject-out cross validation training schemes. This automatic tic identification measure may provide a valuable tool for clinicians in facilitating diagnosis, patient follow-up, and treatment efficacy evaluation. Combining this measure with standard smartphone technology has the potential to revolutionize large-scale clinical studies, thereby expediting the development and testing of novel interventions.</p>","PeriodicalId":13073,"journal":{"name":"IEEE Journal of Biomedical and Health Informatics","volume":null,"pages":null},"PeriodicalIF":6.7000,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"IEEE Journal of Biomedical and Health Informatics","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1109/JBHI.2024.3488285","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"COMPUTER SCIENCE, INFORMATION SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
The intrinsic nature of tic disorders, characterized by symptom variability and fluctuation, poses challenges in clinical evaluations. Currently, tic assessments predominantly rely on subjective questionnaires administered periodically during clinical visits, thus lacking continuous quantitative evaluation. This study aims to establish an automatic objective measure of tic expression in natural behavioral settings. A custom-developed smartphone application was used to record selfie-videos of children and adolescents with tic disorders exhibiting facial motor tics. Facial landmarks were utilized to extract tic-related features from video segments labeled as either "tic" or "non-tic". These features were then passed through a tandem of custom deep neural networks to learn spatial and temporal properties for tic classification of these segments according to their labels. The model achieved a mean accuracy of 95% when trained on data across all subjects, and consistently exceeded 90% accuracy in leave-one-session-out and leave-one-subject-out cross validation training schemes. This automatic tic identification measure may provide a valuable tool for clinicians in facilitating diagnosis, patient follow-up, and treatment efficacy evaluation. Combining this measure with standard smartphone technology has the potential to revolutionize large-scale clinical studies, thereby expediting the development and testing of novel interventions.
期刊介绍:
IEEE Journal of Biomedical and Health Informatics publishes original papers presenting recent advances where information and communication technologies intersect with health, healthcare, life sciences, and biomedicine. Topics include acquisition, transmission, storage, retrieval, management, and analysis of biomedical and health information. The journal covers applications of information technologies in healthcare, patient monitoring, preventive care, early disease diagnosis, therapy discovery, and personalized treatment protocols. It explores electronic medical and health records, clinical information systems, decision support systems, medical and biological imaging informatics, wearable systems, body area/sensor networks, and more. Integration-related topics like interoperability, evidence-based medicine, and secure patient data are also addressed.