SecFePAS: Secure Facial-Expression-Based Pain Assessment with Deep Learning at the Edge
Bibliographic record
Abstract
Patient monitoring in hospitals, nursing centers, and home care can be largely automated using cameras and machine-learning-based video analytics, thus considerably increasing the efficiency of patient care. In particular, Facial-expression-based Pain Assessment Systems (FePAS) can automatically detect pain and notify medical personnel. However, current FePAS solutions using cloud-based video analytics offer very limited security and privacy protection. This is problematic, as video feeds of patients constitute highly sensitive information. To address this problem, we introduce SecFePAS, the first FePAS solution with strong security and privacy guarantees. SecFePAS uses advanced cryptographic protocols to perform neural network inference in a privacy-preserving way. To counteract the significant overhead of the used cryptographic protocols, SecFePAS uses multiple optimizations. First, instead of a cloud-based setup, we use edge computing with a 5G connection to benefit from lower network latency. Second, we use a combination of transfer learning and quantization to devise neural networks with high accuracy and optimized inference time. Third, SecFePAS quickly filters out unessential frames of the video to focus the in-depth analysis on key frames. We tested SecFePAS with the SqueezeNet and ResNet50 neural networks on a real pain estimation benchmark. SecFePAS outperforms state-of-the-art FePAS systems in accuracy and optimizes secure processing time.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".