Pain medicine

Application of deep learning-based facial pain recognition model for postoperative pain assessment

J Clin AnesthPublished Diagnostic accuracy study

Authors' conclusion

The findings indicate that deep learning models leveraging facial expression analysis hold significant potential to recognize varying degrees of pain in clinical settings, especially severe pain.

Study context

Population
Postoperative patients (facial pain images) and volunteers (simulated pain images)
Comparison
Clinical Pain Dataset (CPD) vs Simulated Pain Dataset (SPD) vs Combined Dataset (CD)
  • CPDn = 503
  • SPDn = 51
Outcome
Model performance by dataset and pain level (AUROC and F1 scores)
Methodological detailsdeep learning model (pre-trained VGG16), clinical and simulated datasets, Facial pain recognition software developed based on the model
  • Deep learning model (pre-trained VGG16)
  • Clinical and simulated datasets
  • Facial pain recognition software developed based on the model

Performance

As reported in the abstract

Severe pain identification (AUROC)
Test or modelAUROC
CPD0.898 (95 %CI,0.877-0.917)
CD0.867 (95 %CI,0.844-0.889)

AUROC

CPD0.898 (95 %CI,0.877-0.917)
CD0.867 (95 %CI,0.844-0.889)

Further findings

OutcomeCPDCD
Severe pain classification, training sets (AUROC)
AUROC (CPD-train)0.898 [95 % CI: 0.877-0.917]— not stated in the abstract
AUROC (CD-train)— not stated in the abstract0.917 [95 % CI: 0.883-0.948]

— not stated in the abstract

Original publication

Application of deep learning-based facial pain recognition model for postoperative pain assessment. J Clin Anesth. Published 13 June 2025. doi:10.1016/j.jclinane.2025.111898

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