A Weighted Facial Expression Analysis for Pain Level Estimation.

Accurate assessment of pain intensity is critical, particularly for patients who are unable to verbally express their discomfort. This study proposes a novel weighted analytical framework that integrates facial expression analysis through action units (AUs) with a facial feature-based weighting mechanism to enhance the estimation of pain intensity. The proposed method was evaluated on a dataset comprising 4084 facial images from 25 individuals and demonstrated an average accuracy of 92.72% using the weighted pain level estimation model, in contrast to 83.37% achieved using conventional approaches. The observed improvements are primarily attributed to the strategic utilization of AU zones and expression-based weighting, which enable more precise differentiation between pain-related and non-pain-related facial movements. These findings underscore the efficacy of the proposed model in enhancing the accuracy and reliability of automated pain detection, especially in contexts where verbal communication is impaired or absent.