A pilot study on automated quantitative grading of facial functions

Quantitative grading of facial paralysis (FP) and the associated loss of facial function are essential to evaluate the severity and to track deterioration or improvement of the condition following treatment. To date, several computer-assisted grading systems have been proposed but none have gained widespread clinical acceptance. There is still a need for an accurate quantitative assessment tool that is automatic, inexpensive, easy to use, and has low inter-observer variability. The aim of the authors is to develop such a comprehensive Automated Facial Grading (AFG) system. One of this system’s modules: the resting symmetry module has already been presented. The present study describes the implementation of the second module for grading voluntary movements. The system utilizes the Kinect v2 sensor to detect and capture facial landmarks in real time. The functions of three regions, the eyebrows, eyes and mouth, are evaluated by quantitatively grading four voluntary movements. Preliminary results on normal subjects and patients are promising. The AFG system is a novel system that is suitable for clinical use because it is fast, objective, easy to use, and inexpensive. With further enhancement, it can be extended to become a virtual facial rehabilitation tool