arXiv:2506.16578cs.CV2025-06被引 6

用合成人脸保留中风面部动作特征,保护患者隐私

SafeTriage: Facial Video De-identification for Privacy-Preserving Stroke Triage

  • 将真实患者面部动作迁移至合成身份,保留诊断关键动态
  • 在多中心数据上保持92%以上诊断准确率,有效避免分布偏移
  • 适合医疗AI数据共享场景,兼顾隐私与临床可用性

急诊中风分诊依赖医生识别面部肌肉协调的细微异常。尽管近期AI模型从患者面部视频中检测此类模式已显成效,但其对真实患者数据的依赖带来重大伦理与隐私挑战,尤其在跨机构训练鲁棒、泛化性强的模型时。为此,我们提出SafeTriage,一种新型面部视频去标识方法,在保留中风诊断所需运动特征的同时,消除患者身份信息。SafeTriage利用预训练视频动作迁移(VMT)模型,将真实患者面部的动作特征映射到合成身份上,从而在不暴露真实身份的前提下保留诊断相关面部动态。为缓解正常人群预训练视频与患者测试视频间的分布偏移,我们引入条件生成式视觉提示调优模型,适配VMT模型输入空间,实现精准动作迁移而无需微调骨干网络。全面评估显示,SafeTriage生成的合成视频能有效保留与中风相关的面部模式,支持可靠的AI辅助分诊。评估还表明,该方法在保障隐私的同时维持高诊断准确性,为神经疾病领域的数据共享与AI驱动临床分析提供了安全且合乎伦理的基础。

原文摘要 · Abstract (English)

Effective stroke triage in emergency settings often relies on clinicians' ability to identify subtle abnormalities in facial muscle coordination. While recent AI models have shown promise in detecting such patterns from patient facial videos, their reliance on real patient data raises significant ethical and privacy challenges -- especially when training robust and generalizable models across institutions. To address these concerns, we propose SafeTriage, a novel method designed to de-identify patient facial videos while preserving essential motion cues crucial for stroke diagnosis. SafeTriage leverages a pretrained video motion transfer (VMT) model to map the motion characteristics of real patient faces onto synthetic identities. This approach retains diagnostically relevant facial dynamics without revealing the patients' identities. To mitigate the distribution shift between normal population pre-training videos and patient population test videos, we introduce a conditional generative model for visual prompt tuning, which adapts the input space of the VMT model to ensure accurate motion transfer without needing to fine-tune the VMT model backbone. Comprehensive evaluation, including quantitative metrics and clinical expert assessments, demonstrates that SafeTriage-produced synthetic videos effectively preserve stroke-relevant facial patterns, enabling reliable AI-based triage. Our evaluations also show that SafeTriage provides robust privacy protection while maintaining diagnostic accuracy, offering a secure and ethically sound foundation for data sharing and AI-driven clinical analysis in neurological disorders.

面部去标识中风分诊隐私保护视频迁移

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