用视觉算法量化整形术后颜值变化,数据量破纪录。
Automated Assessment of Aesthetic Outcomes in Facial Plastic Surgery
- 自动检测面部特征点,计算对称性与鼻部形态
- 732例鼻整形患者中96.2%在3项指标上显著改善
- 可复现评估结果,适合医生规划与患者沟通
我们提出一种可扩展、可解释的计算机视觉框架,通过正面照片量化面部整形手术的美学效果。该流程结合自动化关键点检测、几何面部对称性计算、基于深度学习的年龄估计及鼻部形态分析。研究构建了迄今最大的成对术前术后面部图像数据集,包含1,259名患者的7,160张照片,其中专门的鼻整形子集包含366名患者的732张图像,96.2%的患者在至少一项鼻部测量上出现统计学意义的改善,最显著的是鼻翼宽/脸宽比(77.0%)、鼻长/脸高比(41.5%)和鼻翼宽/内眦距比(39.3%)。在989名严格筛选的受试者中,71.3%在整体面部对称性或感知年龄上出现显著提升(p < 0.01)。分析显示术后患者身份识别准确率极高(鼻整形组99.5%,总体组99.6%,误匹配率0.01%)。此外,我们还评估了不同医师间改善率的差异。本研究提供可复现的定量基准与新数据集,推动手术规划、患者咨询与客观评价的标准化。
原文摘要 · Abstract (English)
We introduce a scalable, interpretable computer-vision framework for quantifying aesthetic outcomes of facial plastic surgery using frontal photographs. Our pipeline leverages automated landmark detection, geometric facial symmetry computation, deep-learning-based age estimation, and nasal morphology analysis. To perform this study, we first assemble the largest curated dataset of paired pre- and post-operative facial images to date, encompassing 7,160 photographs from 1,259 patients. This dataset includes a dedicated rhinoplasty-only subset consisting of 732 images from 366 patients, 96.2% of whom showed improvement in at least one of the three nasal measurements with statistically significant group-level change. Among these patients, the greatest statistically significant improvements (p < 0.001) occurred in the alar width to face width ratio (77.0%), nose length to face height ratio (41.5%), and alar width to intercanthal ratio (39.3%). Among the broader frontal-view cohort, comprising 989 rigorously filtered subjects, 71.3% exhibited significant enhancements in global facial symmetry or perceived age (p < 0.01). Importantly, our analysis shows that patient identity remains consistent post-operatively, with True Match Rates of 99.5% and 99.6% at a False Match Rate of 0.01% for the rhinoplasty-specific and general patient cohorts, respectively. Additionally, we analyze inter-practitioner variability in improvement rates. By providing reproducible, quantitative benchmarks and a novel dataset, our pipeline facilitates data-driven surgical planning, patient counseling, and objective outcome evaluation across practices.
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