Detecting Dementia from Face in Human-Agent Interaction

This paper proposes an approach to automatically detect dementia from a human face. Although some works have detected dementia from speech and language attributes, there are few studies focusing on facial expression in dementia patients. We recorded the human-agent interaction data of spoken dialogues from 24 participants (12 with dementia and 12 without) and extracted the face features. Our objective was to classify dementia by L1 regularized logistic regression. The facial features and the L1 logistic regression were then used to classify the participants into two groups with 0.82 detection performance, as measured by the areas under the receiver operating characteristic curve. We also identified various contributing features, such as action units, eye gaze, and lip activity. These results demonstrate that our system has the potential to detect dementia from the face through spoken dialog systems and as such, can be of assistance to health care workers.

[1]  Louis-Philippe Morency,et al.  OpenFace 2.0: Facial Behavior Analysis Toolkit , 2018, 2018 13th IEEE International Conference on Automatic Face & Gesture Recognition (FG 2018).

[2]  Keita Watanabe,et al.  Early detection of cognitive impairment in the elderly based on Bayesian mining using speech prosody and cerebral blood flow activation , 2013, 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[3]  Rolf Adolfsson,et al.  Facial expressions in severely demented patients—a stimulus–response study of four patients with dementia of the Alzheimer type , 1991 .

[4]  D. Geldmacher,et al.  Cost-Effective Recognition and Diagnosis of Dementia , 2002, Seminars in neurology.

[5]  L. Jansson,et al.  Facial Expressions of Patients With Dementia: A Comparison of Two Methods of Interpretation , 1995, International Psychogeriatrics.

[6]  M. Hashimoto,et al.  Are saving appearance responses typical communication patterns in Alzheimer's disease? , 2018, PloS one.

[7]  Ouriel Grynszpan,et al.  What Gaze Tells Us About Personality , 2018, HAI.

[8]  Heidi Christensen,et al.  Dementia detection using automatic analysis of conversations , 2019, Comput. Speech Lang..

[9]  T. Tombaugh,et al.  The Mini‐Mental State Examination: A Comprehensive Review , 1992, Journal of the American Geriatrics Society.

[10]  Eiji Aramaki,et al.  VocabChecker: Measuring Language Abilities for Detecting Early Stage Dementia , 2018, IUI Companion.

[11]  Ulrich Seidl,et al.  Johannes Schröder Symptoms Facial Expression in Alzheimer ' s Disease : Impact of Cognitive Deficits and Neuropsychiatric , 2012 .

[12]  Satoshi Nakamura,et al.  Detecting Dementia Through Interactive Computer Avatars , 2017, IEEE Journal of Translational Engineering in Health and Medicine.

[13]  Satoshi Nakamura,et al.  Embodied conversational agents for multimodal automated social skills training in people with autism spectrum disorders , 2017, PloS one.

[14]  Kathleen C. Fraser,et al.  Linguistic Features Identify Alzheimer's Disease in Narrative Speech. , 2015, Journal of Alzheimer's disease : JAD.

[15]  Vanessa Taler,et al.  Language performance in Alzheimer's disease and mild cognitive impairment: A comparative review , 2008, Journal of clinical and experimental neuropsychology.

[16]  Eiji Aramaki,et al.  Idea density in Japanese for the early detection of dementia based on narrative speech , 2018, PloS one.

[17]  S. Sakti,et al.  Spoken Dialogue Robot for Watching Daily Life of Elderly People , 2019, IWSDS.

[18]  Tanja Schultz,et al.  Investigating the Effect of Audio Duration on Dementia Detection Using Acoustic Features , 2018, INTERSPEECH.

[19]  G. Chollet,et al.  LIP ACTIVITY DETECTION FOR TALKING FACES CLASSIFICATION IN TV-CONTENT , 2010 .

[20]  Satoshi Nakamura,et al.  Initial response time measurement in eye movement for dementia screening test , 2017, 2017 Fifteenth IAPR International Conference on Machine Vision Applications (MVA).

[21]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[22]  Satoshi Nakamura,et al.  Detection of Dementia from Responses to Atypical Questions Asked by Embodied Conversational Agents , 2018, INTERSPEECH.

[23]  J. Galvin Detection of Dementia , 2016 .