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Pain is a primary symptom of diseases and an indicator of a patients' health status. Effective management of pain is important for patient treatment and well-being. There are some traditional self-reported methods for pain assessment, and automatic pain detection systems using facial expressions are developing rapidly; these offer the potential for more efficient, convenient and cost-effective pain management. In this paper, a joint deep neural network model is proposed to classify pain intensity in four categories from facial images. This study used two different Recurrent Neural Networks (RNN), which were pre-trained with Visual Geometric Group Face Convolutional Neural Network (VGGFace CNN) and then joined together as a network to estimate pain intensity levels. The UNBC-McMaster Shoulder Pain database was used to train and test the proposed algorithm. As a contribution to knowledge, this paper provides new information regarding the performance of a hybrid, joint deep learning algorithm for pain multi-classification in facial images.
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