Continuous monitoring of neonatal behavior in the Neonatal Intensive Care Unit (NICU) is essential for early detection of neurological disorders. Among behavioral indicators, eye state (open vs. closed) serves as a clinically relevant marker for alertness, sedation, and responsiveness. This study presents a deep learning-based system for automated eye state detection in NICU video recordings. Using a manually labeled dataset of 7,388 facial frames extracted from 154 clinical videos, we trained and evaluated binary classifiers based on VGG16 and VGG19 convolutional neural network architectures. A five-fold cross-validation scheme was implemented to ensure subject-independent evaluation. The models achieved mean frame-level accuracies above 0.86 and AUC-PR values of 0.97. Additionally, video-level evaluation under realistic conditions yielded up to 0.79 accuracy and 0.84 AUC-PR. These results support the feasibility of integrating eye state detection into broader AI frameworks for neonatal monitoring and early neurological assessment.

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Enhanced Video-Based Eye Status Detection in Term Infants

  • Nuria Velasco,
  • Juan Arnaez,
  • Álvaro Herrero,
  • Nuño Basurto,
  • Daniel Urda

摘要

Continuous monitoring of neonatal behavior in the Neonatal Intensive Care Unit (NICU) is essential for early detection of neurological disorders. Among behavioral indicators, eye state (open vs. closed) serves as a clinically relevant marker for alertness, sedation, and responsiveness. This study presents a deep learning-based system for automated eye state detection in NICU video recordings. Using a manually labeled dataset of 7,388 facial frames extracted from 154 clinical videos, we trained and evaluated binary classifiers based on VGG16 and VGG19 convolutional neural network architectures. A five-fold cross-validation scheme was implemented to ensure subject-independent evaluation. The models achieved mean frame-level accuracies above 0.86 and AUC-PR values of 0.97. Additionally, video-level evaluation under realistic conditions yielded up to 0.79 accuracy and 0.84 AUC-PR. These results support the feasibility of integrating eye state detection into broader AI frameworks for neonatal monitoring and early neurological assessment.