Evidence map›Paper›PMID 40632819›Full record

ArticleJournal of medical Internet research2025

Artificial Intelligence-Enabled Facial Privacy Protection for Ocular Diagnosis: Development and Validation Study.

Haizhu Tan, Hongyu Chen, Zhenmao Wang, Mingguang He, Chiyu Wei, Lei Sun, Xueqin Wang, Danli Shi, Chengcheng Huang, Anping Guo

Abstract readValidation Study
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Haizhu TanDepartment of Preventive Medicine, Shantou University Medical College, 22 Xinling Rd, Shantou, 515031, China, 86 13318055534.ORCID http://orcid.org/0000-0001-9410-2961
Hongyu Chen *Department of Optoelectronic Information Science and Engineering, Physical and Materials Science College, Guangzhou University, Guangzhou, China.ORCID http://orcid.org/0009-0006-5962-889X
Zhenmao Wang *Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, China (Hong Kong).ORCID http://orcid.org/0000-0001-8303-2160
Mingguang He *The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).ORCID http://orcid.org/0000-0002-6912-2810
Chiyu WeiDepartment of Preventive Medicine, Shantou University Medical College, 22 Xinling Rd, Shantou, 515031, China, 86 13318055534.ORCID http://orcid.org/0000-0002-6927-3926
Lei SunDepartment of Ophthalmology, the Fourth Affiliated Hospital of Harbin Medical University, Haerbin, China.ORCID http://orcid.org/0000-0001-9784-694X
Xueqin WangUniversity of Science and Technology of China, Hefei, China.ORCID http://orcid.org/0000-0001-5205-9950
Danli ShiThe Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).ORCID http://orcid.org/0000-0001-6094-137X
Chengcheng HuangDepartment of Preventive Medicine, Shantou University Medical College, 22 Xinling Rd, Shantou, 515031, China, 86 13318055534.ORCID http://orcid.org/0009-0009-5879-1689
Anping GuoDepartment of Pharmacy, First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.ORCID http://orcid.org/0009-0006-3510-5576

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Facial biometric data, while valuable for clinical applications, poses substantial privacy and security risks. Objective: This paper aims to address the privacy and security concerns related to facial biometric data and support auxiliary diagnoses, in pursuit of which we developed Digital FaceDefender, an artificial intelligence-driven privacy safeguard solution. Methods: We constructed a diverse set of digitally synthesized Asian face avatars representing both sexes, spanning ages 5 to 85 years in 10-year increments, using 70,000 facial images and 13,061 Asian face images. Landmark data were separately extracted from both patient and avatar images. Affine transformations ensured spatial alignment, followed by color correction and Gaussian blur to enhance fusion quality. For auxiliary diagnosis, we established 95% CIs for pixel distances within the eye region on a cohort of 1163 individuals, serving as diagnostic benchmarks. Reidentification risk was assessed using the ArcFace model, applied to 2500 images reconstructed via Detailed Expression Capture and Animation (DECA). Finally, Cohen Kappa analyses (n=114) was applied to assess agreement between diagnostic benchmarks and ophthalmologists' evaluations. Results: Compared to the DM method, Digital FaceDefender significantly reduced facial similarity scores (FDface vs raw images: 0.31; FLAME_FDface vs raw images: 0.09) and achieved zero Rank-1 accuracy in Pose #2-#3 and Pose #2-#5, with near-zero accuracy in Pose #4 (0.02) and Pose #5 (0.04), confirming lower reidentification risk. Cohen Kappa analysis demonstrated moderate agreement between our benchmarks and ophthalmologists' assessments for the left eye (κ=0.37) and right eye (κ=0.45; both P<.001), validating diagnostic reliability of the benchmarks. Furthermore, the user-friendly Digital FaceDefender platform has been established and is readily accessible for use. Conclusions: In summary, Digital FaceDefender effectively balances privacy protection and diagnostic use.

Indexed as

Artificial IntelligenceEye DiseasesFacial RecognitionPrivacyAnatomic LandmarksAvatarHumansImage Processing, Computer-Assistedartificial intelligenceauxiliary diagnosisDigital FaceDefenderfacial biometric dataocular diseaseprivacy protection

Identifiers

PMID40632819
PMCPMC12266301

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.