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Updated: Jan 17, 2026

Electrophysiological Measurements and Analysis of Nociception in Human Infants
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Few-Shot Prompting with Vision Language Model for Pain Classification in Infant Cry Sounds.

Anthony McCofie1, Abhiram Kandiyana1, Peter R Mouton2

  • 1Computer Science and Engineering, University of South Florida, Tampa, Florida, USA.

Proceedings. IEEE International Symposium on Computer-Based Medical Systems
|September 22, 2025
PubMed
Summary
This summary is machine-generated.

Detecting infant pain is challenging. This study uses GPT-4(V) and mel spectrograms for accurate infant pain detection with minimal data, improving interpretability.

Keywords:
few-shot promptinginfant pain detectionlarge language modelpain classificationvision language model

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Area of Science:

  • Artificial Intelligence
  • Infant Health
  • Signal Processing

Background:

  • Accurate infant pain detection is crucial but challenging.
  • Conventional deep neural networks require large datasets and computational power, lacking interpretability.
  • Existing methods struggle with data scarcity and transparency.

Purpose of the Study:

  • To introduce a novel, interpretable method for infant pain detection using few-shot learning.
  • To leverage vision-language models (GPT-4(V)) with mel spectrograms for enhanced infant cry analysis.
  • To reduce the reliance on extensive labeled datasets in infant pain classification.

Main Methods:

  • Utilized OpenAI's GPT-4(V) vision-language model.
  • Employed mel spectrogram representations of infant cry sounds.
  • Implemented a few-shot prompting strategy for classification.
  • Validated the approach on the USF-MNPAD-II dataset.

Main Results:

  • Achieved 83.33% accuracy in infant pain detection.
  • Required only 16 training samples, a significant reduction from the baseline's 4,914 samples.
  • Demonstrated enhanced transparency and interpretability compared to conventional methods.

Conclusions:

  • Few-shot prompting with vision-language models offers a promising solution for infant pain detection.
  • This approach significantly reduces data and computational requirements.
  • Represents a novel application of GPT-4o for infant pain classification.