Abstract
Telemedicine and video-based diagnosis have raised significant concerns regarding the protection of facial privacy. Effective de-identification methods require the preservation of diagnostic information related to normal and pathological facial movements, which play a crucial role in the diagnosis of various movement, neurological, and psychiatric disorders. In this work, we have developed FaceMotionPreserve , a deep generative model-based approach that transforms patients' facial identities while preserving facial dynamics with a novel face dynamic similarity module to enhance facial landmark consistency. We collected test videos from patients with Parkinson's disease recruited via telemedicine for evaluation of model performance and clinical applicability. The performance of FaceMotionPreserve was quantitatively evaluated based on neurologist diagnostic consistency, critical facial behavior fidelity, and correlation of general facial dynamics. In addition, we further validated the robustness and advancements of our model in preserving medical information with clinical examination videos from a different cohort of patients. FaceMotionPreserve is applicable to real-time integration, safeguarding facial privacy while retaining crucial medical information associated with facial movements to address concerns in telemedicine, and facilitating safer and more collaborative medical data sharing.