{"doi":"10.1109/cbms65348.2025.00174","title":"Few-Shot Prompting with Vision Language Model for Pain Classification in Infant Cry Sounds","abstract":"Accurately detecting pain in infants remains a complex challenge. Conventional deep neural networks used for analyzing infant cry sounds typically demand large labeled datasets, substantial computational power, and often lack interpretability. In this work, we introduce a novel approach that leverages OpenAI's vision-language model, GPT-4(V), combined with mel spectrogram-based representations of infant cries through prompting. This prompting strategy significantly reduces the dependence on large training datasets while enhancing transparency and interpretability. Using the USF-MNPAD-II dataset, our method achieves an accuracy of 83.33% with only 16 training samples, in contrast to the 4,914 samples required in the baseline model. To our knowledge, this represents the first application of few-shot prompting with vision-language models such as GPT-4o for infant pain classification.","journal":"PubMed","year":2025,"id":558411,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9504,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1459274,"name":"Abhiram Kandiyana","orcid":null,"position":1,"is_corresponding":false},{"id":984465,"name":"Peter R. Mouton","orcid":"0000-0002-1008-4055","position":2,"is_corresponding":false},{"id":294657,"name":"Yu Sun","orcid":"0000-0001-9953-291X","position":3,"is_corresponding":false},{"id":1333722,"name":"Dmitry Goldgof","orcid":null,"position":4,"is_corresponding":false},{"id":1339814,"name":"Anthony McCofie","orcid":null,"position":0,"is_corresponding":true}],"reference_count":17,"raw_metadata":null,"created_at":"2026-07-19T02:55:25.969263Z","pmid":"40978766","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}