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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Fusion of Data from Multiple Cameras for Fall Detection</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Jana MACHAJDIK</string-name>
          <email>jana@caa.tuwien.ac.at</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Sebastian ZAMBANINI</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Martin KAMPEL</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Computer Vision Lab, Institute of Computer Aided Automation, Vienna University of Technology</institution>
          ,
          <country country="AT">Austria</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2010</year>
      </pub-date>
      <abstract>
        <p>In the context of ambient assisted living, camera-based fall detectors at elderly homes leads to immediate alarming and helping. In this paper we propose a novel approach for the detection of falls based on multiple cameras. Based on semantic driven features fall detection is done in 2D and each camera decides on its own, if a fall has occurred. Fuzzy logic is both used to estimate confidence values for a fall/no fall in the single cameras as well as in the final voting step where the individual decisions are fused to an overall decision. Emphasis is given on simplicity, low computational effort and fast processing. We demonstrate the method and give results on 73 video sequences.</p>
      </abstract>
      <kwd-group>
        <kwd />
        <kwd>Data Fusion</kwd>
        <kwd>Smart Home</kwd>
        <kwd>Fall Detection</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        In the European Union about 30 % of people older than 65 live alone [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. For these
people, falls at homes are one of the major risks and an immediate alarming and helping
is essential to reduce the rate of morbidity and mortality [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ]. Hence, there is a great need
for reliable alarm systems. In this context, camera-based fall detectors are well suited
since video cameras are passive and flexible sensors.
      </p>
      <p>
        In the last five years a growing interest and number of publications for camera-based
fall detection has emerged [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ]. A basic classification of proposed methods can be made
by whether a fall is detected by modeling the fall action itself or by a frame-by-frame
classification using different features measuring human posture and motion velocity. In
the former type of methods Hidden Markov Models (HMMs) are trained with simple
features like projection histograms [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] or the aspect ratio of the bounding box
surrounding the detected human [
        <xref ref-type="bibr" rid="ref12 ref3">3,12</xref>
        ]. However, the applicability of this methods in real-life
scenarios is limited due to the high diversity of fall actions and the high number of
different actions which the system should not classify as fall. As also stated by Anderson
et al. [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ], such a model-based detection is able to detect different actions modeled by
different HMMs but is not capable of dealing with unknown actions. The latter type of
methods basically measures two types of features: the human posture and the motion
velocity. The underlying assumption is that a fall is characterized by a transition from a
vertical to a horizontal posture with an unusually increased velocity, i.e. to discern falls
from normal actions like sitting on a chair or lying on a bed. In this manner, various
features have been used for camera-based fall detection, including the aspect ratio of the
bounding box [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ] or orientation of a fitted ellipse [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ] for posture recognition and head
tracking [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] or change rate of the human’s centroid [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ] for motion velocity. Apart from
the features used, the methods also differ in the way how the final decision is obtained
from the features. Besides parametric classifiers like Neural Networks [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ], primarily
empirically determined rules are applied [
        <xref ref-type="bibr" rid="ref10 ref4 ref7 ref9">4,7,9,10</xref>
        ]. If the method is vulnerable to false
alarms, a final verification step can be performed which measures if the person was able
to move and stand up again in a given period of time.
      </p>
      <p>In the context of ambient assisted living, i.e. detecting falls at elderly homes, we
believe that the use of a multiple camera network is inevitable. Multiple cameras allow
for the monitoring of multiple rooms and the resolving of occlusions. Furthermore, we
have to state that features for posture and motion velocity used in the above papers are
highly dependent on the position of the camera, e.g. consider a fall along the optical axis
of the camera versus a fall perpendicular to it. Therefore, in a real-life scenario robustness
is highly increased when multiple cameras are used.</p>
      <p>
        When using multiple cameras, a key question is when the fusion of the various data
streams is performed in the overall detection process. Using an early fusion scheme,
detected motion can be fused together from calibrated cameras to obtain a 3D
reconstruction and posture estimation of the human, e.g. by shape-from-silhouette [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. Thereby,
the human posture can be robustly estimated and the extracted features are independent
of camera position. However, these methods need camera calibration and demand high
computational effort which restrains the required real-time processing of the data.
      </p>
      <p>In this paper we propose a late fusion approach in which every camera detects falls
individually. Fuzzy logic is both used to estimate confidence values for a fall/no fall
in the single cameras as well as in the final voting step where the individual decisions
are fused to an overall decision. Therefore, the drawback of view-dependence of the
extracted features is overcome by a fusion strategy that needs no camera calibration and
less computational effort.</p>
      <p>The remainder of this paper is structured as follows. Section 2 describes the
methodology of our fall detection approach. Experiments on a data set of 73 video sequences
are reported in Section 3. Conclusions are finally given in Section 4.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Methodology</title>
      <p>
        In this work we make use of a late fusion approach, performing analysis of the scene
on each camera individually and then combining the individual results to get an overall
decision. In contrast to other works (e.g. [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]), our posture estimation does not rely on
image features such as color and texture. It only needs silhouettes of the human as
input which makes the system less vulnerable to low-quality images. We define empirical,
semantic driven rules to make the decisions using features with fuzzy boundaries to
analyze the scene. In our methodology we focus on simplicity, low computational effort
and therefore fast processing without the need of high-end hardware since the system
has to be as cheap as possible to be affordable for the elderly. Our main condition on the
performance is the usability as a real-time application. Another desirable property is that
the construction/structure of the decision making part of the software is understandable
to humans, so that more rules can be added easily to adapt or expand the system as new,
unforeseen challenges are encountered in the real world.
      </p>
      <p>Our approach is implemented as follows: first, motion detection is performed on
the video to segment the person from the background. In our case simple background
subtraction with a slowly adapting background model is used. To remove noise from the
motion mask image we make use of morphological operations. First, dilating with a short
vertical line as structuring element is performed to connect the blob of the upper body
with the lower body of the person, as in our test videos it was often disconnected due to
camouflaging effects arising from dark horizontal elements in our testing environment.
Further we perform a series of opening operations to remove all blobs that are smaller
than a set threshold. Since in our test videos there is only one person in the room, we
simply choose the largest blob (above a certain threshold) to mark the region representing
the person. After this procedure we have a mask with a rough silhouette of the person in
the video. This is used to compute the features.</p>
      <p>
        We implement a collection of straightforward semantic driven features, many of
which have already been used before [
        <xref ref-type="bibr" rid="ref10 ref11 ref4 ref7">4,7,10,11</xref>
        ]. These can be divided into two groups,
the intra-frame features which are computed within each frame and which focus on
describing the character of the object area, i.e. the posture, and inter-frame features which
express the character of the change that happens between consecutive frames and usually
measure the motion velocity. As intra-frame features, we compute the area of the object
of interest, the aspect ratio of the height and width of the bounding box, the orientation
of the major axis of a fitted ellipse as well as the aspect ratio of the major and minor
axis of the ellipse (as illustrated in Figure 1). Since we work in the 2D space with
uncalibrated cameras, we can not take advantage of absolute measures such as the height
of the bounding box, as these are highly dependent on the distance of the object to the
camera and also the viewpoint of the camera.
      </p>
      <p>Moreover, we have to introduce some corrective measure to account for mistakes due
to the narrow field of view of a camera. It can happen that a person goes partly out of the
frame, so the blob of the motion frame gets distorted and does not fulfill the expectation
of a body in the proper posture anymore. In our case we introduce such a correction by
simply defining a field of ignorance around the lower border of the camera image. When
the person moves too near to the border we just ignore the blob and count on the other
cameras that see the spot “properly” to assess the situation. With a more sophisticated
implementation of object tracking with person detection, this step will either become
superfluous or can be solved more elegantly.</p>
      <p>To assess the character of the motion of the object we compute several inter-frame
features. We compute the distance between centroids of the blobs of consecutive frames,
the difference between the consecutive moving object areas relative to the area of the
later frame motion area, and the change of orientation.</p>
      <p>
        Further, we define 4 postures/states in which a person may reside: standing, lying,
“in-between” (i.e. sitting, kneeling, bending, etc.) and falling. Sets of primarily
empirically determined fuzzy thresholds in the form of trapezoidal functions are assembled to
interpret the features and relate them to the postures. Each feature’s value results in a
confidence value in the range [
        <xref ref-type="bibr" rid="ref1">0,1</xref>
        ] on each posture, where the confidences of one feature
sum up to 1 for all postures. These are then combined to assign a confidence value for
each posture/state which is determined by a weighted sum of all feature confidences. For
instance, during a fall event the transition between postures is usually accompanied by
fast motion, which in our case is expressed as a combination of large centroid distance,
high motion speed, and large change in orientation. A lying position combines a low
bounding box and ellipse axis ratio with an major orientation about 0 degrees relative to
the x-axis, etc. Therefore, we get a set of 4 confidence values for the 4 postures/states for
each frame, similar to [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ].
      </p>
      <p>
        The final decision about the current posture for a single camera is made by taking
the posture with the maximum confidence. At this point, we start analyzing the sequence
of postures with the goal to send an alarm when the person falls down and can not get up
again. It is especially important to prevent cases with a “long lie”, i.e. when an old person
remains on the floor for more than one hour because he or she can not get up again.
Statistics [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ] show that half of such cases end in death of the victim within six months,
mostly due to complications, such as dehydration or lung infection from a cold floor.
To recognize the event of falling down and not getting up, a set of empirically derived
semantic rules are applied, similarly to the works in [
        <xref ref-type="bibr" rid="ref10 ref4 ref7 ref9">4,7,9,10</xref>
        ]. In our case the rules are
relatively simple and straightforward. An analysis of last n frames is conducted. If at least
k (where k &lt; n) of them (this introduces robustness against noise or errors) represent a
lying or a falling posture, and the confidence of the posture is above a threshold , then an
alarm is initiated. The confidence of the alarm is computed by averaging the confidences
of the lying and falling postures within the active n frames. We also have the possibly to
check the duration of the lay, if the previous state was in-between or standing or, if really
a falling event occurred at the beginning of the lay, to increase or decrease the confidence
of the alarm. The occurrence of the falling event is not a compulsory condition, since
people may, in some cases, “fall” slowly.
      </p>
      <p>Finally, we combine the input of all cameras with overlapping field of view to
generate an overall decision. In our work this is done by averaging the posture confidences
from all the cameras and then applying the same decision rules described above.
However, there is a weakness to this democratic voting strategy. There are cases when only
one camera sees the fall. This can happen if, e.g. the person falls in the direction of the
optical axis of some of the cameras. In such a case cameras that are positioned along that
axis will not recognize the fall at all, whereas a camera that is positioned in a
perpendicular direction will have a clear view of the scene. A similar situation could arise in the
presence of occlusions. Our solution in such case is that if the confidence of the alarm is
very high (&gt; 90%) even in a single camera, this one camera get “the right to over-vote
the others”, i.e. the alarm will still be initiated by the single strong vote.</p>
    </sec>
    <sec id="sec-3">
      <title>3. Experiments</title>
      <p>
        In order to thoroughly evaluate our fall detection method, test sequences were acquired
that follow the scenarios described by Noury et al. [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] and added some more of our
own scenarios. Hence, a challenging test set consisting of various types of falls (forward
and backward falls, falls from chairs etc.) as well as various types of normal actions
(picking something up, sitting down etc.) was created. Four IP cameras with a resolution
of 288 352 were placed in a room at a height of approx. 2.5 meters. The four camera
views are shown in Figure 1. Five different actors simulated the scenarios resulting in a
total of 49 positive fall sequences and 24 negative sequences as categorized by Noury
et al. [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. However the definition of fall by [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] does not fully coincide with the goal
of our application, neither is it a complete account of fall situations, as it misses, e.g.
falls from sitting etc. In our field of application we do not want to recognize only the
explicit falling event, but rather the scenario where a person falls and cannot get up
again. Such “falls” can also happen slowly, e.g. the person starts feeling faint, losing their
strength and slowly sliding down to the ground, possibly trying to stabilize themselves
by touching the wall or a nearby piece of furniture, or person with dementia, going to
sleep on kitchen floor. Such cases are defined as negative by Noury et al. [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ], but in our
case they should be positive, and on the other hand falls ending on the knees leave the
person able to move (if they are not able to stand up, they can still lie down to initiate the
alarm) so in our opinion they should not initiate an alarm. Therefore, we consider these
disputable cases as a kind of gray area scenarios (there are 10 such videos). However, to
present a statistic about the performance, we need to assign them a clear alarm/non-alarm
category, so after our re-categorization we have 47 “alarming” (fall) sequences, and 26
normal/non-alarming activity sequences, whereby numerous normal activities are done
in each sequence. Statistically, our algorithm performs as shown in Table 1.
      </p>
      <p>CORRECT FALSE/MISSED ALARM
40 7
25 1
65 8
Table 1. Experimental results statistics.</p>
      <p>However, for a better understanding we need to look beyond the statistic and
at least discuss the specific scenarios where the method failed. To further enhance
the understanding of the issues, the videos we are discussing can be viewed at
http://www.cogvis.at/mubisa/fallscenarios.html</p>
      <p>First, let us mention the mistakes that happened due to our primitive person
detection. In several scenes a different object, such as a moved chair was chosen to be the
object of interest instead of the person. Such errors will have to be corrected by
implementing a better person tracking algorithm which will be our next step in the future. A
second kind of reason why the alarm did not initialize are cases where the person got
up immediately after the fall and therefore the time of the “lay” was shorter than the set
threshold. With our goal, this might not even be considered a fail. A more challenging
scenario, however, occurs when the fallen person stays on the floor in a curled up or in
a too spread out positions, which no longer fit the expected flat and long figure with a
clearly horizontal orientation. A scene which was falsely classified as alarming adds to
this group of challenges. In that case a person crawling on the floor on all four set off the
alarm. These cases present a challenge that will have to be examined more closely and
tackled by extending our set of rules to cover such possibilities.</p>
      <p>A special challenge that we solved was already mentioned: from our 4 cameras in a
room, two were on the same wall, another on the opposite wall, looking approximately
along the same optical axis are the first two, and one camera was on the third wall with
a view axis perpendicular to the others. Several scenes in the set contain a fall in the
direction of the optical axis of 3 of the cameras, so that only one camera saw the fall
clearly.</p>
    </sec>
    <sec id="sec-4">
      <title>4. Conclusions</title>
      <p>We have proposed a method for the detection of falls in the context of ambient assisted
living. Our approach for identifying a person’s fall is based on motion detection followed
by the computation of semantic driven features. We have presented a late fusion approach
in which every camera detects falls individually. In a final voting step the individual
decisions are fused to an overall decision. In order to allow a comparison to an early
fusion scheme further research is directed towards experiments with calibrated cameras
to obtain a 3D reconstruction.</p>
    </sec>
    <sec id="sec-5">
      <title>Acknowledgements</title>
      <p>This work was supported by the Austrian Research Promotion Agency (FFG) under grant
819862.</p>
    </sec>
  </body>
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