Palpation Alters Auditory Pain Expressions with Gender-Specific Variations in Robopatients

Diagnostic errors remain a major cause of preventable deaths, particularly in resource-limited regions. Medical training simulators, including robopatients, play a vital role in reducing these errors by mimicking real patients for procedural training such as palpation. However, generating multimodal feedback, especially auditory pain expressions, remains challenging due to the complex relationship between palpation behavior and sound. The high-dimensional nature of pain sounds makes exploration challenging with conventional methods. This study introduces a novel experimental paradigm for pain expressivity in robopatients where they dynamically generate auditory pain expressions in response to palpation force, by co-optimizing human feedback using machine learning. Using Proximal Policy Optimization (PPO), a reinforcement learning (RL) technique optimized for continuous adaptation, our robot iteratively refines pain sounds based on real-time human feedback. This robot initializes randomized pain responses to palpation forces, and the RL agent learns to adjust these sounds to align with human preferences. The results demonstrated that the system adapts to an individual's palpation forces and sound preferences and captures a broad spectrum of pain intensity, from mild discomfort to acute distress, through RL-guided exploration of the auditory pain space. The study further showed that pain sound perception exhibits saturation at lower forces with gender specific thresholds. These findings highlight the system's potential to enhance abdominal palpation training by offering a controllable and immersive simulation platform.

Auditory-Tactile Congruence for Synthesis of Adaptive Pain Expressions in RoboPatients

Misdiagnosis can lead to delayed treatments and harm. Robotic patients offer a controlled way to train and evaluate clinicians in rare, subtle, or complex cases, reducing diagnostic errors. We present RoboPatient, a medical robotic simulator aimed at multimodal pain synthesis based on haptic and auditory feedback during palpation-based training scenarios. The robopatient functions as an adaptive intermediary, capable of synthesizing plausible pain expressions vocal and facial in response to tactile stimuli generated during palpation. Using an abdominal phantom, robopatient captures and processes haptic input via an internal palpation-to-pain mapping model. To evaluate perceptual congruence between palpation and the corresponding auditory output, we conducted a study involving 7680 trials across 20 participants, where they evaluated pain intensity through sound. Results show that amplitude and pitch significantly influence agreement with the robot's pain expressions, irrespective of pain sounds. Stronger palpation forces elicited stronger agreement, aligning with psychophysical patterns. The study revealed two key dimensions: pitch and amplitude are central to how people perceive pain sounds, with pitch being the most influential cue. These acoustic features shape how well the sound matches the applied force during palpation, impacting perceived realism. This approach lays the groundwork for high-fidelity robotic patients in clinical education and diagnostic simulation.