Evaluating Eye Tracking Technology for Understanding how Medical Students Interpret a 12-Lead Electrocardiogram: A Quantitative Approach (Preprint)

2020 ◽  
Author(s):  
Mohammed Tahri Sqalli ◽  
Dena Al-Thani ◽  
Mohamed Badreldin Elshazly ◽  
‪Mohammed Al-Hijji
Keyword(s):  
Eye Movements ◽  
Medical Students ◽  
Eye Tracking ◽  
Fixation Time ◽  
Eye Tracker ◽  
Different Types ◽  
Interpretation Process ◽  
The Mean ◽  
Tracking Technology ◽  
Insight Into

BACKGROUND It is common among healthcare practitioners that accurate interpretation of a 12-lead electrocardiogram demands high levels of skill and expertise. There is a variation amongst healthcare practitioners in their ability to read ECGs accurately and quickly. Moreover, guidelines or best-practices for a standard interpretation process are inexistant. This causes a chasm between skilled interpreters and medical students who are just beginning to develop this skill. OBJECTIVE This study aims to use the eye tracking methodology to research whether eye fixation can be used to gain a deeper understanding into how medical students acquire the ECG interpretation skill. METHODS Each one of the sixteen recruited medical students was asked to interpret ten different types of 12-lead ECGs, while their eye movements were recorded using a Tobii X60 eye tracker. The device uses corneal reflection technology to non-intrusively record the interpreter’s eye movements. The frequency of sampling is 60Hz. Fixations’ heatmaps of where medical students looked at were generated from the collected dataset. A statistical analysis was conducted on the fixations’ count and duration using the Mann Whitney U test, and the Kruskal Wallis test. RESULTS A total number of 16 medical students interpreting 10 ECGs each were recorded. Each interpretation lasted for a duration of 30 seconds. The mean accuracy of the interpretations was 55.63% with a standard deviation of 4.63 %. After analyzing the average fixation duration, we find that on average students study the three lower leads (rhythm strips) the most with a top-down approach (lead II has highest fixation time (mean = 2727 ms, SD = 456) followed by leads V1 (mean = 1476 fixations, SD = 320), V5 (mean = 1301 fixations, SD = 236). We also find a strong correlation between some of the eye tracking features like the time spent fixating and the fixation count (r = 0.87). Finally, by analyzing the time to the first fixation, we understand that medical students develop a personal system of interpretation that adapts and reacts to the nature and the complexity of the diagnosis. We also find that medical students consider some leads as their guiding point towards finding a hint leading to the correct interpretation. CONCLUSIONS The use of eye tracking methodology provided a more precise insight into how medical students learn how to interpret a 12-lead ECG. CLINICALTRIAL NA

Eye-Tracking Technology

2017 ◽  
pp. 283-302
Author(s):  
Chandni Parikh
Keyword(s):  
Eye Movements ◽  
Eye Tracking ◽  
Eye Gaze ◽  
Autism Spectrum ◽  
Gaze Direction ◽  
Red Flags ◽  
High Risk Infants ◽  
Behavioral Markers ◽  
Tracking Technology ◽  
Insight Into

Eye movements and gaze direction have been utilized to make inferences about perception and cognition since the 1800s. The driving factor behind recording overt eye movements stem from the fundamental idea that one's gaze provides tremendous insight into the information processing that takes place early on during development. One of the key deficits seen in individuals diagnosed with Autism Spectrum Disorders (ASD) involves eye gaze and social attention processing. The current chapter focuses on the use of eye-tracking technology with high-risk infants who are siblings of children diagnosed with ASD in order to highlight potential bio-behavioral markers that can inform the ascertainment of red flags and atypical behaviors associated with ASD within the first few years of development.

scholarly journals Use of Eye-Tracking Technology by Medical Students Taking the Objective Structured Clinical Examination: Descriptive Study

10.2196/17719 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e17719
Author(s):  
M D Grima-Murcia ◽  
Francisco Sanchez-Ferrer ◽  
Jose Manuel Ramos-Rincón ◽  
Eduardo Fernández
Keyword(s):  
Medical Students ◽  
Eye Tracking ◽  
Clinical Examination ◽  
Objective Evaluation ◽  
Objective Structured Clinical Examination ◽  
Eye Tracker ◽  
Clinical Competencies ◽  
Self Evaluation ◽  
Areas Of Interest ◽  
Tracking Technology

Background The objective structured clinical examination (OSCE) is a test used throughout Spain to evaluate the clinical competencies, decision making, problem solving, and other skills of sixth-year medical students. Objective The main goal of this study is to explore the possible applications and utility of portable eye-tracking systems in the setting of the OSCE, particularly questions associated with attention and engagement. Methods We used a portable Tobii Glasses 2 eye tracker, which allows real-time monitoring of where the students were looking and records the voice and ambient sounds. We then performed a qualitative and a quantitative analysis of the fields of vision and gaze points attracting attention as well as the visual itinerary. Results Eye-tracking technology was used in the OSCE with no major issues. This portable system was of the greatest value in the patient simulators and mannequin stations, where interaction with the simulated patient or areas of interest in the mannequin can be quantified. This technology proved useful to better identify the areas of interest in the medical images provided. Conclusions Portable eye trackers offer the opportunity to improve the objective evaluation of candidates and the self-evaluation of the stations used as well as medical simulations by examiners. We suggest that this technology has enough resolution to identify where a student is looking at and could be useful for developing new approaches for evaluating specific aspects of clinical competencies.

scholarly journals Use of Eye-Tracking Technology by Medical Students Taking the Objective Structured Clinical Examination: Descriptive Study (Preprint)

2020 ◽  
Author(s):  
M D Grima-Murcia ◽  
Francisco Sanchez-Ferrer ◽  
Jose Manuel Ramos-Rincón ◽  
Eduardo Fernández
Keyword(s):  
Medical Students ◽  
Eye Tracking ◽  
Clinical Examination ◽  
Objective Evaluation ◽  
Objective Structured Clinical Examination ◽  
Eye Tracker ◽  
Clinical Competencies ◽  
Self Evaluation ◽  
Areas Of Interest ◽  
Tracking Technology

BACKGROUND The objective structured clinical examination (OSCE) is a test used throughout Spain to evaluate the clinical competencies, decision making, problem solving, and other skills of sixth-year medical students. OBJECTIVE The main goal of this study is to explore the possible applications and utility of portable eye-tracking systems in the setting of the OSCE, particularly questions associated with attention and engagement. METHODS We used a portable Tobii Glasses 2 eye tracker, which allows real-time monitoring of where the students were looking and records the voice and ambient sounds. We then performed a qualitative and a quantitative analysis of the fields of vision and gaze points attracting attention as well as the visual itinerary. RESULTS Eye-tracking technology was used in the OSCE with no major issues. This portable system was of the greatest value in the patient simulators and mannequin stations, where interaction with the simulated patient or areas of interest in the mannequin can be quantified. This technology proved useful to better identify the areas of interest in the medical images provided. CONCLUSIONS Portable eye trackers offer the opportunity to improve the objective evaluation of candidates and the self-evaluation of the stations used as well as medical simulations by examiners. We suggest that this technology has enough resolution to identify where a student is looking at and could be useful for developing new approaches for evaluating specific aspects of clinical competencies.

Using an Eye Tracker to Measure Information Processing According to Need for Cognition Level

2018 ◽  
Vol 46 (11) ◽  
pp. 1869-1880 ◽  
Author(s):  
Di Wu ◽  
Yuntao Gao ◽  
Danmin Miao
Keyword(s):  
Information Processing ◽  
Eye Movements ◽  
Eye Tracking ◽  
Cognitive Processes ◽  
Fixation Duration ◽  
Reading Speed ◽  
Need For Cognition ◽  
Eye Tracker ◽  
Persuasive Messages ◽  
Tracking Technology

The need for cognition (NC) refers to the tendency for people to vary in the extent to which they engage in, and enjoy, cognitively effortful activities. However, few studies on NC have been conducted to investigate cognitive processes by using eye-tracking technology. Thus, we measured differences in eye movement between individuals high versus low in NC. We presented 43 undergraduates with persuasive messages on postponed retirement. Meanwhile, their eye movements were recorded using eye-tracking technology. Additionally, participants completed measures of attitude and recall of arguments. Our findings showed that participants high in NC recalled more arguments but did not form more favorable attitudes than did those low in NC. Furthermore, compared to those low in NC, those with high NC recorded longer eye fixation duration, more fixations, slower reading speed, and shorter saccade (movement) lengths. Finally, there were no differences between the two groups concerning the distribution (short, medium, and long fixations) and the proportion of regressions. Eye-tracking technology contributes to further understanding of characteristics of individuals high versus low in NC during reading.

scholarly journals A Fast and Effective System for Analysis of Optokinetic Waveforms with a Low-Cost Eye Tracking Device

Healthcare ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 10
Author(s):  
Chong-Bin Tsai ◽  
Wei-Yu Hung ◽  
Wei-Yen Hsu
Keyword(s):  
Eye Movements ◽  
Eye Tracking ◽  
Eye Movement ◽  
Low Cost ◽  
Saccadic Eye Movements ◽  
Slow Phase ◽  
Eye Tracker ◽  
Effective System ◽  
Tracking Device ◽  
Traditional Approaches

Optokinetic nystagmus (OKN) is an involuntary eye movement induced by motion of a large proportion of the visual field. It consists of a “slow phase (SP)” with eye movements in the same direction as the movement of the pattern and a “fast phase (FP)” with saccadic eye movements in the opposite direction. Study of OKN can reveal valuable information in ophthalmology, neurology and psychology. However, the current commercially available high-resolution and research-grade eye tracker is usually expensive. Methods & Results: We developed a novel fast and effective system combined with a low-cost eye tracking device to accurately quantitatively measure OKN eye movement. Conclusions: The experimental results indicate that the proposed method achieves fast and promising results in comparisons with several traditional approaches.

scholarly journals Covert Attention to Gestures Is Sufficient for Information Uptake

2021 ◽  
Vol 12 ◽  
Author(s):  
Kendra Gimhani Kandana Arachchige ◽  
Wivine Blekic ◽  
Isabelle Simoes Loureiro ◽  
Laurent Lefebvre
Keyword(s):  
Visual Attention ◽  
Eye Tracking ◽  
Information Extraction ◽  
Sentence Context ◽  
Covert Attention ◽  
Speech Comprehension ◽  
Video Clips ◽  
Degraded Speech ◽  
Different Types ◽  
Tracking Technology

Numerous studies have explored the benefit of iconic gestures in speech comprehension. However, only few studies have investigated how visual attention was allocated to these gestures in the context of clear versus degraded speech and the way information is extracted for enhancing comprehension. This study aimed to explore the effect of iconic gestures on comprehension and whether fixating the gesture is required for information extraction. Four types of gestures (i.e., semantically and syntactically incongruent iconic gestures, meaningless configurations, and congruent iconic gestures) were presented in a sentence context in three different listening conditions (i.e., clear, partly degraded or fully degraded speech). Using eye tracking technology, participants’ gaze was recorded, while they watched video clips after which they were invited to answer simple comprehension questions. Results first showed that different types of gestures differently attract attention and that the more speech was degraded, the less participants would pay attention to gestures. Furthermore, semantically incongruent gestures appeared to particularly impair comprehension although not being fixated while congruent gestures appeared to improve comprehension despite also not being fixated. These results suggest that covert attention is sufficient to convey information that will be processed by the listener.

Social Perception of Facial Feminization Surgery Outcomes: Does Gender Identity Alter Gaze?

2020 ◽  
Author(s):  
Shanique A Martin ◽  
Shane D Morrison ◽  
Viren Patel ◽  
Fermín Capitán-Cañadas ◽  
Anabel Sánchez-García ◽  
...  
Keyword(s):  
Gender Identity ◽  
Eye Tracking ◽  
Social Perception ◽  
Objective Measure ◽  
Multivariate Regression Analysis ◽  
Fixation Time ◽  
Aesthetic Appearance ◽  
Significant Difference ◽  
Attention And Perception ◽  
Tracking Technology

Abstract Background The evaluation of gender-affirming facial feminization surgery (FFS) outcomes can be highly subjective, which has resulted in a limited understanding of the social perception of favorable gender and aesthetic facial appearance following these procedures. The growing use of eye-tracking technology in the assessment of surgical outcomes has introduced an objective measure of viewer subconscious gaze, which may provide more insight into how viewer characteristics may influence gaze, attention and perception of favorable FFS outcomes. Objective In this study, eye-tracking technology was used to measure attention and perception of surgery naïve cisgender female and feminized transgender faces, based on viewer gender identity. Methods Thirty-two participants (18 cisgender and 14 transgender) were enrolled and shown five photos each of surgery naïve cisgender female and feminized transgender faces. Gaze was captured using the Tobii X2 60 eye-tracking device (Tobii, Stockholm, Sweden) and participants rated the gender and aesthetic appearance of each face using Likert-type scales. Results Total image gaze fixation time did not differ by participant gender identity (6.00 vs 6.04 sec, p = 0.889), however, transgender participants spent more time evaluating the forehead/brow, buccal/mandibular regions and chin (p < 0.001). Multivariate regression analysis showed significant associations between viewer gender identity, age, race, and education and the time spent evaluating gender salient facial features. Feminized faces were rated as more masculine with poorer aesthetic appearance than surgery naïve cisgender female faces, however, there was no significant difference in the distribution of gender appearance ratings assigned to each photo by cisgender and transgender participants. Conclusions These results demonstrate that gender identity influences subconscious attention and gaze on female faces. Even so, differences in gaze distribution did not correspond to subjective rated gender appearance for either surgery naïve cisgender female or feminized transgender faces, further illustrating the complexity of evaluating social perception of favorable FFS outcomes.

scholarly journals The Power of Eye Tracking in Economics Experiments

2016 ◽  
Vol 106 (5) ◽  
pp. 309-313 ◽  
Author(s):  
Joanna N. Lahey ◽  
Douglas Oxley
Keyword(s):  
Economic Theory ◽  
Data Analysis ◽  
Eye Tracking ◽  
Data Management ◽  
Tracking Data ◽  
Eye Tracker ◽  
Hiring Decisions ◽  
Economics Experiments ◽  
Set Up ◽  
Tracking Technology

Eye tracking is a technology that tracks eye activity including how long and where a participant is looking. As eye tracking technology has improved and become more affordable its use has expanded. We discuss how to design, implement, and analyze an experiment using this technology to study economic theory. Using our experience fielding an experiment to study hiring decisions we guide the reader through how to choose an eye tracker, concerns with participants and set-up, types of outputs, limitations of eye tracking, data management and data analysis. We conclude with suggestions for combining eye tracking with other measurements.

scholarly journals Prospective Observational Study of an Eye-tracking Device for Under 12 Months of Age Infants; the Feasibility of Gazefinder

2021 ◽  
Author(s):  
Tomoo Takahashi ◽  
Kazuki Tsukamoto ◽  
Misaki Matsumura ◽  
Ryo Takigawa ◽  
Yasuo Sakai ◽  
...  
Keyword(s):  
Observational Study ◽  
Eye Tracking ◽  
Prospective Observational Study ◽  
Assessment Tool ◽  
Positive Association ◽  
Autism Spectrum ◽  
Fixation Time ◽  
Developmental Problems ◽  
Significant Difference ◽  
The Mean

Abstract Eye-tracking to evaluate gaze patterns has developed as an assessment tool for children with Autism Spectrum Disorder (ASD). Gazefinder is one of Eye-tracking devices and few studies have investigated whether it can measure the gaze data of infants under 12 months of age. We conducted a prospective observational study from April 2019 to March 2020 in a periodic health checkup in Ohchi County, Shimane, Japan. Participants included infants between 4 and 11 months of age who were not suspected the presence of developmental problems. Ninety-three participants’ datapoints were analyzed. The mean age was 6.5 months and mean developmental quotient was 88%. The mean fixation time percentage of all sequences was 81.0% (standard deviation; 4.4), and there was no significant difference in each age group. Infants in all groups showed a significantly higher predilection for eyes than for mouths. There was a positive association of age with human gaze and a negative association with geometric gaze. Moreover, we confirmed that joint attention skills were enhanced in accordance with their growth process. The eye-tracking data were almost corresponding to previous studies’ data of infant with typical development and Gazefinder could be applied to infants starting at 4 months of age.

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