Display options
Share it on

PLoS One. 2021 Dec 02;16(12):e0260717. doi: 10.1371/journal.pone.0260717. eCollection 2021.

Spatial and time domain analysis of eye-tracking data during screening of brain magnetic resonance images.

PloS one

Abdulla Al Suman, Carlo Russo, Ann Carrigan, Patrick Nalepka, Benoit Liquet-Weiland, Robert Ahadizad Newport, Poonam Kumari, Antonio Di Ieva

Affiliations

  1. Computational NeuroSurgery (CNS) Lab, Faculty of Medicine, Health, and Human Sciences, Macquarie University, Sydney, Australia.
  2. School of Psychological Sciences, Faculty of Medicine, Health, and Human Sciences, Macquarie University, Sydney, Australia.
  3. Centre for Elite Performance, Expertise and Training, Macquarie University, Sydney, Australia.
  4. Department of Mathematics and Statistics, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.

PMID: 34855867 PMCID: PMC8639086 DOI: 10.1371/journal.pone.0260717

Abstract

INTRODUCTION: Eye-tracking research has been widely used in radiology applications. Prior studies exclusively analysed either temporal or spatial eye-tracking features, both of which alone do not completely characterise the spatiotemporal dynamics of radiologists' gaze features.

PURPOSE: Our research aims to quantify human visual search dynamics in both domains during brain stimuli screening to explore the relationship between reader characteristics and stimuli complexity. The methodology can be used to discover strategies to aid trainee radiologists in identifying pathology, and to select regions of interest for machine vision applications.

METHOD: The study was performed using eye-tracking data 5 seconds in duration from 57 readers (15 Brain-experts, 11 Other-experts, 5 Registrars and 26 Naïves) for 40 neuroradiological images as stimuli (i.e., 20 normal and 20 pathological brain MRIs). The visual scanning patterns were analysed by calculating the fractal dimension (FD) and Hurst exponent (HE) using re-scaled range (R/S) and detrended fluctuation analysis (DFA) methods. The FD was used to measure the spatial geometrical complexity of the gaze patterns, and the HE analysis was used to measure participants' focusing skill. The focusing skill is referred to persistence/anti-persistence of the participants' gaze on the stimulus over time. Pathological and normal stimuli were analysed separately both at the "First Second" and full "Five Seconds" viewing duration.

RESULTS: All experts were more focused and a had higher visual search complexity compared to Registrars and Naïves. This was seen in both the pathological and normal stimuli in the first and five second analyses. The Brain-experts subgroup was shown to achieve better focusing skill than Other-experts due to their domain specific expertise. Indeed, the FDs found when viewing pathological stimuli were higher than those in normal ones. Viewing normal stimuli resulted in an increase of FD found in five second data, unlike pathological stimuli, which did not change. In contrast to the FDs, the scanpath HEs of pathological and normal stimuli were similar. However, participants' gaze was more focused for "Five Seconds" than "First Second" data.

CONCLUSIONS: The HE analysis of the scanpaths belonging to all experts showed that they have greater focus than Registrars and Naïves. This may be related to their higher visual search complexity than non-experts due to their training and expertise.

Conflict of interest statement

The authors have declared that no competing interests exist.

References

  1. Med Phys. 2018 Nov;45(11):4844-4856 - PubMed
  2. Med Phys. 2014 Sep;41(9):091907 - PubMed
  3. Hum Factors. 2021 Jun;63(4):635-646 - PubMed
  4. J Neurosci Methods. 2014 Jul 30;232:102-9 - PubMed
  5. Radiology. 2007 Feb;242(2):396-402 - PubMed
  6. Neuroscientist. 2015 Feb;21(1):30-43 - PubMed
  7. Adv Health Sci Educ Theory Pract. 2016 Mar;21(1):189-205 - PubMed
  8. Cogn Res Princ Implic. 2018;3(1):12 - PubMed
  9. AJR Am J Roentgenol. 2005 Dec;185(6):1416-21 - PubMed
  10. Neuroscientist. 2013 Dec 20;20(4):403-417 - PubMed
  11. Sci Rep. 2016 Feb 11;6:20815 - PubMed
  12. Br J Radiol. 2004 Mar;77(915):231-5 - PubMed
  13. Med Phys. 2017 Mar;44(3):832-846 - PubMed
  14. Skeletal Radiol. 2013 Feb;42(2):165-72 - PubMed
  15. Med Phys. 2013 Oct;40(10):101906 - PubMed
  16. Radiology. 2016 Jul;280(1):252-60 - PubMed
  17. Invest Radiol. 1978 May-Jun;13(3):175-81 - PubMed
  18. Cogn Res Princ Implic. 2018;3(1):10 - PubMed
  19. Psychon Bull Rev. 2021 Apr;28(2):503-511 - PubMed
  20. BMJ Qual Saf. 2012 Jul;21(7):535-57 - PubMed
  21. PLoS One. 2011;6(12):e28928 - PubMed
  22. IEEE Rev Biomed Eng. 2013;6:77-98 - PubMed
  23. Acad Radiol. 2008 Jul;15(7):881-6 - PubMed
  24. Front Physiol. 2012 Nov 30;3:450 - PubMed
  25. Sci Rep. 2018 Jun 7;8(1):8717 - PubMed

Publication Types