Human Computer Interface for Tracking Eye Movements Improves Assessment and Diagnosis of Patients With Acquired Brain Injuries
Abstract
One of the first clinical signs differentiating the minimally conscious state from the vegetative state is the presence of smooth pursuit eye movements occurring in direct response to moving salient stimuli. Glasgow Coma Scale (GCS) is one of the most commonly used diagnostic tools for acute phase assessment of the level of consciousness, together with a neurological examination. These classic measures are limited to qualitative neurological examination without more quantitative measures provided from e.g., tasks with tracking position of the gaze. Among this and other limitations, it is prone to a relatively high rate of misdiagnosis. Here, we developed an interface for gaze tracking to enhance the assessment of consciousness in 10 patients with acquired brain injuries. According to the acute phase GCS assessment, nine of them were considered unaware and below the minimally conscious state. Chronic neurological examination confirmed six of them below the minimally conscious state. Our new Human Computer Interface (HCI) revealed that six patients were conscious enough to complete at least one of the gaze tracking tasks. Among these six patients, one was originally diagnosed as remaining in a vegetative state and one in coma. The patient diagnosed as remaining in a chronic vegetative state scored six GCS points acutely. Following assessment with our HCI the patient was re-diagnosed with a possible locked-in syndrome. Our HCI method provides a new complementary tool for clinical assessment of patients suffering from disorders of consciousness.
Citations
-
1 1
CrossRef
-
0
Web of Science
-
1 3
Scopus
Authors (3)
Cite as
Full text
- Publication version
- Accepted or Published Version
- License
- open in new tab
Keywords
Details
- Category:
- Articles
- Type:
- artykuł w czasopiśmie wyróżnionym w JCR
- Published in:
-
Frontiers in Neurology
no. 10,
pages 1 - 9,
ISSN: 1664-2295 - Language:
- English
- Publication year:
- 2019
- Bibliographic description:
- Lech M., Kucewicz M. T., Czyżewski A.: Human Computer Interface for Tracking Eye Movements Improves Assessment and Diagnosis of Patients With Acquired Brain Injuries// Frontiers in Neurology. -Vol. 10, iss. 6 (2019), s.1-9
- DOI:
- Digital Object Identifier (open in new tab) 10.3389/fneur.2019.00006
- Bibliography: test
-
- Jamal A, Sankhyan N, Jayashree M, Singhi S, Singhi P. Full Outline of Unresponsiveness score and the Glasgow Coma Scale in prediction of pediatric coma. World J Emerg Med. (2017) 8:55-60. doi: 10.5847/wjem.j.1920-8642.2017.01.010 open in new tab
- Laureys S, Bodart O, Gosseries O. The Glasgow Coma Scale: time for critical reappraisal? Lancet Neurol. (2014) 13:755-7. doi: 10.1016/S1474-4422(14)70152-8 open in new tab
- Bhatty GB, Kapoor N. The Glasgow Coma Scale: a mathematical critique. Acta Neurochir. (1993) 120:132-5. doi: 10.1007/BF021 12031 open in new tab
- Laureys S, Pellas F, Van Eeckhout P. The locked-in syndrome: what is it like to be conscious but paralyzed and voiceless? Prog Brain Res. (2005) 150:495-511. doi: 10.1016/S0079-6123(05)50034-7 open in new tab
- Lowry M. The Glasgow Coma Scale in clinical practice: a critique. Nurs Times (1999) 95:40-2. open in new tab
- Vanhaudenhuyse A, Schnakers C, Brédart S, Laureys S. Assessment of visual pursuit in post-comatose states: use a mirror. J Neurol Neurosurg Psychiatry (2008) 79:223. doi: 10.1136/jnnp.2007.121624 open in new tab
- Majerus S, Gill-Thwaites H, Andrews K, Laureys S. Behavioral evaluation of consciousness in severe brain damage. Prog Brain Res. (2005) 150:397-413. doi: 10.1016/S0079-6123(05)50028-1 open in new tab
- Giacino JT, Kalmar K. CRS-R Coma Recovery Scale-Revised-Administration and Scoring Guidelines. JFK Medical Center, Johnson Rehabilitation Institution (2004). open in new tab
- Ansell BJ, Keenan JE. The Western Neuro Sensory Stimulation Profile: a tool for assessing slow-to-recover head-injured patients. Arch Phys Med Rehabil. (1989) 70:104-8. open in new tab
- Rappaport M. The Coma/Near Coma Scale. The Center for Outcome Measurement in Brain Injury (2000). open in new tab
- Wilson FC, Elder V, McCrudden E. Analysis of Wessex Head Injury Matrix (WHIM) scores in consecutive vegetative and minimally conscious state patients. Neuropsychol Rehabil. (2009) 19:754-60. doi: 10.1017/CBO9780511581083 open in new tab
- Gill-Thwaites H, Munday R. The Sensory Modality Assessment and Rehabilitation Technique (SMART): a comprehensive and integrated assessment and treatment protocol for the vegetative state and minimally responsive patient. Neuropsychol Rehabil. (1999) 9:305-20. doi: 10.1080/096020199389392 open in new tab
- Wijdicks EFM, Bamlet WR, Maramattom BV, Manno EM, McClelland RL. Validation of a new coma scale: the FOUR score. Ann Neurol. (2005) 58:585- 93. doi: 10.1002/ana.20611 open in new tab
- Bruno MA, Ledoux D, Lambermont B. Comparison of the Full Outline of UnResponsiveness and Glasgow Liege Scale/Glasgow Coma Scale in an intensive care unit population. Neurocrit Care (2011) 15:447-53. doi: 10.1007/s12028-011-9547-2 open in new tab
- Schnakers C, Vanhaudenhuyse A, Giacino J, Ventura M, Boly M, Majerus S, et al. Diagnostic accuracy of the vegetative and minimally conscious state: clinical consensus versus standardized neurobehavioral assessment. BMC Neurol. (2009) 9:35. doi: 10.1186/1471-2377-9-35 open in new tab
- Ting WK, Perez Velazquez JL, Cusimano MD. Eye movement measurement in diagnostic assessment of disorders of consciousness. Front Neurol. (2014) 5:137. doi: 10.3389/fneur.2014.00137 open in new tab
- De Santi L, Lanzafame P, Spano B, D'Aleo G, Bramanti A, Bramanti P, et al. Pursuit ocular movements in multiple sclerosis: a video-based eye-tracking study. Neurol Sci. (2011) 32:67-71. doi: 10.1007/s10072-010-0395-1 open in new tab
- Trepagnier C. Tracking gaze of patients with visuospatial neglect. Top Stroke Rehabil. (2002) 8:79-88. doi: 10.1310/RH1W-Y1Y9-4Y8H-E933 open in new tab
- Trojano L, Moretta P, Loreto V, Cozzolino A, Santoro L, Estraneo A. Quantitative assessment of visual behavior in disorders of consciousness. J Neurol. (2012) 259:1888-95. doi: 10.1007/s00415-012-6435-4 open in new tab
- Czyzewski A, Kostek B, Kurowski A, Szczuko P, Lech M, Odya P, et al. Multimodal approach for polysensory stimulation and diagnosis of subjects with severe communication disorders. Proc Computer Sci. (2017) 121:238-43. doi: 10.1016/j.procs.2017.11.033 open in new tab
- Kurowski A, Odya P, Szczuko P, Lech M, Spaleniak P, Kostek B, et al. Multimodal system for diagnosis and polysensory stimulation of subjects with communication Disorders. In: Kryszkiewicz M, Appice A,Ślȩzak D, Rybinski H, Skowron A, Raś Z, editors. Foundations of Intelligent Systems. Lecture Notes in Computer Science, Vol. 10352, Cham: Springer (2017) p. 47-56. open in new tab
- Tobii Developer Zone. Introducing the SteelSeries Sentry Eye Tracker. Available online at: https://developer.tobii.com/introducing-steelseries- sentry-eye-tracker/ (Accessed May 30, 2018).
- Tobii Pro Website. Eye Tracker Accuracy and Precision.
- Kalman RE. A new approach to linear filtering and prediction problems. Trans ASME J Basic Eng. (1960) 82:35-45. doi: 10.1115/1.3662552 open in new tab
- Kerry Louise H, Hepworth LR, Rowe FJ. The treatment methods for post- stroke visual impairment: a systematic review. Brain Behav. (2017) 7:e00682. doi: 10.1002/brb3.682 open in new tab
- Rowe FJ, Kerry H, Evans JR, Noonan CP, Garcia-Finana M, Dodridge CS, et al. Interventions for eye movement disorders due to acquired brain injury. Cochrane Database Syst Rev. (2018) 3:CD011290. doi: 10.1002/14651858.CD011290.pub2 open in new tab
- Marino S, Bonanno L, Ciurleo R, Baglieri A, Morabito R, Guerrera S, et al. Functional evaluation of awareness in vegetative and minimally conscious state. Open Neuroimag J. (2017) 11:17-25. doi: 10.2174/1874440001711010017 open in new tab
- Drewes H. Eye Gaze Tracking for Human Computer Interaction. München: Dissertation an der LFE Medien-Informatik der Ludwig-Maximilians- Universität (2010).
- Jacob RJ. Eye tracking in advanced interface design. In: Barfield W, Furness TA, editors. Virtual Environments and Advanced interface Design. New York, NY: Oxford University Press (1995). p. 258-88.
- McNett M. A review of the predictive ability of Glasgow Coma Scale scores in head-injured patients. J Neurosci Nurs. (2007) 39:68-75. doi: 10.1097/01376517-200704000-00002 open in new tab
- Healey M, Jordan F, Pell B, Short C. The research teaching nexus: a case study of students' awareness, experiences and perceptions of research. Innovat Edu Teach Int. (2010) 47:235-46. doi: 10.1080/14703291003718968 open in new tab
- Juarez VJ, Lyons M. Interrater reliability of the Glasgow Coma Scale. J Neurosci Nurs. (1995) 27:283-6. doi: 10.1097/01376517-199510000-00008 open in new tab
- Verified by:
- Gdańsk University of Technology
seen 165 times