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Updated: Sep 27, 2025

Virtual Reality Tools for Assessing Unilateral Spatial Neglect: A Novel Opportunity for Data Collection
Published on: March 10, 2021
Applying machine learning to dissociate between stroke patients and healthy controls using eye movement features
Veerle H E W Brouwer1, Sjoerd Stuit1, Alex Hoogerbrugge1
1Department of Experimental Psychology, Helmholtz Institute, Utrecht University, Heidelberglaan 1, 3584 CS, Utrecht, Netherlands.
Virtual reality simulations with eye tracking offer new ways to assess cognitive function. Eye movement patterns in virtual environments can help detect cognitive deficits in stroke patients.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Human-Computer Interaction
Background:
- Conventional neuropsychological tests lack ecological validity for real-world scenarios.
- Immersive virtual reality (VR) offers controlled, dynamic simulations for assessment.
- Integrating eye tracking with VR provides detailed behavioral metrics.
Purpose of the Study:
- To evaluate the potential of eye movement analysis in VR for neuropsychological assessment.
- To differentiate between task complexities (short vs. long shopping lists) using eye tracking.
- To distinguish between stroke patients and healthy controls based on eye movement data.
Main Methods:
- Participants (83 stroke patients, 103 controls) navigated a virtual supermarket.
- Eye movements were recorded while participants completed shopping tasks (3 or 7 items).
- Machine learning models (Logistic Regression, Support Vector Machine) analyzed eye tracking data.
Main Results:
- Models predicted shopping list length with an AUC of .76.
- Models differentiated stroke patients from controls with an AUC of .64.
- Revisiting aisles was the most significant feature for both classification tasks.
Conclusions:
- Eye movement data from VR simulations reveal cognitive signatures.
- This approach shows promise for detecting cognitive deficits and clinical applications.
- VR-based eye tracking enhances neuropsychological assessment capabilities.
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