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ETMT: A Tool for Eye-Tracking-Based Trail-Making Test to Detect Cognitive Impairment
Jyotsna Chandrasekharan1,2, Amudha Joseph1, Amritanshu Ram3
1Department of Computer Science and Engineering, Amrita School of Computing, Amrita Vishwa Vidyapeetham, Bengaluru 560035, India.
Sensors (Basel, Switzerland)
|August 12, 2023
Summary
A new Eye-Tracking-Based Trail-Making Test (ETMT) screens for cognitive impairment by analyzing eye movements. This tool offers a convenient and affordable method for early detection and monitoring of cognitive decline.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Biomedical Engineering
Background:
- Rising global cognitive impairment necessitates efficient screening tools.
- Shortage of mental health experts limits early detection and intervention.
- Eye tracking offers novel insights into cognitive processes and behavior.
Purpose of the Study:
- To introduce the Eye-Tracking-Based Trail-Making Test (ETMT) as a novel screening tool for cognitive function.
- To assess the efficacy of ETMT in quantifying visual search speed and focused attention.
- To develop an adaptive neuro-fuzzy inference system for calculating an overall cognitive impairment score.
Main Methods:
- Development of the ETMT system integrating eye-tracking technology.
- Utilization of a fuzzy-inference system to analyze visual search speed and attention.
- Implementation of an adaptive neuro-fuzzy inference system for comprehensive scoring.
Main Results:
- The ETMT model effectively assesses cognitive abilities and identifies deficits.
- Significant changes in eye movement behavior associated with cognitive impairment were captured.
- The system provides a quantitative measure of cognitive decline.
Conclusions:
- The ETMT is a promising tool for evaluating cognitive impairment.
- It offers a convenient, affordable, and objective method for cognitive assessment.
- The tool can aid in prioritizing healthcare resources and improving practitioner feedback.

