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Record W4406730617 · doi:10.2196/53928

Discrimination of Radiologists' Experience Level Using Eye-Tracking Technology and Machine Learning: Case Study

2025· article· en· W4406730617 on OpenAlexvenueno aff
Stanford Martinez, Carolina Ramirez-Tamayo, Syed Hasib Akhter Faruqui, Kal Clark, Adel Alaeddini, Nicholas Czarnek, Aarushi Aggarwal, Sahra Emamzadehfard, Jeffrey R. Mock, Edward J. Golob

Bibliographic record

VenueJMIR Formative Research · 2025
Typearticle
Languageen
FieldMedicine
TopicRadiology practices and education
Canadian institutionsnot available
FundersUniversity of Texas Health Science Center at San AntonioUniversity of Texas at San Antonio
KeywordsEye trackingArtificial intelligenceComputer scienceRobustness (evolution)Fixation (population genetics)Computer visionVisualizationGazeMachine learningPattern recognition (psychology)Medicine

Abstract

fetched live from OpenAlex

BACKGROUND: Perception-related errors comprise most diagnostic mistakes in radiology. To mitigate this problem, radiologists use personalized and high-dimensional visual search strategies, otherwise known as search patterns. Qualitative descriptions of these search patterns, which involve the physician verbalizing or annotating the order he or she analyzes the image, can be unreliable due to discrepancies in what is reported versus the actual visual patterns. This discrepancy can interfere with quality improvement interventions and negatively impact patient care. OBJECTIVE: The objective of this study is to provide an alternative method for distinguishing between radiologists by means of captured eye-tracking data such that the raw gaze (or processed fixation data) can be used to discriminate users based on subconscious behavior in visual inspection. METHODS: -score, sensitivity, and specificity to evaluate the discriminability between the 2 groups regarding their level of experience. The classification performance was then compared with state-of-the-art methodologies. In addition, a repeatability experiment using a separate dataset, experimental protocol, and eye tracker was performed with 8 participants to evaluate the robustness of the proposed approach. RESULTS: The numerical results from both experiments demonstrate that classifiers using the proposed feature encoding methods outperform the current state-of-the-art in differentiating between radiologists in terms of experience level. An average performance gain of 6.9% is observed compared with traditional features while classifying experience levels of radiologists. This gain in accuracy is also substantial across different eye tracker-collected datasets, with improvements of 6.41% using the Tobii eye tracker and 7.29% using the EyeLink eye tracker. These results signify the potential impact of the proposed method for identifying radiologists' level of expertise and those who would benefit from additional training. CONCLUSIONS: The effectiveness of the proposed spatiotemporal discretization approach, validated across diverse datasets and various classification metrics, underscores its potential for objective evaluation, informing targeted interventions and training strategies in radiology. This research advances reliable assessment tools, addressing challenges in perception-related errors to enhance patient care outcomes.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.009
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.004
Threshold uncertainty score0.010

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.009
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0020.001
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0020.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.236
GPT teacher head0.541
Teacher spread0.306 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations1
Published2025
Admission routes1
Has abstractyes

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