arXiv:2506.19306cs.CV2025-06

用眼神数据提升插管技能评估准确率

Airway Skill Assessment with Spatiotemporal Attention Mechanisms Using Human Gaze

  • 结合眼球注视点生成视觉掩码,引导模型关注关键区域
  • 在真实场景下对成功/失败插管识别准确率显著提升
  • 适合军事急救等高压环境下的临床能力客观评估

气道管理技能在急诊医学中至关重要,传统评估依赖主观判断,难以反映真实场景中的能力水平。本文提出一种基于机器学习的插管技能评估方法,利用人眼注视数据与视频记录,通过注视点生成视觉掩码,引导注意力机制聚焦任务相关区域,减少无关特征干扰。采用自编码器提取视频特征,注意力模块基于掩码生成关注权重,分类器输出评估得分。该方法首次将人类眼动数据用于内镜插管(ETI)评估,在预测准确率、灵敏度和可信度上均优于传统方法,展现出在高压力环境如军用医疗场景中实现客观、高效临床技能评估的潜力。

原文摘要 · Abstract (English)

Airway management skills are critical in emergency medicine and are typically assessed through subjective evaluation, often failing to gauge competency in real-world scenarios. This paper proposes a machine learning-based approach for assessing airway skills, specifically endotracheal intubation (ETI), using human gaze data and video recordings. The proposed system leverages an attention mechanism guided by the human gaze to enhance the recognition of successful and unsuccessful ETI procedures. Visual masks were created from gaze points to guide the model in focusing on task-relevant areas, reducing irrelevant features. An autoencoder network extracts features from the videos, while an attention module generates attention from the visual masks, and a classifier outputs a classification score. This method, the first to use human gaze for ETI, demonstrates improved accuracy and efficiency over traditional methods. The integration of human gaze data not only enhances model performance but also offers a robust, objective assessment tool for clinical skills, particularly in high-stress environments such as military settings. The results show improvements in prediction accuracy, sensitivity, and trustworthiness, highlighting the potential for this approach to improve clinical training and patient outcomes in emergency medicine.

技能评估眼动追踪急诊医学注意力机制

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