Integration of eye-tracking systems with sport concussion assessment tool 5th edition for mild TBI and concussion diagnostics in neurotrauma: Building a framework for the artificial intelligence era

Traumatic Brain Injuries (TBIs), including mild TBI (mTBI) and concussions, affect an estimated 69 million individuals annually with significant cognitive, physical, and psychosocial consequences. The Sport Concussion Assessment Tool 5th Edition (SCAT5) is pivotal for diagnosing these conditions but...

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Main Authors: Augusto Müller Fiedler, Renato Anghinah, Fernando De Nigris Vasconcellos, Alexis A. Morell, Timoteo Almeida, Bernardo Assumpção de Mônaco, Joacir Graciolli Cordeiro
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Neuroscience Informatics
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772528623000328
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author Augusto Müller Fiedler
Renato Anghinah
Fernando De Nigris Vasconcellos
Alexis A. Morell
Timoteo Almeida
Bernardo Assumpção de Mônaco
Joacir Graciolli Cordeiro
author_facet Augusto Müller Fiedler
Renato Anghinah
Fernando De Nigris Vasconcellos
Alexis A. Morell
Timoteo Almeida
Bernardo Assumpção de Mônaco
Joacir Graciolli Cordeiro
author_sort Augusto Müller Fiedler
collection DOAJ
description Traumatic Brain Injuries (TBIs), including mild TBI (mTBI) and concussions, affect an estimated 69 million individuals annually with significant cognitive, physical, and psychosocial consequences. The Sport Concussion Assessment Tool 5th Edition (SCAT5) is pivotal for diagnosing these conditions but possesses inherent subjectivity. Conversely, eye-tracking systems provide objective data, capturing subtle disruptions in ocular and cognitive functions often missed by traditional measures. Yet, the concurrent use of these promising tools for neurotrauma diagnostics is relatively unexplored. This paper proposes integrating eye-tracking with SCAT5 to enhance mTBI and concussion diagnostics. We introduce a model that synergistically combines the strengths of both techniques into an ‘ocular score’, adding objectivity to SCAT5. This union promises improved clinical decision-making, impacting return-to-play, fitness-to-drive, and return-to-work judgments, providing a novel landscape in the neurotrauma scenario. However, our theoretical framework requires empirical validation. We advocate for future large-scale collaborative research databases, and exploration of eye-tracking-based diagnostic markers. Our methodology highlights the potential of this integrated approach to redefine neurotrauma management and diagnostics, addressing a critical global health concern with proven utility in high-risk settings like sports and the military.
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spelling doaj.art-4cd8fd0f77bc479b88e1ab73246f62d92023-11-22T04:49:46ZengElsevierNeuroscience Informatics2772-52862023-12-0134100147Integration of eye-tracking systems with sport concussion assessment tool 5th edition for mild TBI and concussion diagnostics in neurotrauma: Building a framework for the artificial intelligence eraAugusto Müller Fiedler0Renato Anghinah1Fernando De Nigris Vasconcellos2Alexis A. Morell3Timoteo Almeida4Bernardo Assumpção de Mônaco5Joacir Graciolli Cordeiro6Department of Neurological Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL, USA; Corresponding author. Permanent address: 1475 NW 12th Avenue, 33136, Miami, FL, USA.Department of Neurological Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL, USA; Department of Neurology, Clinics Hospital, University of São Paulo Medical School, São Paulo, BrazilDepartment of Neurological Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL, USA; Vivian L. Smith Department of Neurosurgery at McGovern Medical School, UTHealth Houston, Houston, TX, USADepartment of Neurological Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL, USADepartment of Neurological Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL, USA; Department of Radiation Oncology, Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, FL, USADepartment of Neurological Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL, USA; Division of Neurosurgery, Clinics Hospital, School of Medicine, University of São Paulo, São Paulo, BrazilDepartment of Neurological Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL, USATraumatic Brain Injuries (TBIs), including mild TBI (mTBI) and concussions, affect an estimated 69 million individuals annually with significant cognitive, physical, and psychosocial consequences. The Sport Concussion Assessment Tool 5th Edition (SCAT5) is pivotal for diagnosing these conditions but possesses inherent subjectivity. Conversely, eye-tracking systems provide objective data, capturing subtle disruptions in ocular and cognitive functions often missed by traditional measures. Yet, the concurrent use of these promising tools for neurotrauma diagnostics is relatively unexplored. This paper proposes integrating eye-tracking with SCAT5 to enhance mTBI and concussion diagnostics. We introduce a model that synergistically combines the strengths of both techniques into an ‘ocular score’, adding objectivity to SCAT5. This union promises improved clinical decision-making, impacting return-to-play, fitness-to-drive, and return-to-work judgments, providing a novel landscape in the neurotrauma scenario. However, our theoretical framework requires empirical validation. We advocate for future large-scale collaborative research databases, and exploration of eye-tracking-based diagnostic markers. Our methodology highlights the potential of this integrated approach to redefine neurotrauma management and diagnostics, addressing a critical global health concern with proven utility in high-risk settings like sports and the military.http://www.sciencedirect.com/science/article/pii/S2772528623000328ConcussionMild traumatic brain injuryTBINeurotraumaEye-trackingSport concussion assessment tool-5
spellingShingle Augusto Müller Fiedler
Renato Anghinah
Fernando De Nigris Vasconcellos
Alexis A. Morell
Timoteo Almeida
Bernardo Assumpção de Mônaco
Joacir Graciolli Cordeiro
Integration of eye-tracking systems with sport concussion assessment tool 5th edition for mild TBI and concussion diagnostics in neurotrauma: Building a framework for the artificial intelligence era
Neuroscience Informatics
Concussion
Mild traumatic brain injury
TBI
Neurotrauma
Eye-tracking
Sport concussion assessment tool-5
title Integration of eye-tracking systems with sport concussion assessment tool 5th edition for mild TBI and concussion diagnostics in neurotrauma: Building a framework for the artificial intelligence era
title_full Integration of eye-tracking systems with sport concussion assessment tool 5th edition for mild TBI and concussion diagnostics in neurotrauma: Building a framework for the artificial intelligence era
title_fullStr Integration of eye-tracking systems with sport concussion assessment tool 5th edition for mild TBI and concussion diagnostics in neurotrauma: Building a framework for the artificial intelligence era
title_full_unstemmed Integration of eye-tracking systems with sport concussion assessment tool 5th edition for mild TBI and concussion diagnostics in neurotrauma: Building a framework for the artificial intelligence era
title_short Integration of eye-tracking systems with sport concussion assessment tool 5th edition for mild TBI and concussion diagnostics in neurotrauma: Building a framework for the artificial intelligence era
title_sort integration of eye tracking systems with sport concussion assessment tool 5th edition for mild tbi and concussion diagnostics in neurotrauma building a framework for the artificial intelligence era
topic Concussion
Mild traumatic brain injury
TBI
Neurotrauma
Eye-tracking
Sport concussion assessment tool-5
url http://www.sciencedirect.com/science/article/pii/S2772528623000328
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