Jeffrey R. Mock

Stanford Martinez, Carolina Ramirez-Tamayo, Syed Hasib Akhter Faruqui et al.

Perception-related errors comprise most diagnostic mistakes in radiology. To mitigate this problem, radiologists employ 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/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. This study presents a novel discretized feature encoding based on spatiotemporal binning of fixation data for efficient geometric alignment and temporal ordering of eye movement when reading chest X-rays. The encoded features of the eye-fixation data are employed by machine learning classifiers to discriminate between faculty and trainee radiologists. We include a clinical trial case study utilizing the Area Under the Curve (AUC), Accuracy, F1, Sensitivity, and Specificity metrics for class separability to evaluate the discriminability between the two subjects in regard to their level of experience. We then compare the classification performance to state-of-the-art methodologies. A repeatability experiment using a separate dataset, experimental protocol, and eye tracker was also performed using eight subjects to evaluate the robustness of the proposed approach. The numerical results from both experiments demonstrate that classifiers employing the proposed feature encoding methods outperform the current state-of-the-art in differentiating between radiologists in terms of experience level. This signifies the potential impact of the proposed method for identifying radiologists' level of expertise and those who would benefit from additional training.

Arun Das, Jeffrey Mock, Henry Chacon et al.

Speech disorders such as stuttering disrupt the normal fluency of speech by involuntary repetitions, prolongations and blocking of sounds and syllables. In addition to these disruptions to speech fluency, most adults who stutter (AWS) also experience numerous observable secondary behaviors before, during, and after a stuttering moment, often involving the facial muscles. Recent studies have explored automatic detection of stuttering using Artificial Intelligence (AI) based algorithm from respiratory rate, audio, etc. during speech utterance. However, most methods require controlled environments and/or invasive wearable sensors, and are unable explain why a decision (fluent vs stuttered) was made. We hypothesize that pre-speech facial activity in AWS, which can be captured non-invasively, contains enough information to accurately classify the upcoming utterance as either fluent or stuttered. Towards this end, this paper proposes a novel explainable AI (XAI) assisted convolutional neural network (CNN) classifier to predict near future stuttering by learning temporal facial muscle movement patterns of AWS and explains the important facial muscles and actions involved. Statistical analyses reveal significantly high prevalence of cheek muscles (p<0.005) and lip muscles (p<0.005) to predict stuttering and shows a behavior conducive of arousal and anticipation to speak. The temporal study of these upper and lower facial muscles may facilitate early detection of stuttering, promote automated assessment of stuttering and have application in behavioral therapies by providing automatic non-invasive feedback in realtime.