Enhancing Cognitive Assessment: Integrating Hand and Eye Tracking in the Digital Trail-Making Test for Mild Cognitive Impairment
Authors: 
Gustavo Juantorena, Waleska Berrios, María Cecilia Fernández, Agustin Ibanez, Agustín Petroni, Juan E. KamienkowskiAuthors Info & Claims
Gustavo Juantorena, Waleska Berrios, María Cecilia Fernández, Agustin Ibanez, Agustín Petroni, Juan E. KamienkowskiAuthors Info & ClaimsArticle No.: 36, Pages 1 - 3
Abstract
We introduce a novel application of a computerized version of the Trail Making Test (c-TMT), designed to track hand and eye movements during multiple trials to tackle the main limitations of the classic pen-and-pencil version. Adults with mild cognitive impairment (MCI) and a matched control group were studied to obtain fine-grained metrics during the task. Statistically significant differences between groups were found in the scanpath length, while more traditional measures, such as time to complete trials, were not discriminative. We advocate for using new complementary measurements and digital tools in neuropsychology to improve the precision of neuropsychological tests.
References
[1]
Kathleen A Armstrong, John L Semple, and Peter C Coyte. 2014. Replacing ambulatory surgical follow-up visits with mobile app home monitoring: modeling cost-effective scenarios. Journal of medical Internet research 16, 9 (2014), e3528.
[2]
Christopher R Bowie and Philip D Harvey. 2006. Administration and interpretation of the Trail Making Test. Nature protocols 1, 5 (2006), 2277–2281.
[3]
Laura Germine, Katharina Reinecke, and Naomi S Chaytor. 2019. Digital neuropsychology: Challenges and opportunities at the intersection of science and software. The Clinical Neuropsychologist 33, 2 (2019), 271–286.
[4]
Amy J Jak, Mark W Bondi, Lisa Delano-Wood, Christina Wierenga, Jody Corey-Bloom, David P Salmon, and Dean C Delis. 2009. Quantification of five neuropsychological approaches to defining mild cognitive impairment. The American Journal of Geriatric Psychiatry 17, 5 (2009), 368–375.
[5]
Ignacio Linari, Gustavo E Juantorena, Agustín Ibáñez, Agustín Petroni, and Juan E Kamienkowski. 2022. Unveiling Trail Making Test: visual and manual trajectories indexing multiple executive processes. Scientific Reports 12, 1 (2022), 14265.
[6]
P Read Montague, Raymond J Dolan, Karl J Friston, and Peter Dayan. 2012. Computational psychiatry. Trends in cognitive sciences 16, 1 (2012), 72–80.
[7]
Ralph M Reitan. 1958. Validity of the Trail Making Test as an indicator of organic brain damage. Perceptual and motor skills 8, 3 (1958), 271–276.
[8]
Philip Schatz and Jeffrey Browndyke. 2002. Applications of computer-based neuropsychological assessment. The Journal of head trauma rehabilitation 17, 5 (2002), 395–410.
[9]
Katharine A Smith, Charlotte Blease, Maria Faurholt-Jepsen, Joseph Firth, Tom Van Daele, Carmen Moreno, Per Carlbring, Ulrich W Ebner-Priemer, Nikolaos Koutsouleris, Heleen Riper, 2023. Digital mental health: challenges and next steps. BMJ Ment Health 26, 1 (2023).
[10]
Raphael Vallat. 2018. Pingouin: statistics in Python. Journal of Open Source Software 3, 31 (2018), 1026. https://doi.org/10.21105/joss.01026
[11]
Wolfgang Wölwer and Wolfgang Gaebel. 2002. Impaired Trail-Making Test-B performance in patients with acute schizophrenia is related to inefficient sequencing of planning and acting. Journal of psychiatric research 36, 6 (2002), 407–416.
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- Enhancing Cognitive Assessment: Integrating Hand and Eye Tracking in the Digital Trail-Making Test for Mild Cognitive Impairment
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ETRA '24: Proceedings of the 2024 Symposium on Eye Tracking Research and ApplicationsThe Trail Making Test (TMT) is a neuropsychological test to assess cognitive impairment. Although it is widely used in clinical practice, it presents some limitations such as the lack of timeliness. The oculomotor system is altered with cognitive ...
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June 2024
525 pages
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Association for Computing Machinery
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Published: 04 June 2024
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- Agencia Nacional de Promoción de la Investigación, el Desarrollo Tecnológico y la Innovación
- BrainLat
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ETRA '24: The 2024 Symposium on Eye Tracking Research and Applications
June 4 - 7, 2024
Glasgow, United Kingdom
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