States of confusion: Eye and Head tracking reveal surgeons' confusion during arthroscopic surgery

During arthroscopic surgeries, surgeons are faced with challenges like cognitive re-projection of the 2D screen output into the 3D operating site or navigation through highly similar tissue. Training of these cognitive processes takes much time and effort for young surgeons, but is necessary and crucial for their education. In this study we want to show how to recognize states of confusion of young surgeons during an arthroscopic surgery, by looking at their eye and head movements and feeding them to a machine learning model. With an accuracy of over 94\% and detection speed of 0.039 seconds, our model is a step towards online diagnostic and training systems for the perceptual-cognitive processes of surgeons during arthroscopic surgeries.

Differentiating Surgeon Expertise Solely by Eye Movement Features

Developments in computer science in recent years are moving into hospitals. Surgeons are faced with ever new technical challenges. Visual perception plays a key role in most of these. Diagnostic and training models are needed to optimize the training of young surgeons. In this study, we present a model for classifying experts, 4th-year residents and 3rd-year residents, using only eye movements. We show a model that uses a minimal set of features and still achieve a robust accuracy of 76.46 % to classify eye movements into the correct class. Likewise, in this study, we address the evolutionary steps of visual perception between three expertise classes, forming a first step towards a diagnostic model for expertise.