Vision-language models for decoding provider attention during neonatal resuscitation

Fuente: arXiv
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Auteurs principaux: Parodi, Felipe, Matelsky, Jordan, Regla-Vargas, Alejandra, Foglia, Elizabeth, Lim, Charis, Weinberg, Danielle, Kording, Konrad, Herrick, Heidi, Platt, Michael
Format: Preprint
Publié: 2024
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author Parodi, Felipe
Matelsky, Jordan
Regla-Vargas, Alejandra
Foglia, Elizabeth
Lim, Charis
Weinberg, Danielle
Kording, Konrad
Herrick, Heidi
Platt, Michael
author_facet Parodi, Felipe
Matelsky, Jordan
Regla-Vargas, Alejandra
Foglia, Elizabeth
Lim, Charis
Weinberg, Danielle
Kording, Konrad
Herrick, Heidi
Platt, Michael
contents Neonatal resuscitations demand an exceptional level of attentiveness from providers, who must process multiple streams of information simultaneously. Gaze strongly influences decision making; thus, understanding where a provider is looking during neonatal resuscitations could inform provider training, enhance real-time decision support, and improve the design of delivery rooms and neonatal intensive care units (NICUs). Current approaches to quantifying neonatal providers' gaze rely on manual coding or simulations, which limit scalability and utility. Here, we introduce an automated, real-time, deep learning approach capable of decoding provider gaze into semantic classes directly from first-person point-of-view videos recorded during live resuscitations. Combining state-of-the-art, real-time segmentation with vision-language models (CLIP), our low-shot pipeline attains 91\% classification accuracy in identifying gaze targets without training. Upon fine-tuning, the performance of our gaze-guided vision transformer exceeds 98\% accuracy in gaze classification, approaching human-level precision. This system, capable of real-time inference, enables objective quantification of provider attention dynamics during live neonatal resuscitation. Our approach offers a scalable solution that seamlessly integrates with existing infrastructure for data-scarce gaze analysis, thereby offering new opportunities for understanding and refining clinical decision making.
format Preprint
id arxiv_https___arxiv_org_abs_2404_01207
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Vision-language models for decoding provider attention during neonatal resuscitation
Parodi, Felipe
Matelsky, Jordan
Regla-Vargas, Alejandra
Foglia, Elizabeth
Lim, Charis
Weinberg, Danielle
Kording, Konrad
Herrick, Heidi
Platt, Michael
Computer Vision and Pattern Recognition
Neonatal resuscitations demand an exceptional level of attentiveness from providers, who must process multiple streams of information simultaneously. Gaze strongly influences decision making; thus, understanding where a provider is looking during neonatal resuscitations could inform provider training, enhance real-time decision support, and improve the design of delivery rooms and neonatal intensive care units (NICUs). Current approaches to quantifying neonatal providers' gaze rely on manual coding or simulations, which limit scalability and utility. Here, we introduce an automated, real-time, deep learning approach capable of decoding provider gaze into semantic classes directly from first-person point-of-view videos recorded during live resuscitations. Combining state-of-the-art, real-time segmentation with vision-language models (CLIP), our low-shot pipeline attains 91\% classification accuracy in identifying gaze targets without training. Upon fine-tuning, the performance of our gaze-guided vision transformer exceeds 98\% accuracy in gaze classification, approaching human-level precision. This system, capable of real-time inference, enables objective quantification of provider attention dynamics during live neonatal resuscitation. Our approach offers a scalable solution that seamlessly integrates with existing infrastructure for data-scarce gaze analysis, thereby offering new opportunities for understanding and refining clinical decision making.
title Vision-language models for decoding provider attention during neonatal resuscitation
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2404.01207