Evidence map›Paper›PMID 39374482›Full record

ArticlePLOS digital health2024

Can eye-tracking help to create a new method for X-ray analysis of rheumatoid arthritis patients, including joint segmentation and scoring methods?

Baptiste Quéré, Léonie Méneur, Nathan Foulquier, Hugo Pensec, Valérie Devauchelle-Pensec, Florent Garrigues, Alain Saraux

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Article in PLOS digital health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Baptiste QuéréDepartment of Rheumatology, CHU Brest, France.
Léonie MéneurDepartment of Rheumatology, CHU Brest, France.
Nathan FoulquierUniversité de Bretagne Occidentale (Univ Brest), France.
Hugo PensecDepartment of Rheumatology, CHU Brest, France.
Valérie Devauchelle-PensecDepartment of Rheumatology, CHU Brest, France.
Florent GarriguesDepartment of Radiology, CHU Brest, France.
Alain SarauxDepartment of Rheumatology, CHU Brest, France.ORCID https://orcid.org/0000-0002-8454-7067

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reading hand and foot X-rays in rheumatoid arthritis patients is difficult and time-consuming. In research, physicians use the modified Sharp van der Heijde Sharp (mvdH) score by reading of hand and foot radiographs. The aim of this study was to create a new method of determining the mvdH via eye tracking and to study its concordance with the mvdH score. We created a new method of quantifying the mvdH score based on reading time of a reader monitored via eye tracking (Tobii Pro Lab software) after training with the aid of a metronome. Radiographs were read twice by the trained eye-tracking reader and once by an experienced reference radiologist. A total of 440 joints were selected; 416 could be interpreted for erosion, and 396 could be interpreted for joint space narrowing (JSN) when read by eye tracking (eye tracking could not measure the time spent when two pathological joints were too close together). The agreement between eye tracking mvdH Sharp score and classical mvdH Sharp score yes (at least one erosion or JSN) versus no (no erosion or no JSN) was excellent for both erosions (kappa 0.97; 95% CI: 0.96-0.99) and JSN (kappa: 0.95; 95% CI: 0.93-0.097). This agreement by class (0 to 10) remained excellent for both erosions (kappa 0.82; 95% CI: 0.79-0.0.85) and JSN (kappa: 0.68; 95% CI: 0.65-0.0.71). To conclude, eye-tracking reading correlates strongly with classical mvdH-Sharp and is useful for assessing severity, segmenting joints and establishing a rapid score for lesions.

Identifiers

PMID39374482
PMCPMC11458192

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