ArticleSensors (Basel, Switzerland)2026
Remote Tower Air Traffic Controller Multimodal Fatigue Detection.
Article in Sensors (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Vigilance decrements in air traffic control as an aviation safety risk: a systematic review of modeling and prediction approaches.Frontiers in neuroergonomics · 2026Pooled it
- Multimodal EEG and Eye-Tracking Assessment of Perceived Mental Workload and Situation Awareness in a Visual Display Terminal Simulation Task.Sensors (Basel, Switzerland) · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Remote tower (rTWR) operations are reshaping air traffic control but introduce significant human-factor risks, notably cognitive fatigue induced by prolonged screen-based visual surveillance. To mitigate these risks in a safety-critical domain where missed detections can be catastrophic, we propose a non-intrusive, multimodal fatigue detection framework fusing ocular and cardiac signals. A high-fidelity simulation study with 36 controllers was conducted to collect eye-tracking and electrocardiogram (ECG) data, from which a 12-dimensional feature vector-integrating gaze entropy and heart rate variability (HRV)-was extracted. Addressing the severe class imbalance and scarcity of fatigue samples in physiological data, we developed a cost-sensitive XGBoost classifier combining SMOTE oversampling with a dynamically weighted loss function. Experimental results show that the proposed framework performed well under mixed-subject evaluation and improved sensitivity to fatigue events. Although a marked performance drop was observed under LOSO evaluation, personalized calibration partially alleviated this limitation, indicating the potential of the framework for real-time fatigue monitoring in remote tower operations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.