Evidence map›Paper›PMID 42321241›Full record

ArticleScientific reports2026

Eye tracking reveals expert gaze patterns during intracytoplasmic sperm injection.

Azusa Asai, Hayato Hagiwara, Kazuki Hano, Tsubasa Kasui, Tatsuya Yoshimi, Masaki Takasu, Tadayoshi Aoyama, Kenji Kato

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Azusa AsaiLaboratory for Clinical Evaluation with Robotics, Assistive Robot Center, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan.
Hayato HagiwaraLaboratory for Clinical Evaluation with Robotics, Assistive Robot Center, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan.
Kazuki HanoCenter for One Medicine Innovative Translational Research (COMIT), Institute for Advanced Study, Gifu University, Gifu, Gifu, 501-1193, Japan.
Tsubasa KasuiCenter for One Medicine Innovative Translational Research (COMIT), Institute for Advanced Study, Gifu University, Gifu, Gifu, 501-1193, Japan.
Tatsuya YoshimiLaboratory for Clinical Evaluation with Robotics, Assistive Robot Center, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan.
Masaki TakasuCenter for One Medicine Innovative Translational Research (COMIT), Institute for Advanced Study, Gifu University, Gifu, Gifu, 501-1193, Japan.
Tadayoshi AoyamaDepartment of Mechanical Systems Engineering, Nagoya University, Nagoya, Aichi, 464-8603, Japan.
Kenji KatoLaboratory for Clinical Evaluation with Robotics, Assistive Robot Center, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan. katok@meijo-u.ac.jp.

Funding

Research and Development Expenses, NCGG, Japan 24-3the AIP Acceleration Research, Japan JPMJCR22U1the K-program, Japan JPMJKP25V3
6 · The paper itself

Abstract

Intracytoplasmic sperm injection (ICSI) is a highly complex procedure that involves injecting a single sperm into an oocyte, requiring extensive training and advanced technical expertise, making it a task performed by specialists. Acquiring specialized microinjection skills alone often requires several years of training. ICSI performance has been primarily evaluated based on developmental outcomes, with little detailed assessment of operators' intrinsic skills. We analyzed expertise during microinjection using eye-tracking technology, which was recently employed in surgical and sports domains to evaluate expert performance. Eye tracking was used to compare the fixation patterns and eye-gaze behaviors of experts and novices during microinjection. Our results showed that the experts had shorter and more consistent procedural times than the novices did. In contrast, the novices initially took longer times; although their time gradually decreased, they remained unstable. This difference was particularly noticeable during oocyte rotation. Similar patterns were observed for fixation duration and the number of saccades. The heat maps and gaze plots revealed interesting distinctions between experts and novices. The experts exhibited efficient and highly consistent eye gaze patterns. Their eye-gaze data may contribute to developing AI-driven automated ICSI skill evaluation systems and AI- and robotics-based ICSI technical support and automation methods.

Indexed as

Eye MovementsEye-Tracking TechnologyFixation, OcularSperm Injections, IntracytoplasmicFemaleHumansMale

Identifiers

PMID42321241
PMCPMC13554095

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Registered trials

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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.