Evidence map›Paper›PMID 42510384›Full record

ArticleBioengineering (Basel, Switzerland)2026

Dual-Stream Fusion of Eye-Tracking and ECG Signals for Fatigue Detection in Remote Tower Air Traffic Controllers.

Dajiang Song, Weijun Pan, Hugo Gamboa, Zirui Yin, Shengjie Wang

Abstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 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

5 authors.

Dajiang SongKey Laboratory of Flight Techniques and Flight Safety, Civil Aviation Flight University of China, Guanghan 618307, China.ORCID 0009-0008-5725-0170
Weijun PanKey Laboratory of Flight Techniques and Flight Safety, Civil Aviation Flight University of China, Guanghan 618307, China.
Hugo GamboaLIBPhys (Laboratory for Instrumentation, Biomedical Engineering and Radiation Physics), Department of Physics, NOVA School of Science and Technology, NOVA University Lisbon, Largo da Torre, 2829-516 Caparica, Portugal.ORCID 0000-0002-4022-7424
Zirui YinSchool of Transportation and Logistics, Southwest Jiaotong University, Chengdu 611756, China.ORCID 0000-0002-2765-670X
Shengjie WangKey Laboratory of Flight Techniques and Flight Safety, Civil Aviation Flight University of China, Guanghan 618307, China.

Funding

National Natural Science Foundation of China U2333209Sichuan Provincial Civil Aviation Flight Technology and Flight Safety Engineering Research Center GY2024-66Sichuan Science and Technology Program 2024ZDZX0046
6 · The paper itself

Abstract

Fatigue detection in remote tower air traffic controllers is important for maintaining operational safety under sustained visual monitoring and high cognitive workload. This study proposes MFD-Net, a dual-stream multimodal fusion framework using eye-tracking and electrocardiogram (ECG) signals. The model separately encodes eye-tracking and ECG-derived temporal inputs, incorporates an ECG-derived RMSSD expert feature, and performs lightweight late fusion for fatigue-state classification. Under the mixed-subject random-window protocol, MFD-Net achieved an Accuracy of 85.20%, a Recall of 83.33%, and an AUC of 0.9337. Because overlapping windows from the same participant and scenario could appear in both training and test sets, this result should be interpreted as a potentially optimistic within-distribution estimate. Under the stricter zero-shot leave-one-subject-out (LOSO) protocol, performance decreased substantially, with an Accuracy of 70.95±21.59%, a Recall of 22.98±36.30%, and an AUC of 0.6025±0.2984. This low zero-shot Recall indicates limited subject-independent fatigue-detection capability. Lightweight target-subject calibration and sequential probability aggregation improved adaptation and temporal stability, although the calibration results should be interpreted cautiously because random target-subject windows were used for fine-tuning. These findings suggest that eye-tracking and ECG fusion are promising under controlled conditions, while practical deployment requires deployment-oriented calibration protocols, recall-oriented optimization, and further real-world validation.

Indexed as

air traffic controllerscross-subject calibrationdeep learningelectrocardiogrameye trackingfatigue detectionheart rate variabilityphysiological signal fusion

Identifiers

PMID42510384
PMCPMC13405756

What OpenQuestion holds

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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.