Representing and Inferring Visual Perceptual Skills in Dermatological Image Understanding

Abstract

Experts have a remarkable capability of locating, perceptually organizing, identifying, and categorizing objects in images specific to their domains of expertise. Eliciting and representing their visual strategies and some aspects of domain knowledge will benefit a wide range of studies and applications. For example, image understanding may be improved through active learning frameworks by transferring human domain knowledge into image-based computational procedures, intelligent user interfaces enhanced by inferring dynamic informational needs in real time, and cognitive processing analyzed via unveiling the engaged underlying cognitive processes. An eye tracking experiment was conducted to collect both eye movement and verbal narrative data from three groups of subjects with different medical training levels or no medical training in order to study perceptual skill. Each subject examined and described 50 photographical dermatological images. One group comprised 11 board-certified dermatologists (attendings), another group was 4 dermatologists in training (residents), and the third group 13 novices (undergraduate students with no medical training). We develop a novel hierarchical probabilistic framework to discover the stereotypical and idiosyncratic viewing behaviors exhibited by the three expertise-specific groups. A hidden Markov model is used to describe each subject\u27s eye movement sequence combined with hierarchical stochastic processes to capture and differentiate the discovered eye movement patterns shared by multiple subjects\u27 eye movement sequences within and among the three expertise-specific groups. Through these patterned eye movement behaviors we are able to elicit some aspects of the domain-specific knowledge and perceptual skill from the subjects whose eye movements are recorded during diagnostic reasoning processes on medical images. Analyzing experts\u27 eye movement patterns provides us insight into cognitive strategies exploited to solve complex perceptual reasoning tasks. Independent experts\u27 annotations of diagnostic conceptual units of thought in the transcribed verbal narratives are time-aligned with discovered eye movement patterns to help interpret the patterns\u27 meanings. By mapping eye movement patterns to thought units, we uncover the relationships between visual and linguistic elements of their reasoning and perceptual processes, and show the manner in which these subjects varied their behaviors while parsing the images

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