Deep Learning in Mild Cognitive Impairment Diagnosis using Eye Movements and Image Content in Visual Memory Tasks

📅 2025-06-28
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Amid the global surge in dementia incidence, early detection of mild cognitive impairment (MCI) remains challenging. To address this, we propose a deep learning–based diagnostic framework that jointly models eye-tracking trajectories, spatial attention heatmaps (700×700 pixels), and semantic content of visual stimuli. We innovatively adapt the VTNet architecture to integrate temporal scanpath dynamics, high-resolution spatial attention maps, and stimulus image semantics. A systematic ablation study evaluates the impact of image resolution and task parameters on model performance. Trained and validated on a small-sample, short-duration visual memory task dataset, our model achieves 68% sensitivity and 76% specificity—performance comparable to state-of-the-art Alzheimer’s disease–focused studies. These results demonstrate the feasibility and effectiveness of noninvasive, scalable MCI screening based on naturalistic eye movement behavior.

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📝 Abstract
The global prevalence of dementia is projected to double by 2050, highlighting the urgent need for scalable diagnostic tools. This study utilizes digital cognitive tasks with eye-tracking data correlated with memory processes to distinguish between Healthy Controls (HC) and Mild Cognitive Impairment (MCI), a precursor to dementia. A deep learning model based on VTNet was trained using eye-tracking data from 44 participants (24 MCI, 20 HCs) who performed a visual memory task. The model utilizes both time series and spatial data derived from eye-tracking. It was modified to incorporate scan paths, heat maps, and image content. These modifications also enabled testing parameters such as image resolution and task performance, analyzing their impact on model performance. The best model, utilizing $700 imes700px$ resolution heatmaps, achieved 68% sensitivity and 76% specificity. Despite operating under more challenging conditions (e.g., smaller dataset size, shorter task duration, or a less standardized task), the model's performance is comparable to an Alzheimer's study using similar methods (70% sensitivity and 73% specificity). These findings contribute to the development of automated diagnostic tools for MCI. Future work should focus on refining the model and using a standardized long-term visual memory task.
Problem

Research questions and friction points this paper is trying to address.

Diagnosing Mild Cognitive Impairment using eye-tracking data
Developing deep learning models for scalable dementia detection
Analyzing visual memory tasks to improve MCI diagnosis accuracy
Innovation

Methods, ideas, or system contributions that make the work stand out.

Deep learning model using eye-tracking data
Incorporates scan paths, heat maps, image content
Achieves 68% sensitivity and 76% specificity
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Tomás Silva Santos Rocha
Institute for Systems and Robotics, Laboratory for Robotics and Engineering Systems, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
A
Anastasiia Mikhailova
Department of Psychology, University of Chicago, Chicago, USA
M
Moreno I. Coco
Department of Psychology, Sapienza Università di Roma, Rome, Italy
José Santos-Victor
José Santos-Victor
Institute for Systems and Robotics (ISR/IST), LARSyS, Instituto Superior Técnico, Univ Lisboa
Cognitive RoboticsComputer VisionBio-inspired systemsLearning