Machine Learning-Based Detection of Cognitive Impairment from Eye-Tracking in Smooth Pursuit Tasks

Mild cognitive impairment represents a transitional phase between healthy ageing and dementia, including Alzheimer’s disease. Early detection is essential for timely clinical intervention. This study explores the viability of smooth pursuit eye movements (SPEM) as a non-invasive biomarker for cognit...

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Bibliographic Details
Main Authors: Vida Groznik, Andrea De Gobbis, Dejan Georgiev, Aleš Semeja, Aleksander Sadikov
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/14/7785
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Summary:Mild cognitive impairment represents a transitional phase between healthy ageing and dementia, including Alzheimer’s disease. Early detection is essential for timely clinical intervention. This study explores the viability of smooth pursuit eye movements (SPEM) as a non-invasive biomarker for cognitive impairment. A total of 115 participants—62 with cognitive impairment and 53 cognitively healthy controls—underwent comprehensive neuropsychological assessments followed by an eye-tracking task involving smooth pursuit of horizontally and vertically moving stimuli at three different speeds. Quantitative metrics such as tracking accuracy were extracted from the eye movement recordings. These features were used to train machine learning models to distinguish cognitively impaired individuals from controls. The best-performing model achieved an area under the ROC curve (AUC) of approximately 68 %, suggesting that SPEM-based assessment has potential as part of an ensemble of eye-tracking based screening methods for early cognitive decline. Of course, additional paradigms or task designs are required to enhance diagnostic performance.
ISSN:2076-3417