Gaze Assistance for Efficient Segmentation Correction of Medical Images

The segmentation of medical images is an important step in various diagnostic applications, including abnormality detection and radiotherapy planning. Recent developments in Artificial Intelligence (AI) have significantly advanced the field of segmentation automation. However, expert-level accuracy...

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Main Authors: Leila Khaertdinova, Tatyana Shmykova, Ilya Pershin, Andrey Laryukov, Albert Khanov, Damir Zidikhanov, Bulat Ibragimov
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Access
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Online Access:https://ieeexplore.ieee.org/document/10843670/
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author Leila Khaertdinova
Tatyana Shmykova
Ilya Pershin
Andrey Laryukov
Albert Khanov
Damir Zidikhanov
Bulat Ibragimov
author_facet Leila Khaertdinova
Tatyana Shmykova
Ilya Pershin
Andrey Laryukov
Albert Khanov
Damir Zidikhanov
Bulat Ibragimov
author_sort Leila Khaertdinova
collection DOAJ
description The segmentation of medical images is an important step in various diagnostic applications, including abnormality detection and radiotherapy planning. Recent developments in Artificial Intelligence (AI) have significantly advanced the field of segmentation automation. However, expert-level accuracy has not been achieved for most segmentation tasks, which significantly hampers the adoption of fully-automated medical image segmentation. This paper investigates the idea of efficient correction of medical image segmentation by using not manual controller commands, which can be time-consuming, but gaze movements. We propose a lightweight fine-tuning approach of the Segment Anything Model in medical images, known as MedSAM, to interactively adjust segmentation masks based on gaze point prompts. Our model is specifically trained for the abdominal CT imaging task using the publicly available WORD database. While surpassing state-of-the-art segmentation models, comprehensive studies with medical experts demonstrated that our gaze-assisted interactive approach led to significant improvements in segmentation quality. Specifically, the gaze-assisted corrections increased the average segmentation performance by nearly 62% for difficult medical cases, compared to traditional segmentation methods based on bounding boxes. The main findings of our proposed work include: 1) the substantial improvement in segmentation quality through gaze interaction, 2) the development of an efficient correction mechanism leveraging eye movements, and 3) the demonstration of gaze-assisted segmentation’s superior performance in abdominal imaging tasks. Our innovative approach shows promise for interactive segmentation of medical images and opens the door for further advancements in human-AI interaction in medicine using eye-tracking technology.
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institution Kabale University
issn 2169-3536
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spelling doaj-art-e4afa81457294ceb80379e24dac753382025-01-25T00:02:07ZengIEEEIEEE Access2169-35362025-01-0113141991421310.1109/ACCESS.2025.353070110843670Gaze Assistance for Efficient Segmentation Correction of Medical ImagesLeila Khaertdinova0https://orcid.org/0009-0009-0663-3312Tatyana Shmykova1https://orcid.org/0009-0004-7961-6808Ilya Pershin2https://orcid.org/0000-0001-7052-2355Andrey Laryukov3Albert Khanov4Damir Zidikhanov5Bulat Ibragimov6https://orcid.org/0000-0001-7739-7788Research Center of the Artificial Intelligence Institute, Innopolis University, Innopolis, RussiaResearch Center of the Artificial Intelligence Institute, Innopolis University, Innopolis, RussiaResearch Center of the Artificial Intelligence Institute, Innopolis University, Innopolis, RussiaKazan Federal University, Kazan, RussiaKazan Federal University, Kazan, RussiaKazan State Medical Academy, Kazan, RussiaUniversity of Copenhagen, Copenhagen, DenmarkThe segmentation of medical images is an important step in various diagnostic applications, including abnormality detection and radiotherapy planning. Recent developments in Artificial Intelligence (AI) have significantly advanced the field of segmentation automation. However, expert-level accuracy has not been achieved for most segmentation tasks, which significantly hampers the adoption of fully-automated medical image segmentation. This paper investigates the idea of efficient correction of medical image segmentation by using not manual controller commands, which can be time-consuming, but gaze movements. We propose a lightweight fine-tuning approach of the Segment Anything Model in medical images, known as MedSAM, to interactively adjust segmentation masks based on gaze point prompts. Our model is specifically trained for the abdominal CT imaging task using the publicly available WORD database. While surpassing state-of-the-art segmentation models, comprehensive studies with medical experts demonstrated that our gaze-assisted interactive approach led to significant improvements in segmentation quality. Specifically, the gaze-assisted corrections increased the average segmentation performance by nearly 62% for difficult medical cases, compared to traditional segmentation methods based on bounding boxes. The main findings of our proposed work include: 1) the substantial improvement in segmentation quality through gaze interaction, 2) the development of an efficient correction mechanism leveraging eye movements, and 3) the demonstration of gaze-assisted segmentation’s superior performance in abdominal imaging tasks. Our innovative approach shows promise for interactive segmentation of medical images and opens the door for further advancements in human-AI interaction in medicine using eye-tracking technology.https://ieeexplore.ieee.org/document/10843670/Eye gazeeye trackinginteractive segmentationmedical image segmentationsegment anything2D segmentation
spellingShingle Leila Khaertdinova
Tatyana Shmykova
Ilya Pershin
Andrey Laryukov
Albert Khanov
Damir Zidikhanov
Bulat Ibragimov
Gaze Assistance for Efficient Segmentation Correction of Medical Images
IEEE Access
Eye gaze
eye tracking
interactive segmentation
medical image segmentation
segment anything
2D segmentation
title Gaze Assistance for Efficient Segmentation Correction of Medical Images
title_full Gaze Assistance for Efficient Segmentation Correction of Medical Images
title_fullStr Gaze Assistance for Efficient Segmentation Correction of Medical Images
title_full_unstemmed Gaze Assistance for Efficient Segmentation Correction of Medical Images
title_short Gaze Assistance for Efficient Segmentation Correction of Medical Images
title_sort gaze assistance for efficient segmentation correction of medical images
topic Eye gaze
eye tracking
interactive segmentation
medical image segmentation
segment anything
2D segmentation
url https://ieeexplore.ieee.org/document/10843670/
work_keys_str_mv AT leilakhaertdinova gazeassistanceforefficientsegmentationcorrectionofmedicalimages
AT tatyanashmykova gazeassistanceforefficientsegmentationcorrectionofmedicalimages
AT ilyapershin gazeassistanceforefficientsegmentationcorrectionofmedicalimages
AT andreylaryukov gazeassistanceforefficientsegmentationcorrectionofmedicalimages
AT albertkhanov gazeassistanceforefficientsegmentationcorrectionofmedicalimages
AT damirzidikhanov gazeassistanceforefficientsegmentationcorrectionofmedicalimages
AT bulatibragimov gazeassistanceforefficientsegmentationcorrectionofmedicalimages