Skip to main content
Erschienen in: International Journal of Computer Assisted Radiology and Surgery 8/2019

17.04.2019 | Original Article

Cognitive load associations when utilizing auditory display within image-guided neurosurgery

verfasst von: Joseph Plazak, Daniel A. DiGiovanni, D. Louis Collins, Marta Kersten-Oertel

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 8/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The combination of data visualization and auditory display (e.g., sonification) has been shown to increase accuracy, and reduce perceived difficulty, within 3D navigation tasks. While accuracy within such tasks can be measured in real time, subjective impressions about the difficulty of a task are more elusive to obtain. Prior work utilizing electrophysiology (EEG) has found robust support that cognitive load and working memory can be monitored in real time using EEG data.

Methods

In this study, we replicated a 3D navigation task (within the context of image-guided surgery) while recording data pertaining to participants’ cognitive load through the use of EEG relative alpha-band weighting data. Specifically, 13 subjects navigated a tracked surgical tool to randomly placed 3D virtual locations on a CT cerebral angiography volume while being aided by visual, aural, or both visual and aural feedback. During the study EEG data were captured from the participants, and after the study a NASA TLX questionnaire was filled out by the subjects. In addition to replicating an existing experimental design on auditory display within image-guided neurosurgery, our primary aim sought to determine whether EEG-based markers of cognitive load mirrored subjective ratings of task difficulty

Results

Similar to existing literature, our study found evidence consistent with the hypothesis that auditory display can increase the accuracy of navigating to a specified target. We also found significant differences in cognitive working load across different feedback modalities, but none of which supported the experiments hypotheses. Finally, we found mixed results regarding the relationship between real-time measurements of cognitive workload and a posteriori subjective impressions of task difficulty.

Conclusions

Although we did not find a significant correlation between the subjective and physiological measurements, differences in cognitive working load were found. As well, our study further supports the use of auditory display in image-guided surgery.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Hermann T (2008) Taxonomy and definitions for sonification and auditory display. International Community for Auditory Display, Chicago Hermann T (2008) Taxonomy and definitions for sonification and auditory display. International Community for Auditory Display, Chicago
3.
Zurück zum Zitat Cherry EC (1953) Some experiments on the recognition of speech, with one and with two ears. J Acoust Soc Am 25(5):975–979CrossRef Cherry EC (1953) Some experiments on the recognition of speech, with one and with two ears. J Acoust Soc Am 25(5):975–979CrossRef
4.
Zurück zum Zitat Hansen C, Black D, Lange C, Rieber F, Lamadé W, Donati M, Hahn HK (2013) Auditory support for resection guidance in navigated liver surgery. Int J Med Robot Comput Assist Surg 9(1):36–43CrossRef Hansen C, Black D, Lange C, Rieber F, Lamadé W, Donati M, Hahn HK (2013) Auditory support for resection guidance in navigated liver surgery. Int J Med Robot Comput Assist Surg 9(1):36–43CrossRef
5.
Zurück zum Zitat Willems PWA, Noordmans HJ, van Overbeeke JJ, Viergever MA, Tulleken CAF, van der Sprenkel JB (2005) The impact of auditory feedback on neuronavigation. Acta Neurochir 147(2):167–173CrossRefPubMed Willems PWA, Noordmans HJ, van Overbeeke JJ, Viergever MA, Tulleken CAF, van der Sprenkel JB (2005) The impact of auditory feedback on neuronavigation. Acta Neurochir 147(2):167–173CrossRefPubMed
6.
Zurück zum Zitat Black D, Hansen C, Nabavi A, Kikinis R, Hahn H (2017) A Survey of auditory display in image-guided interventions. Int J Comput Assist Radiol Surg 1–12:1665CrossRef Black D, Hansen C, Nabavi A, Kikinis R, Hahn H (2017) A Survey of auditory display in image-guided interventions. Int J Comput Assist Radiol Surg 1–12:1665CrossRef
7.
Zurück zum Zitat Bork F, Fuers B, Schneider AK, Pinto F, Graumann C, Navab N (2015) Auditory and visio-temporal distance coding for 3-dimensional perception in medical augmented reality. In: IEEE international symposium on mixed and augmented reality (ISMAR), pp 7–12 Bork F, Fuers B, Schneider AK, Pinto F, Graumann C, Navab N (2015) Auditory and visio-temporal distance coding for 3-dimensional perception in medical augmented reality. In: IEEE international symposium on mixed and augmented reality (ISMAR), pp 7–12
8.
Zurück zum Zitat Wendt F, Zotter F, Frank M, Höldrich R (2017) Auditory distance control using a variable-directivity loudspeaker. Appl Sci 7(7):666CrossRef Wendt F, Zotter F, Frank M, Höldrich R (2017) Auditory distance control using a variable-directivity loudspeaker. Appl Sci 7(7):666CrossRef
9.
Zurück zum Zitat Anderson EW, Potter KC, Matzen LE, Shepherd JF, Preston GA, Silva CT (2011) A user study of visualization effectiveness using EEG and cognitive load. Comput Graph Forum 30(3):791–800CrossRef Anderson EW, Potter KC, Matzen LE, Shepherd JF, Preston GA, Silva CT (2011) A user study of visualization effectiveness using EEG and cognitive load. Comput Graph Forum 30(3):791–800CrossRef
10.
Zurück zum Zitat Hart SG, Staveland LE (1988) Development of NASA-TLX (Task Load Index): results of empirical and theoretical research. Adv Psychol 52:139–183CrossRef Hart SG, Staveland LE (1988) Development of NASA-TLX (Task Load Index): results of empirical and theoretical research. Adv Psychol 52:139–183CrossRef
11.
Zurück zum Zitat Hankins TC, Wilson GF (1998) A comparison of heart rate, eye activity, EEG and subjective measures of pilot mental workload during flight. Aviat Space Environ Med 69(4):360–367PubMed Hankins TC, Wilson GF (1998) A comparison of heart rate, eye activity, EEG and subjective measures of pilot mental workload during flight. Aviat Space Environ Med 69(4):360–367PubMed
12.
Zurück zum Zitat Naismith LM, Cheung JJ, Ringsted C, Cavalcanti RB (2015) Limitations of subjective cognitive load measures in simulationbased procedural training. Med Educ 49(8):805–814CrossRefPubMed Naismith LM, Cheung JJ, Ringsted C, Cavalcanti RB (2015) Limitations of subjective cognitive load measures in simulationbased procedural training. Med Educ 49(8):805–814CrossRefPubMed
13.
14.
Zurück zum Zitat Klimesch W (1999) EEG alpha and theta oscillations reflect cognitive and memory performance: a review and analysis. Brain Res Rev 29:169195CrossRef Klimesch W (1999) EEG alpha and theta oscillations reflect cognitive and memory performance: a review and analysis. Brain Res Rev 29:169195CrossRef
15.
Zurück zum Zitat Yuksel BF, Oleson KB, Harrison L, Peck EM, Afergan D, Chang R, Jacob RJ (2016) Learn piano with BACh: an adaptive learning interface that adjusts task difficulty based on brain state. In: Proceedings of the 2016 CHI conference on human factors in computing systems, pp 5372–5384 Yuksel BF, Oleson KB, Harrison L, Peck EM, Afergan D, Chang R, Jacob RJ (2016) Learn piano with BACh: an adaptive learning interface that adjusts task difficulty based on brain state. In: Proceedings of the 2016 CHI conference on human factors in computing systems, pp 5372–5384
16.
Zurück zum Zitat Michels L, Moazami-Goudarzi M, Jeanmonod D, Sarnthein J (2008) EEG alpha distinguishes between cuneal and precuneal activation in working memory. Neuroimage 40(3):1296–1310CrossRefPubMed Michels L, Moazami-Goudarzi M, Jeanmonod D, Sarnthein J (2008) EEG alpha distinguishes between cuneal and precuneal activation in working memory. Neuroimage 40(3):1296–1310CrossRefPubMed
17.
Zurück zum Zitat Jensen O, Gelfand J, Kounios J, Lisman JE (2002) Oscillations in the alpha band (912 Hz) increase with memory load during retention in a short-term memory task. Cereb Cortex 12(8):877–882CrossRefPubMed Jensen O, Gelfand J, Kounios J, Lisman JE (2002) Oscillations in the alpha band (912 Hz) increase with memory load during retention in a short-term memory task. Cereb Cortex 12(8):877–882CrossRefPubMed
18.
Zurück zum Zitat Jensen O, Tesche CD (2002) Frontal theta activity in humans increases with memory load in a working memory task. Eur J Neurosci 15(8):1395–1399CrossRefPubMed Jensen O, Tesche CD (2002) Frontal theta activity in humans increases with memory load in a working memory task. Eur J Neurosci 15(8):1395–1399CrossRefPubMed
20.
Zurück zum Zitat Roux F, Uhlhaas PJ (2014) Working memory and neural oscillations: alphagamma versus thetagamma codes for distinct WM information? Trends Cogn Sci 18(1):16–25CrossRefPubMed Roux F, Uhlhaas PJ (2014) Working memory and neural oscillations: alphagamma versus thetagamma codes for distinct WM information? Trends Cogn Sci 18(1):16–25CrossRefPubMed
21.
Zurück zum Zitat Drouin S, Kochanowska A, Kersten-Oertel M, Gerard IJ, Zelmann R, De Nigris D, Hall JA, Sinclair D, Petrecca K, Del Maestro R, Collins DLIBIS (2017) An OR ready open-source platform for image-guided neurosurgery. Int J Comput Assist Radiol Surg 12(3):363–378CrossRefPubMed Drouin S, Kochanowska A, Kersten-Oertel M, Gerard IJ, Zelmann R, De Nigris D, Hall JA, Sinclair D, Petrecca K, Del Maestro R, Collins DLIBIS (2017) An OR ready open-source platform for image-guided neurosurgery. Int J Comput Assist Radiol Surg 12(3):363–378CrossRefPubMed
22.
Zurück zum Zitat Puckette M (1996) Pure data: another integrated computer music environment. In: Proceedings of the second intercollege computer music concerts, pp 37–41 Puckette M (1996) Pure data: another integrated computer music environment. In: Proceedings of the second intercollege computer music concerts, pp 37–41
23.
Zurück zum Zitat Bencina R (2006) oscpack [computer software] Bencina R (2006) oscpack [computer software]
24.
25.
Zurück zum Zitat Krigolson OE, Williams CC, Norton A, Hassall CD, Colino FL (2017) Choosing MUSE: validation of a low-cost, portable EEG system for ERP research. Front Neurosci 11:109CrossRefPubMedPubMedCentral Krigolson OE, Williams CC, Norton A, Hassall CD, Colino FL (2017) Choosing MUSE: validation of a low-cost, portable EEG system for ERP research. Front Neurosci 11:109CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Negi S, Mitra R (2018) EEG metrics to determine cognitive load and affective states: a pilot study. In: Proceedings of the 2018 ACM international joint conference and 2018 international symposium on pervasive and ubiquitous computing and wearable computers, pp 182–185 Negi S, Mitra R (2018) EEG metrics to determine cognitive load and affective states: a pilot study. In: Proceedings of the 2018 ACM international joint conference and 2018 international symposium on pervasive and ubiquitous computing and wearable computers, pp 182–185
27.
Zurück zum Zitat Brooke J (1996) SUS—a quick and dirty usability scale. Usability Eval Ind 189(194):4–7 Brooke J (1996) SUS—a quick and dirty usability scale. Usability Eval Ind 189(194):4–7
28.
Zurück zum Zitat Berkman MI, Karahoca D (2016) Re-assessing the usability metric for user experience (UMUX) scale. J Usability Stud 11(3):89–109 Berkman MI, Karahoca D (2016) Re-assessing the usability metric for user experience (UMUX) scale. J Usability Stud 11(3):89–109
29.
Zurück zum Zitat Lewis JR, Utesch BS, Maher DE (2013) UMUX-LITE: when there’s no time for the SUS. In: Proceedings of the SIGCHI conference on human factors in computing systems, pp 2099–2102. ACM Lewis JR, Utesch BS, Maher DE (2013) UMUX-LITE: when there’s no time for the SUS. In: Proceedings of the SIGCHI conference on human factors in computing systems, pp 2099–2102. ACM
30.
Zurück zum Zitat Tomlinson BJ, Noah BE, Walker BN (2018) BUZZ: an auditory interface user experience scale. In: Extended abstracts of the 2018 CHI conference on human factors in computing systems, p LBW096. ACM Tomlinson BJ, Noah BE, Walker BN (2018) BUZZ: an auditory interface user experience scale. In: Extended abstracts of the 2018 CHI conference on human factors in computing systems, p LBW096. ACM
Metadaten
Titel
Cognitive load associations when utilizing auditory display within image-guided neurosurgery
verfasst von
Joseph Plazak
Daniel A. DiGiovanni
D. Louis Collins
Marta Kersten-Oertel
Publikationsdatum
17.04.2019
Verlag
Springer International Publishing
Erschienen in
International Journal of Computer Assisted Radiology and Surgery / Ausgabe 8/2019
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-019-01970-w

Weitere Artikel der Ausgabe 8/2019

International Journal of Computer Assisted Radiology and Surgery 8/2019 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.