Skill characterisation of sonographer gaze patterns during second trimester clinical fetal ultrasounds using time curves

We present a method for skill characterisation of sonographer gaze patterns while performing routine second trimester fetal anatomy ultrasound scans. The position and scale of fetal anatomical planes during each scan differ because of fetal position, movements and sonographer skill. A standardised reference is required to compare recorded eye-tracking data for skill characterisation. We propose using an affine transformer network to localise the anatomy circumference in video frames, for normalisation of eye-tracking data. We use an event-based data visualisation, time curves, to characterise sonographer scanning patterns. We chose brain and heart anatomical planes because they vary in levels of gaze complexity. Our results show that when sonographers search for the same anatomical plane, even though the landmarks visited are similar, their time curves display different visual patterns. Brain planes also, on average, have more events or landmarks occurring than the heart, which highlights anatomy-specific differences in searching approaches.