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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Detecting attention breakdowns in robotic neurofeedback systems</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Parisa Nahaltahmasebi</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Mohamed Chetouani</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>David Cohen</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Salvatore Anzalone</string-name>
          <email>sanzalone@univ-paris8.fr</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Institut des Systèmes Intelligents et de Robotique - Université Pierre et Marie Curie</institution>
          ,
          <addr-line>Paris, Fr</addr-line>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Laboratoire de Cognition Humaine et Artificielle - Université Paris 8</institution>
          ,
          <addr-line>Saint-Denis, Fr</addr-line>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Service de psychiatrie de l'enfant et de l'adolescent - Hôpital Pitié-Salpêtrière</institution>
          ,
          <addr-line>Paris, Fr</addr-line>
        </aff>
      </contrib-group>
      <abstract>
        <p>This paper focuses on the EEG measures suitable for robotic neurofeedback systems, able to detect and intervene in case of attention breakdowns. Such systems can be useful tools in cognitive remediation of children with ASD, in particular to improve their attention span. The proposed study focuses on a particular EEG measure, the Theta/Beta ratio, as convenient feature for recognizing attention states in scenarios of cognitive effort. A setup for the validation of this measure employing pupil dilation as attention baseline is introduced. Results show coherence between the Theta/Beta ratio and the pupil dilation.</p>
      </abstract>
      <kwd-group>
        <kwd>Neurofeedback</kwd>
        <kwd>attention</kwd>
        <kwd>social robots</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        Attention is the cognitive process aimed to the selection of a specific perceptual or
internal event (such as a thought), while discarding the others. “It is the taking
possession by the mind, in a clear and vivid form of one out of what seem several
simultaneously possible objects or trains of thought. Focalization, concentration of
consciousness are of its essence. It implies withdrawal from some things in order to deal with
others…”[
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. This cognitive process is a quite fluctuating skill that needs to be
continuously maintained through a certain level of awareness, and it is often unconsciously
letup during a task. Attention is a basic skill of human cognition: it is the process
responsible for the allocation of the limited processing resources of human cognition to
specific tasks[
        <xref ref-type="bibr" rid="ref2">2</xref>
        ].
      </p>
      <p>
        Neurocognitive diseases can affect in different ways the attention skill. The case of
children affected by Autism Spectrum Disorder[
        <xref ref-type="bibr" rid="ref3">3</xref>
        ] (ASD) is particularly interesting: they
are able to maintain a firm and durable attention towards activities they like and
motivates them. However, at the same time, in can be really hard for them to keep their
attention on other, less attractive, activities. Children with ASD can develop their skills
through joint activities with an expert clinician that can guide them on improving their
attention span[
        <xref ref-type="bibr" rid="ref4 ref5">4,5</xref>
        ]. However, it is always difficult also for the most expert clinicians to
infer mental states from the behavior of the children. The EEG technology, in this case,
can help them by providing in real-time neuro-physiological measures resuming
particular mental states, as the attention of the child towards the current joint activity[
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]. A
companion robot can be a helpful tool in these scenarios, with the role of conveying
such neuro-physiological measures to clinicians while acting like a playfellow with the
child[
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. At the same time, robots endowed with some kind of intelligent, social skills,
can autonomously act according to particular mental states, providing feedbacks or
rewards to the child[
        <xref ref-type="bibr" rid="ref10 ref11 ref8 ref9">8,9,10,11</xref>
        ].
      </p>
      <p>
        In a recent work[
        <xref ref-type="bibr" rid="ref12">12</xref>
        ] (Fig. 1), we introduced a neurofeedback system that employs
small humanoid robot to reinforce attention in autism spectrum disorder. This work
aroused several questions, in particular on the nature of the EEG control measure. The
goal of this paper is to verify if a particular EEG measure, the Theta/Beta ratio, can be
employed as reference to track attention breakdowns in humans, and consequently if it
can be employed as control measure of a robotic neurofeedback system.
      </p>
      <p>
        Several works[
        <xref ref-type="bibr" rid="ref13 ref14">13,14</xref>
        ] reported of measurable changes on the eyes as effect of cognitive
efforts. In particular, pupil’s dilatation seems an effective measure of cognitive load[
        <xref ref-type="bibr" rid="ref15">15</xref>
        ].
In scenarios in which cognitive effort is stimulated, this measure can be adopted as
convenient baseline to evaluate EEG measures and identify attention breakdowns.
2
      </p>
    </sec>
    <sec id="sec-2">
      <title>Materials and methods</title>
      <p>In this work, we propose an experiment aimed at the evaluation of the Theta/Beta EEG
waves ratio as measure of attention breakdowns in a scenario of cognitive effort,
through its comparison with pupil dilatation. Theta/Beta ratios and the pupil dilatation
are captured through synchronized EEG and Eye Tracker systems, while the participant
to the experiment alternates relax phases to mental calculations, solving a simple
arithmetic problem. This interleaving between different cognitive loads will simulate the
attention breakdowns. Then, the measures obtained are off-line analyzed and compared.</p>
      <p>The EEG employed is an Enobio from NeuroElectrics, while the Eye Tracker is a
Tobii X1 Light.</p>
      <sec id="sec-2-1">
        <title>Setup</title>
        <p>As in Figure 2, the participant sits in front of a screen equipped with an Eye Tracker.
The screen is employed to present the arithmetical problems that the participant should
solve. Neurological measures are collected through an EEG. The two sensors, the EEG
and the Eye Tracker, are both connected to the same PC. A hidden operator controls
the correct evolution of the experiment. A standard camera conveniently placed on the
side of the monitor, records the behaviors of the participant. The room of the experiment
is a controlled environment with only controlled lights that were kept at the same
intensity in all the performed experiments.</p>
        <p>
          Attention during cognitive efforts can be modeled through Theta/Beta ratio. This
ratio is calculated employing central, frontal and temporal EEG sensors (c3, c5, f3, f4,
t7,t8)[
          <xref ref-type="bibr" rid="ref16">16</xref>
          ]. The average Theta/Beta ratio between the channels has been selected as
attention feature. The attention model of the participant is learned at the beginning of the
experimental protocol, during a training stage, by exploiting the data obtained during a
cognitive effort. In this training stage it is supposed that the participant will be very
focused towards the activity he is doing. To model the attention, an inhibit threshold
for the Theta/Beta ratio activity defining the attentive state is set at a power level that
the training activity fell over its range for the 50% of time[
          <xref ref-type="bibr" rid="ref17">17</xref>
          ]. This model will return a
measure between -1 and 1, as attentive/not attentive to the current cognitive task. At the
same time, the Eye Tracker will follow the eyes’ behaviors of the participant in terms
of pupil’s dimension. Both system will calculate and store the data in real-time.
        </p>
        <p>In a first setup stage, after a brief introduction of the system, a relaxing music is
played and the participant is invited to seat, feeling comfortable and at ease. In this
stage, during around 60 seconds, electrooculography is accomplished and a model of
eye movements is created. Then, the operator starts the training session of the system,
presenting to the participant an arithmetical problem for 60 seconds. In this stage, the
system will model the attention of the participant by exploiting the data obtained during
the cognitive effort stimulated by the resolution of the arithmetical problem.</p>
        <p>After this step, the experiment will go through five stages, alternating a new
arithmetical problems (max 2 minutes) with a relax period (1 minute). The hypothesis of
this work is that the proposed measure should be able to reveal and identify this
interchange between stages.
2.2</p>
      </sec>
      <sec id="sec-2-2">
        <title>Participants</title>
        <p>The participants involved in the experiments is composed by twelve healthy adults,
eight males and four females. They were recruited among the member and the students
of ISIR-UPMC and signed informed consent before the participation to the
experiments.</p>
        <p>During a first analysis of the captured data, the records of three participants were
discarded due to technical problems: mainly, a wrong EEG calibration and a lack of
eye tracking data.
3</p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>Results</title>
      <p>The results related to the pupil confirm the previous researches: pupil dilation
follows the cognitive load stimulated by the proposed activity, becoming larger in case of
cognitive effort, turning smaller while relaxing. This variation is statistically significant
among to the different stage of the experiment, except the last couple. Similar
coherence emerges by the EEG data that shows a statistical significance between the first
proposed arithmetical problem and the subsequent relaxing stage. To explain the
nonsignificant results it is possible to hypothesize the emergence of fatigue on the
participants while solving the arithmetical problems.</p>
    </sec>
    <sec id="sec-4">
      <title>Conclusions, limits and future works</title>
      <p>The results illustrate a certain degree of coherence between the data captured by the
two sensors, showing relevant differences between stages of cognitive effort and
relaxation. However, such results are far from being general due to the dimension of the
population participating to this experiment. In any case, such result encourage us on the
implementation of neurofeedback systems that use robots as useful and natural tool to
induce behaviors in humans. This setup will also give us the possibility of verifying the
effectiveness on detecting attentions breakdowns of different kind of EEG measures as
well as the efficacy of a large gamma of stimuli and in the case of populations with
special needs as children with ASD.</p>
    </sec>
    <sec id="sec-5">
      <title>Acknowledgments</title>
      <p>This project was partially funded by the French Laboratoire d’Excellence SMART
(ANR-11-IDEX-0004-02). Authors want to thanks R. Grassia MD, A. Tanet MD and
O. Pallanca MD for their continuous support during the development of this project.</p>
    </sec>
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