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    <article-meta>
      <title-group>
        <article-title>A Systematic Review of Assistive Tools for Individuals with Visual Impairments: Advancements in Assistive Technologies, Internet of Things and Computer Vision</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Nicolás E. Caytuiro-Silva</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Eveling G. Castro-Gutierrez</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Jackeline M. Peña-Alejandro</string-name>
          <email>jackeline.pena@ucsm.edu.pe</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="editor">
          <string-name>Visual Impairment, IoT Technology, Computer Vision, Assistive Technologies.1</string-name>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Universidad Católica de Santa María</institution>
          ,
          <addr-line>Urb. San José s/n Umacollo, Arequipa</addr-line>
          ,
          <country country="PE">Perú</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>Visual impairment significantly impacts the lives of millions globally, affecting daily activities and independence. Assistive technologies have emerged as promising tools to enhance autonomy and inclusion for individuals with visual disabilities. Despite numerous tools addressing mobility, navigation, orientation, and object recognition, many remain as proposals or prototypes, with limited impact on the visually impaired community. A comprehensive systematic review is crucial to assess the current state of assistive technology, IoT, and Computer Vision, identifying limitations, areas for improvement, and opportunities for new solutions. This review aims to analyze and synthesize theoretical and practical literature related to assistive tools for individuals with visual impairments. Conducting an exhaustive search on academic databases such as IEEE and Scopus, the review focuses on keywords like computer vision, deep learning, blind or visually impaired. Inclusion and exclusion criteria will guide study selection, with a focus on evaluating study quality. The systematic review analyzes recent technological advancements in assistive tools for the visually impaired, assessing limitations and contributions found in the literature. Key aspects, such as the accuracy and reliability of IoT and Computer Vision-based assistive technologies, are thoroughly evaluated. The University Isabel I systematic review method is employed, involving a manual search of 71 articles from journals, conference proceedings, and books. The findings provide valuable insights for future research, offering a current overview of existing assistive tools for visual impairment. Limitations and improvements identified guide and inspire future research in assistive technologies, IoT, and computer vision. Results reveal a higher publication rate in the Institute of Electrical and Electronics Engineers (IEEE) journal from the United States. The predominant limitation is technological dependence (16.46%), while the most significant contribution lies in the accuracy of detecting objects of interest (11.70%). This systematic review aims to broaden the understanding of existing assistive tools for visual impairment, focusing on technological advancements in Computer Vision and IoT. It anticipates guiding future research towards developing more effective assistive tools for visually impaired individuals.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        Visual impairment affects millions worldwide, hindering the perception, interpretation, and
access to visual information [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. Over the years, various assistive technologies have been
developed to enhance the quality of life and independence of individuals with visual impairments
[
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. In the last decade, advancements in assistive technologies, the Internet of Things (IoT), and
artificial vision have opened new possibilities for innovative tools supporting individuals with
visual disabilities [3]. These technologies enable object detection, real-time information access,
secure navigation, and efficient communication [3]. Given the growing interest in these
technologies, a comprehensive systematic review is essential to identify and evaluate available
assistive tools for visual impairment [4]. This review aims to provide an updated view of
technological advancements, identify strengths and limitations, and highlight areas requiring
further research and development. The article presents a detailed analysis of relevant assistive
technologies, including wearable devices, mobile applications, navigation systems, e-readers,
among others. Key aspects such as technology accuracy, reliability, user-friendliness,
interoperability, and user acceptance are examined. Ethical and privacy challenges associated
with these technologies, as well as barriers and opportunities for large-scale implementation, are
also addressed. The document structure includes the method of research in Section 2, SLR results
in Section 3, a discussion of the research question in Section 4, and study limitations, research
gaps, and suggestions for future studies in Section 5.
      </p>
    </sec>
    <sec id="sec-2">
      <title>2. Method</title>
      <p>The presented review aims to analyze and synthesize theoretical and practical literature related
to assistive tools for individuals with visual disabilities, identifying the main limitations and
contributions to date. This study has been conducted as a systematic literature review based on
the guidelines proposed by Kitchenman [5], which suggests three phases: (1) Planning, (2)
Conducting, and (3) Reporting. The planning phase includes determining the needs of the
systematic review and developing an appropriate protocol to eliminate biases in the research [6].
The conducting phase involves formulating the Quality Question (RQ) to guide central themes of
the review, developing the search process, identifying inclusion and exclusion criteria to select
appropriate studies, examining quality assessment to evaluate previously selected studies in
terms of quality, applying data extraction for detailed documentation, synthesizing the data, and
finally summarizing results and discussions to answer the research question [7]. The final stage
involves presenting the results and discussions to answer the previously formulated research
question. The steps of the systematic literature review method are documented in figure 1.</p>
      <sec id="sec-2-1">
        <title>2.1. Research Questions</title>
        <p>The research question addressed in this study is:</p>
        <p>RQ1: Is the development of an assistive system based on IoT and artificial vision for
individuals with visual disabilities possible?</p>
        <p>Regarding RQ1, it is considered important to evaluate the possibility of developing an assistive
system based on IoT and Artificial Vision for individuals with visual disabilities. To address RQ1,
the frequency of published journals, the frequency of countries of origin, and the predominance
of limitations and contributions found in the articles have been identified.</p>
      </sec>
      <sec id="sec-2-2">
        <title>2.2. Search Process</title>
        <p>The search process involved a manual search for journal articles related to the development
of assistive tools for individuals with visual disabilities over the last 5 years. Articles were
selected as they were known to include applied and theoretical studies related to assistive tools
for visually impaired individuals based on technologies such as IoT and Artificial Vision. The
databases used were:
•
•</p>
        <p>Scopus</p>
        <p>IEEE Explorer</p>
      </sec>
      <sec id="sec-2-3">
        <title>2.3. Inclusion and Exclusion Criteria</title>
        <p>Clear inclusion and exclusion criteria were established to select relevant studies. These
criteria were based on the research topic, study type, article quality, and publication period from
2018 to 2023. Inclusion criteria included:
•</p>
        <p>Studies addressing the topic of systematic literature reviews in the field of software
engineering.
• Studies presenting a clear and reproducible methodology for conducting systematic
reviews.
• Studies published in peer-reviewed journals or conferences.</p>
        <p>Studies that did not meet the inclusion criteria, as well as duplicates, studies not available in
full text, and articles of low quality, were excluded.</p>
      </sec>
      <sec id="sec-2-4">
        <title>2.4. Quality Questions</title>
        <p>Each article was evaluated using criteria from Scopus and IEEE databases. The criteria are
based on a quality assessment question derived from the previously formulated research
question.</p>
        <p>QA1: What limitations and contributions have been identified in existing studies?
The quality question aims to gather information on the limitations and contributions identified
in existing studies, providing a general overview of advances in assistive technologies, the
Internet of Things, and Artificial Vision for individuals with visual disabilities. It also helps
understand areas that require improvement or further research.</p>
      </sec>
      <sec id="sec-2-5">
        <title>2.5. Data Collection</title>
      </sec>
      <sec id="sec-2-6">
        <title>2.6. Data Analysis</title>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>3. Results</title>
      <p>Relevant data were extracted from selected studies, including article title, author information,
year of publication, topic variable, study type, methodology used, country and language of
publication, subjects/sample, as well as the main results and conclusions of the studies.</p>
      <p>The data analysis for this systematic review followed a rigorous methodology and used
techniques established by Kitchenman [5]. Relevant studies were collected and evaluated, data
were extracted, and a comprehensive analysis was conducted to answer the research question
through tables, bar charts, grouped and scatter plots. These visual aids allowed for a comparative
analysis between selected studies, enhancing the quality of presentation.</p>
      <p>This section summarizes the research results:</p>
      <sec id="sec-3-1">
        <title>3.1. Selection of Initial Studies</title>
        <p>The search in indexed databases such as Scopus and IEEE, using the search string "(computer
vision AND deep learning) AND (blind people OR visually impaired)," aimed to obtain a broad and
comprehensive view of advancements in the field of artificial vision and deep learning applied to
blind or visually impaired individuals. These databases are known for their extensive coverage of
scientific and technical articles, spanning various disciplines, including computer vision and
artificial intelligence. By obtaining 57 articles in Scopus and 14 articles in IEEE, a solid foundation
of scientific and technical information is expected to conduct a thorough and rigorous analysis of
the most relevant advancements in this field and identify trends and promising research areas.</p>
        <p>The figure below illustrates the number of journals classified by year and the corresponding
database.</p>
        <p>The data indicates that the Scopus database has a higher number of articles related to the
search string "(computer vision AND deep learning) AND (blind people OR visually impaired),"
with a total of 57 articles, while IEEE Explorer compiled a total of 14 articles. Based on this
information, the analysis was carried out based on journals (including the number of publications
per journal and their quartile), as well as the limitations and contributions found in the research.</p>
      </sec>
      <sec id="sec-3-2">
        <title>3.2. Publication Journals</title>
        <p>N° Journals
1 Lecture Notes in Electrical Engineering
2 Lecture Notes in Computational Vision and Biomechanics
3 Journal of Real-Time Image Processing
4 Journal of Emerging Technologies and Innovative Research
5 ICIC Express Letters Office
6 The Institute of Electrical and Electronics Engineers
7 Multidisciplinary Digital Publishing Institute (MDPI)
8 Communications in Computer and Information Science
9 Advances in Computing Systems and Applications
10 Eastern-European Journal of Enterprise Technologies
11 Universal Access in the Information Society
12 SN Computer Science
Q4 1.43%
Q2 1.43%
Q1 1.43%
100%</p>
      </sec>
      <sec id="sec-3-3">
        <title>3.3. Limitations and Contributions</title>
        <p>A total of 17 limitations and 18 contributions were identified in the found research. Figures 3
and 4 below show each limitation with its respective frequencies.</p>
        <p>Figure 4 reveals that the most frequent limitation is "Technological dependence," with a total
of 13 articles having this limitation, representing 14.46% of all identified limitations. On the other
hand, limitations such as "Validation of the proposal with visually impaired individuals" and
"Limitations in text-to-speech reading systems" each have a frequency of 1 article, representing
2.53% of the limitations. Similarly, in terms of contributions, Figure 4 shows that the contribution
with the highest frequency is "Precision in the detection of objects of interest," with a total of 11
articles having this contribution, representing 11.7% of all identified contributions. Additionally,
contributions such as "Extensible mobile vision architecture," "Visual analysis," "Network
architecture for detection," and "Face recognition" each have a frequency of 1 article with these
contributions, representing 4.26% of the contributions.</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>4. Discussion</title>
      <p>Firstly, it is observed that the Scopus database provided a higher number of articles related to the
search string "(computer vision AND deep learning) AND (blind people OR visually impaired),"
with a total of 57 articles, compared to the 14 articles found in IEEE Explorer. This indicates that
Scopus is an important source of research in this field, offering extensive coverage of scientific
and technical information.</p>
      <p>Examining the distribution of articles by journals and quartiles, it is noteworthy that most
journals are in the first quartile, representing 63.4% of the total. This suggests that the consulted
research is highly relevant and has a significant impact on the field of study. On the other hand,
approximately 29.6% of the journals are in the remaining quartiles, while the remaining 7% do
not have a quartile classification.</p>
      <p>Regarding the limitations and contributions identified in the research, it is observed that the
most frequent limitation is "Technological dependence," present in 13 articles and representing
14.46% of all identified limitations. This highlights the importance of addressing this challenge
to ensure the viability and accessibility of assistive tools for visually impaired individuals. In
terms of contributions, "Precision in the detection of objects of interest" stands out, mentioned in
11 articles and representing 11.7% of all identified contributions. This indicates significant
progress in the field of artificial vision and deep learning, providing better capabilities for
recognizing and analyzing visual information. In summary, the results reveal the importance of
databases like Scopus for accessing a wide range of research in the field of assistive tools for
visually impaired individuals. Following [5], the relevance and impact of the consulted research
are highlighted, as well as the need to address technological dependence and improve the
precision in the detection of objects of interest. These findings provide a comprehensive view of
advancements in this field and point to promising research areas for future developments.</p>
    </sec>
    <sec id="sec-5">
      <title>5. Conclusions</title>
      <p>The systematic review conducted on assistive tools for visually impaired individuals has allowed
for a broad and up-to-date understanding of the state of technology in this field. Through an
exhaustive search in academic databases and the evaluation of numerous studies, significant
advances have been identified in assistive technologies, the Internet of Things, and artificial
vision, aimed at improving the autonomy and inclusion of visually impaired individuals.</p>
      <p>It has been observed that there are various available assistive tools addressing issues related
to mobility, navigation, orientation, and object recognition. However, it has been evident that
many of these tools are in early stages of development, being proposals, projects, or prototypes
with low impact on usage by visually impaired individuals. On the other hand, among the
identified limitations, technological dependence stands out as one of the main barriers to the
widespread adoption of these tools. Additionally, challenges related to the accuracy and
reliability of IoT and artificial vision-based technologies have been identified, requiring
continuous improvements to ensure their effectiveness in real-world environments. Despite the
limitations, significant contributions have been observed in terms of precision in the detection of
objects of interest. This demonstrates the potential of assistive technologies in the recognition
and interpretation of visual information for visually impaired individuals.</p>
      <p>The findings of this systematic review are relevant for both future research and the
development of new solutions in the field of assistive technologies. The obtained results provide
guidance on areas that require more attention, such as overcoming technological dependence and
improving the precision and reliability of the tools. Furthermore, opportunities for the
development of new solutions that can be more effective and widely used by visually impaired
individuals are highlighted. In this regard, it is considered that this systematic review has been a
valuable opportunity to deepen the knowledge of assistive technologies for visually impaired
individuals. Through this study, the positive impact that these tools can have on the lives of
visually impaired individuals, improving their autonomy, independence, and quality of life, has
been appreciated. It is recommended that research in this field continues, with the aim of
overcoming the identified limitations and developing more accessible and effective solutions.
Additionally, the importance of collaboration between researchers, health professionals, visually
impaired individuals, and other relevant stakeholders is emphasized, ensuring that assistive
technologies are developed considering the real needs and preferences of users.
[3] M. Leo, A. Furnari, G. Medioni, M. Trivedi y G. Farinella, «Deep Learning for Assistive</p>
      <p>Computer Vision» Proceedings, 2019.
[4] M. F. Castañeda Mejía, «Las tecnologías de la información y comunicación como herramienta
para el desarrollo de personas con discapacidad visual,» Pontificia Universidad Javeriana,
2016.
[5] K. Barbara, B. O. Pearl, B. David, T. Mark, B. John y S. Linkman, «Systematic literature reviews
in software engineering – A systematic literature review» Information and Software
Technology, vol. 51, nº 1, pp. 7-15, 2009.
[6] B. Kitchenham y S. Charters, «Guidelines for performing systematic literature reviews in
software engineering» Technical Report EBSE-2007-01, Keele University and Durham
University Joint Report, 2007.
[7] J. P. T. Higgins y S. Green, «Cochrane Handbook for Systematic Reviews of Interventions» The</p>
      <p>Cochrane Collaboration., 2011.
[8] C. L. Frost Nájera, «Una estructura digital accesible es un derecho humano de las personas
con discapacidad visual,» Universidad Politécnica de Santa Rosa Jáuregui, vol. 6, 2021.</p>
    </sec>
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