<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">OJBIPHY</journal-id><journal-title-group><journal-title>Open Journal of Biophysics</journal-title></journal-title-group><issn pub-type="epub">2164-5388</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/ojbiphy.2021.114017</article-id><article-id pub-id-type="publisher-id">OJBIPHY-112862</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject><subject> Physics&amp;Mathematics</subject></subj-group></article-categories><title-group><article-title>
 
 
  ROC and SAT Analysis of Different Grayscale Test Images (Distractors L and Target T) to Customize a Visual-Search Attention Task
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Dineshen</surname><given-names>Chuckravanen</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Barkin</surname><given-names>Ilhan</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Nizamettin</surname><given-names>Dalk&amp;#305;l&amp;#305;&amp;ccedil;</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Department of Biophysics, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey</addr-line></aff><pub-date pub-type="epub"><day>06</day><month>08</month><year>2021</year></pub-date><volume>11</volume><issue>04</issue><fpage>407</fpage><lpage>414</lpage><history><date date-type="received"><day>8,</day>	<month>May</month>	<year>2021</year></date><date date-type="rev-recd"><day>26,</day>	<month>October</month>	<year>2021</year>	</date><date date-type="accepted"><day>29,</day>	<month>October</month>	<year>2021</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Nowadays, there is a great need to investigate the effects of fatigue on physical as well as mental performance. The issues that are generally associated with extreme fatigue are that one can easily lose one’s focus while performing any particular activity whether it is physical or mental and this decreases one’s motivation to complete the task at hand efficiently and successfully. In the same line of thought, myriads of research studies posited the negative effects of fatigue on mental performance, and most techniques to induce fatigue to require normally long-time and repetitive visual search tasks. In this study, a visual search algorithm task was devised and customized using performance measures such as 
  <em>d</em>’ (
  d-prime) and Speed Accuracy Trade-Off (
  SATF) as well as 
  ROC analysis for classifier performance. The visual search algorithm consisted of distractors (
  L) and a target (
  T) whereby human participants had to press the appropriate keyboard button as fast as possible if they notice a target or not upon presentation of a visual stimulus. It was administered to human participants under laboratory conditions, and the reaction times, as well as accuracy of the participants, were monitored. It was found that the test image Size35Int255 was the best image to be used in terms of sensitivity and AUC (Area under Curve). Therefore, ongoing researches can use these findings to create their visual stimuli in such a way that the target and distractor images follow the size and intensity characteristics as found in this research.
 
</p></abstract><kwd-group><kwd>AUC</kwd><kwd> Mental Fatigue</kwd><kwd> Psychophysics</kwd><kwd> ROC Analysis</kwd><kwd> Response Accuracy</kwd><kwd> Re-action Time</kwd><kwd> SATF</kwd><kwd> Visual Attention</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Fatigue is defined as a condition or phenomenon of decreased ability and efficiency of mental and/or physical activities caused by excessive mental and/or physical activities, or illness. It is characterized by decreased energy, motivation and difficult concentrating or difficulty in maintaining sustained attention and remaining alert to relevant stimuli appearing at unpredictable time points over long periods of time. Fatigue is usually accompanied by a sense of discomfort, desire to rest and reduced motivation [<xref ref-type="bibr" rid="scirp.112862-ref1">1</xref>]. There are many types of different works such as driving, monitoring tasks which require operators to maintain sustained attention on multiple objects for prolonged periods of time. One of the principal causes of decrements in sustained attention is mental fatigue [<xref ref-type="bibr" rid="scirp.112862-ref2">2</xref>] which was defined as the state of reduced mental alertness that impairs performance. There are many studies which showed the adverse effects of mental fatigue on sustained attention as shown by reduced behavioural performance. For instance, in sustained attention to response task [<xref ref-type="bibr" rid="scirp.112862-ref3">3</xref>] found that participants’ performance declined in both accuracy and speed in time. It was found that as the duration of the mental fatiguing induced task increases, the number of misses and false alarms increase, and the response speed decreases [<xref ref-type="bibr" rid="scirp.112862-ref4">4</xref>]. In these studies as well as those from research [<xref ref-type="bibr" rid="scirp.112862-ref5">5</xref>], participants were instructed to execute a task continuously for a long period of time, and then their behavioural performances, reactions times and accuracy rates, were compared between the former and the latter of the mental fatigue induced experiment [<xref ref-type="bibr" rid="scirp.112862-ref6">6</xref>]. Moreover, factors that can induce fatigue in a short period of time can be a very boring/monotonous task, a bad/dark illuminating, night time, combination with physical fatigue and low-performance phases according to circadian rhythm.</p><p>To date, in most fatigue studies, the methods used to induce fatigue are either through sleep deprivation or the performance of long-term, tedious and repetitive tasks. Moreover, there are many researches study which employ and support long-time repetitive visual search tasks to induce mental fatigue [<xref ref-type="bibr" rid="scirp.112862-ref7">7</xref>]. For instance, authors [<xref ref-type="bibr" rid="scirp.112862-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.112862-ref8">8</xref>] used a visual search task to induce mental fatigue and they found promising electroencephalogram indicators for mental fatigue and evaluation. Moreover, researchers [<xref ref-type="bibr" rid="scirp.112862-ref9">9</xref>] found that visual search is a promising instrument for the assessment of cognitive functions and cognitive changes in patients with multiple sclerosis because of its good discriminatory power and insusceptibility to practice effects. Therefore, this research developed and attempted to customize a visual search algorithm task which consisted of distractors and a target.</p></sec><sec id="s2"><title>2. Methodology</title><p>The visual search algorithm was developed using GNU Octave programming language running on Linux (Debian8). The visual search algorithm displays a number of rotated distractors (L) and a rotated target (T) presented randomly on a Cathode Ray Tube (CRT) monitor’s screen with width 600 and height 480. The number of distractors including the target (N) was varied from 12 to 28 in increments of 4. The image size of the distractor L and that of the target T were varied from [25 &#215; 25] pixels to [40 &#215; 40] pixels in increments of 5 to produce 4 different image sizes. Then, the image intensity for each particular distractor image size as well as the target image size was varied in the following manner: 220, 230, 240 and 255. This produces in total 16 types of grayscale test images for the distractor L and 16 types of grayscale test images for the target T. Some examples of the images are shown in Figures 1-3. The distance between the participants and the monitor screen was kept at constant at 60 cm.</p><sec id="s2_1"><title>2.1. Participant Recruitment</title><p>The whole research study ethics was approved by Tubitak’s Ethics committee. Prior to performing the visual search task, an informed consent form was provided to each participant to demonstrate their willingness to take part in this psychophysics experiment. The psychophysics experiment took about 20 minutes, and each participant was required to press the right-arrow key on the keyboard when he or she sees a target T among randomly shown distractors L on the screen or to press the left-arrow key on the keyboard when he or she do not see a target T among randomly shown distractors L on the screen. The participants were required to press the appropriate key as quickly and accurately as possible. Participants could withdraw from the experiment at any time while performing the psychophysics experiment if they did not feel comfortable to continue, and their results were eventually withdrawn from the recorded database. All participants’ responses data were coded and no names were be divulged during this dissemination. A total number of 18 participants took part in this study of which 10 were males and 8 were females. The healthy participants comprised of medical students of different years of study (1<sup>st</sup> year to 6<sup>th</sup> year of their medical studies), and also research staff of the biophysics, physiology and biology department of Necmettin Erbakan University. Their ages range from 19 to 51 years old (24.8 &#177; 8.2).</p></sec><sec id="s2_2"><title>2.2. Data Collection</title><p>Both reaction times (response times) as well as the responses of the participants were recorded. The responses of the participants were compared to the presence or absence of target in a particular screen. Moreover, the different set sizes of the number of distractors including target for each screen were recorded.</p></sec><sec id="s2_3"><title>2.3. ROC Analysis</title><p>A Receiver Operating Characteristics (ROC) graph is a technique for visualizing, organizing and selecting classifiers based on their performance. ROC graphs have been employed in signal detection theory to depict the tradeoff between hit rates and false alarm rates of classifiers. ROC analysis has been extended for use in visualizing and also analyzing the behavior of diagnostic systems. One of the earliest adopters of ROC graphs in machine learning was Spackman (1989), who demonstrated the value of ROC curves in evaluating and comparing algorithms.</p>Classifier Performance<p>A classification model or classifier is a mapping from instances to predicted classes. Given a classifier and an instance, there are four possible outcomes. If the instance is positive, and it is classified as positive, it is counted as a true positive; if it is classified as negative, it is counted as a false negative. If the instance is negative and it is classified as negative, it is counted as true negative; if it is classified as positive, it is counted as a false positive. Given a classifier and a set of instances (the test set), the following terms are defined [<xref ref-type="bibr" rid="scirp.112862-ref10">10</xref>] [<xref ref-type="bibr" rid="scirp.112862-ref11">11</xref>]:</p><p>The true positive rate (also called the hit rate and recall) is estimated as:</p><p>1) Tp-rate = positives correctly classified/total positives</p><p>The false positive rate (also called the false alarm rate) of the classifier is:</p><p>2) Fp-rate = Negatives incorrectly classified/Total negatives</p><p>Other terms derived from these two rates are:</p><p>3) Specificity = 1 − fp rate</p><p>Specificity measures the proportion of negatives that are correctly identified.</p><p>4) Sensitivity = tp rate</p><p>Sensitivity measures the proportion of positives that are correctly identified.</p><p>In this research, the Receiver Operator Characteristics (ROC) analysis was applied to the reaction times of the participants that were affected by the different image size and image intensity as well as the number of distractors on a particular screen. In this psychophysics experiment, for each participant, the target was present at 50% of the screen presentations in order to observe how well the reaction times could be used to predict the two different classes of presence of target on a screen and the absence of target on a particular screen. The Area under Curve (AUC) of an ROC curve will pinpoint the best test image(s) for this particular visual task in terms of specificity and sensitivity.</p></sec><sec id="s2_4"><title>2.4. SAT Analysis</title><p>There is normally a negative relationship between reaction times and accuracy of responses. It means that the faster one reacts in a particular task, the worse is one’s performance (accuracy). The confusion matrix summarizes the different types of true positives, false positives, true negatives as well as false negative that might occur during an experiment (<xref ref-type="table" rid="table1">Table 1</xref>). Therefore, for the Speed Accuracy trade-off analysis, the ratio of d-prime (d’) or sensitivity index to reaction time was investigated for each test image and it is also called as the Speed-Accuracy Tradeoff Function (SATF). The d’ (d-prime) is a statistic used in signal detection theory and it provides the separation between the means of the signal and the noise distributions, compared against the standard deviation of the signal or noise distribution. An estimate of the d’ can be found from the measurement of the hit rate and the false alarm rate based on the confusion matrix (<xref ref-type="table" rid="table1">Table 1</xref>). It is calculated as d’ = Z (hit rate) − Z (false alarm rate) where function Z (p), p ϵ [0, 1], is the inverse of the cumulative distribution function of the Gaussian distribution. A higher d’ indicates that the signal can be more readily detected.</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Confusion matrix to describe the target present and target absent responses to differentiate between true positive, false positive, false negative and true negative</title></caption><table><tbody><thead><tr><th align="center" valign="middle" ></th><th align="center" valign="middle" >Target present (P)</th><th align="center" valign="middle" >Target absent (N)</th></tr></thead><tr><td align="center" valign="middle" >Response (Yes)</td><td align="center" valign="middle" >True positives</td><td align="center" valign="middle" >False positives</td></tr><tr><td align="center" valign="middle" >Response (No)</td><td align="center" valign="middle" >False negatives</td><td align="center" valign="middle" >True negatives</td></tr></tbody></table></table-wrap><p>Based on the SATF function, low constant d’ for low reaction times mean the Task is too difficult and if high constant d’ for high reaction time, this means performance saturates.</p></sec></sec><sec id="s3"><title>3. Results</title><p>A detailed summary of the results produced from the ROC analysis, d’, the mean reaction times of the participants for each test image as well as the corresponding responses’ accuracy are shown in <xref ref-type="table" rid="table2">Table 2</xref>. The percentage accuracy of the responses is computed by dividing the number of correct responses with the total number of questions posed to the participants. The reaction times of the participants’ responses are classified using ROC technique (see <xref ref-type="fig" rid="fig4">Figure 4</xref>).</p><p>SATF analysis was conducted on the test image Size35Int255 based on its high d’ and highest AUC values to observe the change in sensitivity with increasing reaction times of the participants (see <xref ref-type="fig" rid="fig5">Figure 5</xref>).</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> ROC analysis, dprime, mean RT and accuracy</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Test images</th><th align="center" valign="middle" >Area under curve from ROC analysis</th><th align="center" valign="middle" >Dprime [d’ = z(H) − z(F)]</th><th align="center" valign="middle" >Mean reaction time (s)</th><th align="center" valign="middle" >Percentage accuracy (%)</th></tr></thead><tr><td align="center" valign="middle" >Size40Int255</td><td align="center" valign="middle" >0.7810</td><td align="center" valign="middle" >1.683</td><td align="center" valign="middle" >1.642</td><td align="center" valign="middle" >90.0</td></tr><tr><td align="center" valign="middle" >Size40Int240</td><td align="center" valign="middle" >0.8574</td><td align="center" valign="middle" >3.002</td><td align="center" valign="middle" >1.984</td><td align="center" valign="middle" >96.1</td></tr><tr><td align="center" valign="middle" >Size40Int230</td><td align="center" valign="middle" >0.8441</td><td align="center" valign="middle" >3.002</td><td align="center" valign="middle" >1.964</td><td align="center" valign="middle" >96.7</td></tr><tr><td align="center" valign="middle" >Size40Int220</td><td align="center" valign="middle" >0.8430</td><td align="center" valign="middle" >3.184</td><td align="center" valign="middle" >1.842</td><td align="center" valign="middle" >97.2</td></tr><tr><td align="center" valign="middle" >Size35Int255</td><td align="center" valign="middle" >0.8631</td><td align="center" valign="middle" >3.403</td><td align="center" valign="middle" >1.894</td><td align="center" valign="middle" >96.1</td></tr><tr><td align="center" valign="middle" >Size35Int240</td><td align="center" valign="middle" >0.8220</td><td align="center" valign="middle" >2.840</td><td align="center" valign="middle" >1.922</td><td align="center" valign="middle" >96.1</td></tr><tr><td align="center" valign="middle" >Size35Int230</td><td align="center" valign="middle" >0.7996</td><td align="center" valign="middle" >3.667</td><td align="center" valign="middle" >2.090</td><td align="center" valign="middle" >98.3</td></tr><tr><td align="center" valign="middle" >Size35Int220</td><td align="center" valign="middle" >0.8344</td><td align="center" valign="middle" >3.186</td><td align="center" valign="middle" >1.962</td><td align="center" valign="middle" >96.7</td></tr><tr><td align="center" valign="middle" >Size30Int255</td><td align="center" valign="middle" >0.8491</td><td align="center" valign="middle" >3.002</td><td align="center" valign="middle" >2.059</td><td align="center" valign="middle" >95.6</td></tr><tr><td align="center" valign="middle" >Size30Int240</td><td align="center" valign="middle" >0.8321</td><td align="center" valign="middle" >2.328</td><td align="center" valign="middle" >1.989</td><td align="center" valign="middle" >92.7</td></tr><tr><td align="center" valign="middle" >Size30Int230</td><td align="center" valign="middle" >0.8094</td><td align="center" valign="middle" >3.668</td><td align="center" valign="middle" >2.019</td><td align="center" valign="middle" >98.3</td></tr><tr><td align="center" valign="middle" >Size30Int220</td><td align="center" valign="middle" >0.8275</td><td align="center" valign="middle" >2.693</td><td align="center" valign="middle" >2.012</td><td align="center" valign="middle" >95.6</td></tr><tr><td align="center" valign="middle" >Size25Int255</td><td align="center" valign="middle" >0.7775</td><td align="center" valign="middle" >2.327</td><td align="center" valign="middle" >2.292</td><td align="center" valign="middle" >93.3</td></tr><tr><td align="center" valign="middle" >Size25Int240</td><td align="center" valign="middle" >0.8270</td><td align="center" valign="middle" >2.441</td><td align="center" valign="middle" >2.241</td><td align="center" valign="middle" >91.7</td></tr><tr><td align="center" valign="middle" >Size25Int230</td><td align="center" valign="middle" >0.7967</td><td align="center" valign="middle" >2.441</td><td align="center" valign="middle" >2.244</td><td align="center" valign="middle" >94.4</td></tr><tr><td align="center" valign="middle" >Size25Int220</td><td align="center" valign="middle" >0.8311</td><td align="center" valign="middle" >2.121</td><td align="center" valign="middle" >2.084</td><td align="center" valign="middle" >92.7</td></tr></tbody></table></table-wrap></sec><sec id="s4"><title>4. Discussion and Conclusion</title><p>ROC analysis proved to be a useful tool in distinguishing the effect of the different types of images (distractors and targets) on the subjects’ reaction times. The highest value of AUC was the test image with size of 35 &#215; 35 pixels and with an image intensity of 255 and it represented the best test image in terms of specificity and sensitivity. Moreover, the results based on the d-prime alone showed that the test image Size35Int255 ranked among the first three best images to represent a readily detected visual stimulus. Speed-accuracy trade-off function analysis on the test image Size35Int255 showed that the sensitivity increases sharply between the reaction times of 0.8 to 1.1 seconds, then sensitivity rises gradually until 2.8 seconds and then sensitivity remains constant beyond this point which insinuates that performance saturates at this point onward. The ongoing analysis is also focusing on the effect of a varied number of targets and distractors on the participants’ performance.</p></sec><sec id="s5"><title>Acknowledgements</title><p>This research work is supported by The Scientific and Technological Research Council of Turkey (T&#220;BİTAK) and the Marie Curie Action Cofund of the 7<sup>th</sup> Framework Program (FP7) for me to pursue my postdoctoral research work. I would like to sincerely thank the medical students as well as the various research staffs from the Biophysics, Biology and Physiology Departments of the Necmettin Erbakan University for their precious participation as well as for helping me in the organization (scheduling and translation) process of this psychophysics experiment. My sincere thanks go also to my mentors Assoc. Professor Barkin Ilhan for his fruitful advice and guidance about performance algorithms, and the concept of the rotation of the targets and distractors, and Prof. Nizamettin Dalkılı&#231; about the support of this work.</p></sec><sec id="s6"><title>Conflicts of Interest</title><p>The authors declare no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s7"><title>Cite this paper</title><p>Chuckravanen, D., Ilhan, B. and Dalkılı&#231;, N. (2021) ROC and SAT Analysis of Different Grayscale Test Images (Distractors L and Target T) to Customize a Visual-Search Attention Task. Open Journal of Biophysics, 11, 407-414. https://doi.org/10.4236/ojbiphy.2021.114017</p></sec></body><back><ref-list><title>References</title><ref id="scirp.112862-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Altman, D.G. and Bland, J.M. (1994) Statistics Notes: Diagnostic Tests 1: Sensitivity and Specificity. 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