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System block diagram. After loading the data file (.csv), the head impulse and eye response are first smoothed, then used for detecting parameters. Those include onset, minimum and maximum values, significant peaks, and catch-up saccades (CUS). If the CUS appears before the head impulse end, it is labeled as covert CUS, and the gain is calculated via desaccaded position gain algorithm. Otherwise, it can be a normal response, or contains overt CUS, which can be separated due to the number and time of significant peaks. After all, the gain and CUS proportion is calculated and inputted to fuzzy inference system to obtain normality and artifact index. ∗Artifact handling included smoothing filter, peaks (#, amplitude, and times), and gain. ∗∗Artifact index is theoretically contradicting such as low gain but no CUS, or gain within normal range but still have CUS.

System block diagram. After loading the data file (.csv), the head impulse and eye response are first smoothed, then used for detecting parameters. Those include onset, minimum and maximum values, significant peaks, and catch-up saccades (CUS). If the CUS appears before the head impulse end, it is labeled as covert CUS, and the gain is calculated via desaccaded position gain algorithm. Otherwise, it can be a normal response, or contains overt CUS, which can be separated due to the number and time of significant peaks. After all, the gain and CUS proportion is calculated and inputted to fuzzy inference system to obtain normality and artifact index. ∗Artifact handling included smoothing filter, peaks (#, amplitude, and times), and gain. ∗∗Artifact index is theoretically contradicting such as low gain but no CUS, or gain within normal range but still have CUS.

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Article
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This paper represents the clinical decision support system for video head impulse test (vHIT) based on fuzzy inference system. It examines the eye and head movement recorded by the eye movement tracking device, calculates the vestibulo-ocular reflex (VOR) gain, and applies fuzzy inference system to output the normality and artifact index of the tes...

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Citations

... For example, if the patient must focus on something while rotating the head right-to-left, and if the patient keeps seeing the object without losing sight of it or feeling dizzy, the patient has a healthy dynamic vestibulo-ocular reflex (VOR) function [1,3,5]. The human inner ear has three paired semicircular canals, which work as detectors of head acceleration that activate the VOR system and generate eye movement during head rotation or translation [1,2,3,9]. ...
... The VOR system occurs with high-frequency motion [2]. That motion maintains our vision orientation and allows physicians to check the normality or abnormality of the vestibular function. ...
... Normality of VOR, known as VOR gain, is defined as the ratio of eye velocity to head velocity. The gain value should be close to 1 with normal vestibular function [2]. There are three types of vHIT data: lateral (test for horizontal canal), left anterior-right posterior (LARP), and right anterior-left posterior (RALP) for vertical canals [8,9]. ...
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