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Abstract Objective.We aim to assess the severity of spatial neglect (SN) through detailing patients’ field of view (FOV) using EEG. Spatial neglect, a prevalent neurological syndrome in stroke patients, typically results from unilateral brain injuries, leading to inattention to the contralesional space. Commonly used Neglect detection methods like the Behavioral Inattention Test—conventional lack the capability to assess the full extent and severity of neglect. Although the Catherine Bergego Scale provides valuable clinical information, it does not detail the specific FOV affected in neglect patients.Approach.Building on our previously developed EEG-based brain–computer interface system, AR-guided EEG-based neglect detection, assessment, and rehabilitation system (AREEN), we aim to map neglect severity across a patient’s FOV. We have demonstrated that AREEN can assess neglect severity in a patient-agnostic manner. However, its effectiveness in patient-specific scenarios, which is crucial for creating a generalizable plug-and-play system, remains unexplored. This paper introduces a novel EEG-based combined spatio-temporal network (ESTNet) that processes both time and frequency domain data to capture essential frequency band information associated with SN. We also propose a FOV correction system using Bayesian fusion, leveraging AREEN’s recorded response times for enhanced accuracy by addressing noisy labels within the dataset.Main results.Extensive testing of ESTNet on our proprietary dataset has demonstrated its superiority over benchmark methods, achieving 79.62% accuracy, 76.71% sensitivity, and 86.36% specificity. Additionally, we provide saliency maps to enhance model explainability and establish clinical correlations.Significance.These findings underscore ESTNet’s potential combined with Bayesian fusion-based FOV correction as an effective tool for generalized neglect assessment in clinical settings. 

Affect-biased attention is the phenomenon of prioritizing attention to emotionally salient stimuli and away from goal-directed stimuli. It is thought that affect-biased attention to emotional stimuli is a driving factor in the development of depression. This effect has been well-studied in adults, but research shows that this is also true during adolescence, when the severity of depressive symptoms are correlated with the magnitude of affect-biased attention to negative emotional stimuli. Prior studies have shown that trainings to modify affect-biased attention may ameliorate depression in adults, but this research has also been stymied by concerns about reliability and replicability. This study describes a clinical application of augmented reality-guided EEG-based attention modification (“AttentionCARE”) for adolescents who are at highest risk for future depressive disorders (i.e., daughters of depressed mothers). Our results (n= 10) indicated that the AttentionCARE protocol can reliably and accurately provide neurofeedback about adolescent attention to negative emotional distractors that detract from attention to a primary task. Through several within and cross-study replications, our work addresses concerns about the lack of reliability and reproducibility in brain-computer interface applications, offering insights for future interventions to modify affect-biased attention in high-risk adolescents.