Cognitive overload or underload results in a decrease in human performance which may result in fatal incidents while driving. We envision that driver assistive systems which adapt their functionality to the driver’s cognitive state could be a promising approach to reduce road accidents due to human errors. This research attempts to predict variations of cognitive working memory load levels in a natural driving scenario with multiple parallel tasks and to reveal predictive brain areas. We used a modified version of the n-back task to induce five different working memory load levels (from 0-back up to 4-back) forcing the participants to continuously update, memorize, and recall the previous ‘n’ speed sequences and adjust their speed accordingly while they drove for approximately 60 min on a highway with concurrent traffic in a virtual reality driving simulator. We measured brain activation using multichannel whole head, high density functional near-infrared spectroscopy (fNIRS) and predicted working memory load level from the fNIRS data by combining multivariate lasso regression and cross-validation. This allowed us to predict variations in working memory load in a continuous time-resolved manner with mean Pearson correlations between induced and predicted working memory load over 15 participants of 0.61 [standard error (SE) 0.04] and a maximum of 0.8. Restricting the analysis to prefrontal sensors placed over the forehead reduced the mean correlation to 0.38 (SE 0.04), indicating additional information gained through whole head coverage. Moreover, working memory load predictions derived from peripheral heart rate parameters achieved much lower correlations (mean 0.21, SE 0.1). Importantly, whole head fNIRS sampling revealed increasing brain activation in bilateral inferior frontal and bilateral temporo-occipital brain areas with increasing working memory load levels suggesting that these areas are specifically involved in workload-related processing.

The LMA-S and i-gel™ differ significantly with regard to in situ position and spatial relationship with adjacent structures assessed by MRI, despite similar clinical and fibreoptical findings. This could be relevant with regard to risk of aspiration, glottic narrowing, and airway resistance and soft-tissue morbidity.

Driving is a complex task concurrently drawing on multiple cognitive resources. Yet, there is a lack of studies investigating interactions at the brain-level among different driving subtasks in dual-tasking. This study investigates how visuospatial attentional demands related to increased driving difficulty interacts with different working memory load (WML) levels at the brain level. Using multichannel whole-head high density functional near-infrared spectroscopy (fNIRS) brain activation measurements, we aimed to predict driving difficulty level, both separate for each WML level and with a combined model. Participants drove for approximately 60 min on a highway with concurrent traffic in a virtual reality driving simulator. In half of the time, the course led through a construction site with reduced lane width, increasing visuospatial attentional demands. Concurrently, participants performed a modified version of the n-back task with five different WML levels (from 0-back up to 4-back), forcing them to continuously update, memorize, and recall the sequence of the previous ‘n’ speed signs and adjust their speed accordingly. Using multivariate logistic ridge regression, we were able to correctly predict driving difficulty in 75.0% of the signal samples (1.955 Hz sampling rate) across 15 participants in an out-of-sample cross-validation of classifiers trained on fNIRS data separately for each WML level. There was a significant effect of the WML level on the driving difficulty prediction accuracies [range 62.2–87.1%; χ2(4) = 19.9, p < 0.001, Kruskal–Wallis H test] with highest prediction rates at intermediate WML levels. On the contrary, training one classifier on fNIRS data across all WML levels severely degraded prediction performance (mean accuracy of 46.8%). Activation changes in the bilateral dorsal frontal (putative BA46), bilateral inferior parietal (putative BA39), and left superior parietal (putative BA7) areas were most predictive to increased driving difficulty. These discriminative patterns diminished at higher WML levels indicating that visuospatial attentional demands and WML involve interacting underlying brain processes. The changing pattern of driving difficulty related brain areas across WML levels could indicate potential changes in the multitasking strategy with level of WML demand, in line with the multiple resource theory.

Experiencing frustration while driving can harm cognitive processing, result in aggressive behavior and hence negatively influence driving performance and traffic safety. Being able to automatically detect frustration would allow adaptive driver assistance and automation systems to adequately react to a driver’s frustration and mitigate potential negative consequences. To identify reliable and valid indicators of driver’s frustration, we conducted two driving simulator experiments. In the first experiment, we aimed to reveal facial expressions that indicate frustration in continuous video recordings of the driver’s face taken while driving highly realistic simulator scenarios in which frustrated or non-frustrated emotional states were experienced. An automated analysis of facial expressions combined with multivariate logistic regression classification revealed that frustrated time intervals can be discriminated from non-frustrated ones with accuracy of 62.0% (mean over 30 participants). A further analysis of the facial expressions revealed that frustrated drivers tend to activate muscles in the mouth region (chin raiser, lip pucker, lip pressor). In the second experiment, we measured cortical activation with almost whole-head functional near-infrared spectroscopy (fNIRS) while participants experienced frustrating and non-frustrating driving simulator scenarios. Multivariate logistic regression applied to the fNIRS measurements allowed us to discriminate between frustrated and non-frustrated driving intervals with higher accuracy of 78.1% (mean over 12 participants). Frustrated driving intervals were indicated by increased activation in the inferior frontal, putative premotor and occipito-temporal cortices. Our results show that facial and cortical markers of frustration can be informative for time resolved driver state identification in complex realistic driving situations. The markers derived here can potentially be used as an input for future adaptive driver assistance and automation systems that detect driver frustration and adaptively react to mitigate it.

Functional near-infrared spectroscopy (fNIRS) is a versatile imagining modality whose popularity is increasing exponentially in the neuroimaging society. Our research attempts to quantify workload in a natural driving scenario with multiple parallel tasks using fNIRS. Nine young adults participated in this study where they drove in a driving simulator for a period of 100 minutes while we continuously recorded fNIRS data. We used an n-back task to induce different workload levels forcing the participants to remember the previous one, two, three or four speed signs and adjust their speed accordingly while they interact with traffic in the virtual reality driving simulator scenario. Our results indicate that measuring the hemodynamic responses from the bilateral prefrontal cortex (PFC) can be used reliably to quantify cognitive workload levels even in more complex naturalistic tasks.