AOI-Net: Structural Face AOI-Guided Eye-Gaze Track Representation Learning for Autism Spectrum Disorder Detection

Eye-movement tracking has emerged as a promising non-invasive approach to Autism Spectrum Disorder (ASD) screening, with systematic differences in attentional allocation and revisit behaviors observed during socially interactive tasks. Existing computational methods typically characterize eye-movements using discrete gaze trajectories and fixation events, yielding representations dominated by short-range temporal dynamics and limiting models that primarily emphasize long-range dependencies. Meanwhile, gaze behavior is naturally organized across semantically meaningful Areas of Interest (AOIs), whose attention allocation and transitions provide important structural cues, yet their relationships are rarely modeled explicitly. To address these limitations, we propose a structural face AOI-guided Eye-Gaze Track Network (AOI-Net) that jointly models short-term temporal dynamics and AOI-level structural organization. A network gating mechanism adaptively integrates the complementary temporal and structural representations according to their contributions to gaze-behavior characterization. To mitigate the pronounced class imbalance commonly encountered between individuals with ASD and Typically Developing (TD) participants in clinical datasets, class-distribution-aware learning is further employed to facilitate discriminative embedding learning under skewed class distributions. Experiments on a unique and large-scale clinical eye-tracking database comprising eight stimulus subsets and more than 1,300 participants show that AOI-Net consistently outperforms state-of-the-art methods. The proposed framework also enables interpretable gaze-behavior modeling and provides a practical basis for scalable AI-driven ASD screening in real-world healthcare. The code is available at https://github.com/Zhanpei-ai/CIM-AOI-Net/tree/main/Code