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Systematic viewing in radiology: seeing more, missing less?
To prevent radiologists from overlooking lesions, radiology textbooks recommend “systematic viewing,” a technique whereby anatomical areas are inspected in a fixed order. This would ensure complete inspection (full coverage) of the image and, in turn, improve diagnostic performance. To test this ass...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Netherlands
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4749649/ https://www.ncbi.nlm.nih.gov/pubmed/26228704 http://dx.doi.org/10.1007/s10459-015-9624-y |
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author | Kok, Ellen M. Jarodzka, Halszka de Bruin, Anique B. H. BinAmir, Hussain A. N. Robben, Simon G. F. van Merriënboer, Jeroen J. G. |
author_facet | Kok, Ellen M. Jarodzka, Halszka de Bruin, Anique B. H. BinAmir, Hussain A. N. Robben, Simon G. F. van Merriënboer, Jeroen J. G. |
author_sort | Kok, Ellen M. |
collection | PubMed |
description | To prevent radiologists from overlooking lesions, radiology textbooks recommend “systematic viewing,” a technique whereby anatomical areas are inspected in a fixed order. This would ensure complete inspection (full coverage) of the image and, in turn, improve diagnostic performance. To test this assumption, two experiments were performed. Both experiments investigated the relationship between systematic viewing, coverage, and diagnostic performance. Additionally, the first investigated whether systematic viewing increases with expertise; the second investigated whether novices benefit from full-coverage or systematic viewing training. In Experiment 1, 11 students, ten residents, and nine radiologists inspected five chest radiographs. Experiment 2 had 75 students undergo a training in either systematic, full-coverage (without being systematic) or non-systematic viewing. Eye movements and diagnostic performance were measured throughout both experiments. In Experiment 1, no significant correlations were found between systematic viewing and coverage, r = −.10, p = .62, and coverage and performance, r = −.06, p = .74. Experts were significantly more systematic than students F(2,25) = 4.35, p = .02. In Experiment 2, significant correlations were found between systematic viewing and coverage, r = −.35, p < .01, but not between coverage and performance, r = .13, p = .31. Participants in the full-coverage training performed worse compared with both other groups, which did not differ between them, F(2,71) = 3.95, p = .02. In conclusion, the data question the assumption that systematic viewing leads to increased coverage, and, consequently, to improved performance. Experts inspected cases more systematically, but students did not benefit from systematic viewing training. |
format | Online Article Text |
id | pubmed-4749649 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Springer Netherlands |
record_format | MEDLINE/PubMed |
spelling | pubmed-47496492016-02-19 Systematic viewing in radiology: seeing more, missing less? Kok, Ellen M. Jarodzka, Halszka de Bruin, Anique B. H. BinAmir, Hussain A. N. Robben, Simon G. F. van Merriënboer, Jeroen J. G. Adv Health Sci Educ Theory Pract Article To prevent radiologists from overlooking lesions, radiology textbooks recommend “systematic viewing,” a technique whereby anatomical areas are inspected in a fixed order. This would ensure complete inspection (full coverage) of the image and, in turn, improve diagnostic performance. To test this assumption, two experiments were performed. Both experiments investigated the relationship between systematic viewing, coverage, and diagnostic performance. Additionally, the first investigated whether systematic viewing increases with expertise; the second investigated whether novices benefit from full-coverage or systematic viewing training. In Experiment 1, 11 students, ten residents, and nine radiologists inspected five chest radiographs. Experiment 2 had 75 students undergo a training in either systematic, full-coverage (without being systematic) or non-systematic viewing. Eye movements and diagnostic performance were measured throughout both experiments. In Experiment 1, no significant correlations were found between systematic viewing and coverage, r = −.10, p = .62, and coverage and performance, r = −.06, p = .74. Experts were significantly more systematic than students F(2,25) = 4.35, p = .02. In Experiment 2, significant correlations were found between systematic viewing and coverage, r = −.35, p < .01, but not between coverage and performance, r = .13, p = .31. Participants in the full-coverage training performed worse compared with both other groups, which did not differ between them, F(2,71) = 3.95, p = .02. In conclusion, the data question the assumption that systematic viewing leads to increased coverage, and, consequently, to improved performance. Experts inspected cases more systematically, but students did not benefit from systematic viewing training. Springer Netherlands 2015-07-31 2016 /pmc/articles/PMC4749649/ /pubmed/26228704 http://dx.doi.org/10.1007/s10459-015-9624-y Text en © The Author(s) 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Article Kok, Ellen M. Jarodzka, Halszka de Bruin, Anique B. H. BinAmir, Hussain A. N. Robben, Simon G. F. van Merriënboer, Jeroen J. G. Systematic viewing in radiology: seeing more, missing less? |
title | Systematic viewing in radiology: seeing more, missing less? |
title_full | Systematic viewing in radiology: seeing more, missing less? |
title_fullStr | Systematic viewing in radiology: seeing more, missing less? |
title_full_unstemmed | Systematic viewing in radiology: seeing more, missing less? |
title_short | Systematic viewing in radiology: seeing more, missing less? |
title_sort | systematic viewing in radiology: seeing more, missing less? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4749649/ https://www.ncbi.nlm.nih.gov/pubmed/26228704 http://dx.doi.org/10.1007/s10459-015-9624-y |
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