Individual differences in perceptual abilities in medical imaging: the Vanderbilt Chest Radiograph Test

Radiologists make many important decisions when detecting nodules on chest radiographs. While training can result in high levels of performance of this task, there could be individual differences in relevant perceptual abilities that are present pre-training. A pre-requisite to address this question is a valid and reliable measure of such abilities. The present work introduces a new measure, the Vanderbilt Chest Radiograph Test (VCRT), which aims to quantify individual differences in perceptual abilities for radiograph-related decision-making in novices. We validate the relevance of the test to diagnostic imaging by verifying radiologists’ superior performance on the test compared to novices’. The final VCRT version produces scores with acceptable internal consistency. Then, we investigate how the VCRT can be used in future research by evaluating how the test relates to extant measures of face and object recognition ability. We find that the VCRT shares a small but significant portion of its variance with a measure of novel object recognition, suggesting that some aspect of VCRT performance is driven by a domain-general visual ability.