Abstract
A frequent question in choical practice is whether the manipulation of the viewing process, e.g. by intensive training or a mechanical aid can lead to improved search-and-recognition behaviour. Our study of eye movement patterns yielded the following results. Fixed scanpaths have not been found for four observers. The search process seemed quite efficient and consistent with information about the chest radiographs under investigation given to the observers. Six diagnostic instructions. differing in successive experiments, did not influence the fixation patterns significantly The measurement of eye movement seems perfectly suited to monitor the completeness of the visual search in medical image interpretation.
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Blesser, B. andOzonoff, D. (1972) A model for the radiologic process.Radiology,103, 515–521.
Bour, L. J., van Gisbergen, J. A. M., Bruijns, J. andOttes, F. P. (1984) Double magnetic induction method for measuring eye movement: results in monkey and man.IEEE Trans.,BME-31 (in press).
Carmody, D. P., Nodine, C. F. andKundel, H. L. (1980a) Global and segmented search for lung nodules of different edge gradients.Invest. Radiol.,15, 224–233.
Carmody, D. P., Nodine, C. F. andKundel, H. L. (1980b) An analysis of perceptual and cognitive factors in radiographic interpretation.Perception,9, 339–344.
de Valk, J. P. J., Eijkman, E. G. J. andVintcent, J. (1981a) Detectability index, likelihood ratio and diagnostic output as psychophysical measures for evaluation of medical image processing.Med. & Biol. Engl. & Comput.,19, 597–604.
De Valk, J. P. J., Oud, P. S. andVintcent, J. (1981b) Detectability and diagnostic output for quality assessment of classification of differently stained cervical cells. InIEEE Conference Record on the 2nd International Conference on Visual Psychophysics and Medical Imaging Brussels,Carl Jaffe, C. (Ed.), CH16766, 75–80.
De Valk, J. P. J. andEijkman, E. G. J. (1982) Diagnosis improvement of medical images by combination of computer measurements and visual judgements. InProc. First IEEE Computer Society International Symposium on Medical Imaging and Image Interpretation ISMIII'82 Berlin, CH1804-4, 224–230.
de Valk, J. P. J. andEijkman, E. G. J. (1983) Feasibility of features for the classification of lung radiographs. InMedinfo 83, IFIP-IMIA, Proc. Fourth World Congress on Medical Informatics Amsterdam,Van Bemmel, J. H., Ball, M. andWigertz, O. (Eds.), North-Holland, 337–340.
Gale, A. G., Johnson, F. andWorthington, B. S. (1981) Research in medical image perception: a micro-processor application. InComputing in medicine,Paul, J. P., Jordan, M. M., Ferguson-Pell, M. W. andAndrews, B. J. (Eds.), Strathclyde, 218–223.
Gould, J. D. (1976) Looking at pictures. InEye movements and psychological processes,Monty,R. A. andSenders,J. W. (Eds.), Wiley, New York, 323–345.
Green, D. M. andSwets, J. A. (1966)Signal detection theory and psychophysics, Wiley, New York.
Haralick, R. M., Shanmugam, K. andDinstein, I. (1973) Textural features for image classification.IEEE Trans.,SMC-3, 610–621.
Kundel, H. L. andLa Folette, P. S. (1972) Visual search patterns and experience with radiological images.Radiology,103, 523–528.
Kundel, H. L. andNodine, C. F. (1973) A computer system for processing eye-movement records.Behav. Res. Meth. & Instr.,5, 147–152.
Kundel, H. L. (1974) Visual sampling and estimates of the location of information on chest films.Invest. Radiol.,9, 87–93.
Kundel, H. L. andNodine, C. F. (1975) Interpreting chest radiographs without visual search.Radiology,116, 527–532.
Kundel, H. L. andNodine, C. F. (1978) Studies of eye movements and visual search in radiology. InEye movements and the higher psychological functions.Senders, J. W., Fisher, D. F. andMonty, R. A. (Eds.), Wiley, New York, 317–328.
Kundel, H. L., Nodine, C. F. andCarmody, D. P. (1978) Visual scanning, pattern recognition and decision-making in pulmonary nodule detection.Invest. Radiol.,13, 175–181.
Llewellyn-Thomas, E. andLansdown, E. L. (1963) Visual search patterns of radiologists in training.Radiology,81, 288–292.
Llewellyn-Thomas, E. L., (1969) Search behavior,Radiol. Clin. N. Am.,7, 403–417.
Mackworth, N. H. andMorandi, A. J. (1967) The gaze selects informative details within pictures.Percept. & Psychophys.,2, 547–551.
Nodine, C. F., Carmody, D. P. andKundel, H. L. (1978) Searching for Nina. InEye movements and the higher psychological functions,Senders,J. W.,Fisher,D. F. amdMonty,R. A. (Eds.), Wiley, New York, 241–258.
Noton, D. andStark, L. (1971a) Scanpaths in eye movements during pattern recognition.Science,171, 308–311.
Noton, D. andStark, L. (1971b) Scanpaths in saccadic eye movements while viewing and recognizing patterns.Vision Res.,11, 929–942.
Reulen, J. P. H. andBakker, L. (1982) The measurement of eye movement using double-magnetic induction.IEEE Trans.,BME-29, 740–744.
Stark, L. andEllis, S. R. (1981) Scanpaths revisited: cognitive models direct active looking. InEye movements: cognition and visual perception,Fisher,D. F.,Monty,R. A. andSenders,J. W. (Eds.), Erlbaum, Hillsdale, NJ, 193–226.
Swensson, R. G., Hessel, S. J. andHerman, P. G. (1977) Omissions in radiology: faulty search or stringent reporting criteria?Radiology,123, 563–567.
Swensson, R. G. (1980) A two-state detection model applied to skilled visual search by radiologists.Percept. & Psychophys.,27, 11–16.
Swensson, R. G., Hessel, S. J. andHerman, P. G. (1982) Radiographic interpretation with and without search; visual search aids the recognition of chest pathology.Invest. Radiol.,17, 145–151.
Tuddenham, W. J. andCalvert, W. P. (1961) Visual search patterns in röntgen diagnosis.Radiology,76, 255–256.
Tuddenham, W. J. (1962) Visual search, image organization and reader error in röntgen diagnosis.—Ibid.,78, 694–704.
UICC Committee (1970) UICC/Cincinatti classification of the radiographic appearances of pneumoconioses.Chest,58, 57–67.
Yarbus, A. L. (1967)Eye movements and vision. Plenum Press, New York.
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de Valk, J.P.J., Eijkman, E.G.J. Analysis of eye fixations during the diagnostic interpretation of chest radiographs. Med. Biol. Eng. Comput. 22, 353–360 (1984). https://doi.org/10.1007/BF02442106
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DOI: https://doi.org/10.1007/BF02442106