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Analysis of eye fixations during the diagnostic interpretation of chest radiographs

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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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References

  • Blesser, B. andOzonoff, D. (1972) A model for the radiologic process.Radiology,103, 515–521.

    Google Scholar 

  • 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.

    Google Scholar 

  • Carmody, D. P., Nodine, C. F. andKundel, H. L. (1980b) An analysis of perceptual and cognitive factors in radiographic interpretation.Perception,9, 339–344.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Green, D. M. andSwets, J. A. (1966)Signal detection theory and psychophysics, Wiley, New York.

    Google Scholar 

  • Haralick, R. M., Shanmugam, K. andDinstein, I. (1973) Textural features for image classification.IEEE Trans.,SMC-3, 610–621.

    Google Scholar 

  • Kundel, H. L. andLa Folette, P. S. (1972) Visual search patterns and experience with radiological images.Radiology,103, 523–528.

    Google Scholar 

  • Kundel, H. L. andNodine, C. F. (1973) A computer system for processing eye-movement records.Behav. Res. Meth. & Instr.,5, 147–152.

    Google Scholar 

  • Kundel, H. L. (1974) Visual sampling and estimates of the location of information on chest films.Invest. Radiol.,9, 87–93.

    Google Scholar 

  • Kundel, H. L. andNodine, C. F. (1975) Interpreting chest radiographs without visual search.Radiology,116, 527–532.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Llewellyn-Thomas, E. andLansdown, E. L. (1963) Visual search patterns of radiologists in training.Radiology,81, 288–292.

    Google Scholar 

  • Llewellyn-Thomas, E. L., (1969) Search behavior,Radiol. Clin. N. Am.,7, 403–417.

    Google Scholar 

  • Mackworth, N. H. andMorandi, A. J. (1967) The gaze selects informative details within pictures.Percept. & Psychophys.,2, 547–551.

    Google Scholar 

  • 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.

    Google Scholar 

  • Noton, D. andStark, L. (1971a) Scanpaths in eye movements during pattern recognition.Science,171, 308–311.

    Google Scholar 

  • Noton, D. andStark, L. (1971b) Scanpaths in saccadic eye movements while viewing and recognizing patterns.Vision Res.,11, 929–942.

    Article  Google Scholar 

  • Reulen, J. P. H. andBakker, L. (1982) The measurement of eye movement using double-magnetic induction.IEEE Trans.,BME-29, 740–744.

    Google Scholar 

  • 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.

    Google Scholar 

  • Swensson, R. G., Hessel, S. J. andHerman, P. G. (1977) Omissions in radiology: faulty search or stringent reporting criteria?Radiology,123, 563–567.

    Google Scholar 

  • Swensson, R. G. (1980) A two-state detection model applied to skilled visual search by radiologists.Percept. & Psychophys.,27, 11–16.

    Google Scholar 

  • 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.

    Google Scholar 

  • Tuddenham, W. J. andCalvert, W. P. (1961) Visual search patterns in röntgen diagnosis.Radiology,76, 255–256.

    Google Scholar 

  • Tuddenham, W. J. (1962) Visual search, image organization and reader error in röntgen diagnosis.—Ibid.,78, 694–704.

    Google Scholar 

  • UICC Committee (1970) UICC/Cincinatti classification of the radiographic appearances of pneumoconioses.Chest,58, 57–67.

    Google Scholar 

  • Yarbus, A. L. (1967)Eye movements and vision. Plenum Press, New York.

    Google Scholar 

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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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