Systematic Viewing in Radiology: Seeing More, Missing Less?

Autor/inn/en	Kok, Ellen M.; Jarodzka, Halszka; de Bruin, Anique B. H.; BinAmir, Hussain A. N.; Robben, Simon G. F.; van Merriënboer, Jeroen J. G.
Titel	Systematic Viewing in Radiology: Seeing More, Missing Less?
Quelle	In: Advances in Health Sciences Education, 21 (2016) 1, S.189-205 (17 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1382-4996
DOI	10.1007/s10459-015-9624-y
Schlagwörter	Radiology; Experiments; Correlation; Clinical Diagnosis; Training; Graduate Medical Education; Graduate Students; Allied Health Personnel; Eye Movements + Suchen Sie Ihr Suchwort? Radiologie; Erprobung; Korrelation; Ausbildung; Graduate Study; Student; Students; Aufbaustudium; Graduiertenstudium; Hauptstudium; Studentin; Augenbewegung
Abstract	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 = -0.10, p = 0.62, and coverage and performance, r = -0.06, p = 0.74. Experts were significantly more systematic than students F[subscript 2,25] = 4.35, p = 0.02. In Experiment 2, significant correlations were found between systematic viewing and coverage, r = -0.35, p < 0.01, but not between coverage and performance, r = 0.13, p = 0.31. Participants in the full-coverage training performed worse compared with both other groups, which did not differ between them, F[subscript 2,71] = 3.95, p = 0.02. 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. (As Provided).
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Update	2020/1/01