Access the full text.
Sign up today, get DeepDyve free for 14 days.
H. Ashraf, M. Sodergren, N. Merali, G. Mylonas, Harsimrat Singh, A. Darzi (2017)
Eye-tracking technology in medical education: A systematic reviewMedical Teacher, 40
(2014)
a systematic review,” J
(2011)
supplement 145 of the DICOM standards,” J
L. Williams, Trafton Drew (2019)
What do we know about volumetric medical image interpretation?: a review of the basic science and medical image perception literaturesCognitive Research: Principles and Implications, 4
C. Mello-Thoms, L. Hardesty, J. Sumkin, M. Ganott, C. Hakim, C. Britton, Jennifer Stalder, G. Maitz (2005)
Effects of lesion conspicuity on visual search in mammogram reading.Academic radiology, 12 7
T. Balslev, H. Jarodzka, K. Holmqvist, W. Grave, A. Muijtjens, B. Eika, J. Merriënboer, A. Scherpbier (2012)
Visual expertise in paediatric neurology.European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, 16 2
David Manning, S. Ethell, Tim Donovan (2004)
Detection or decision errors? Missed lung cancer from the posteroanterior chest radiograph.The British journal of radiology, 77 915
C. Nodine, C. Mello-Thoms, H. Kundel, S. Weinstein (2002)
Time course of perception and decision making during mammographic interpretation.AJR. American journal of roentgenology, 179 4
Trafton Drew, S. Boettcher, J. Wolfe (2017)
One visual search, many memory searches: An eye-tracking investigation of hybrid searchJournal of Vision, 17
Deepthi Nalanagula, J. Greenstein, A. Gramopadhye (2006)
Evaluation of the effect of feedforward training displays of search strategy on visual search performanceInternational Journal of Industrial Ergonomics, 36
Matthew Cain, Stephen Adamo, S. Mitroff (2013)
A taxonomy of errors in multiple-target visual searchVisual Cognition, 21
Rajendra Singh, Lauren Chubb, L. Pantanowitz, A. Parwani (2011)
Standardization in digital pathology: Supplement 145 of the DICOM standardsJournal of Pathology Informatics, 2
E. Reingold, N. Charness, M. Pomplun, D. Stampe (2001)
Visual Span in Expert Chess Players: Evidence From Eye MovementsPsychological Science, 12
(2015)
a systematic review,” in Digital Healthcare Empowering Europeans, R
(2013)
practical application of the Guidelines for Reporting Reliability and Agreement Studies (GRRAS),” BMS Women’s Heal
H. Haider, P. Frensch (1999)
Eye movement during skill acquisition: More evidence for the information-reduction hypothesisJournal of Experimental Psychology: Learning, Memory and Cognition, 25
Tad Brunyé, P. Carney, K. Allison, L. Shapiro, D. Weaver, J. Elmore (2014)
Eye Movements as an Index of Pathologist Visual Expertise: A Pilot StudyPLoS ONE, 9
I. Hooge, Gijs Holleman, Nina Haukes, R. Hessels (2018)
Gaze tracking accuracy in humans: One eye is sometimes better than twoBehavior Research Methods, 51
Dilip Nagarkar, E. Mercan, D. Weaver, Tad Brunyé, P. Carney, M. Rendi, Andrew Beck, P. Frederick, L. Shapiro, J. Elmore (2016)
Region of Interest Identification and Diagnostic Agreement in Breast PathologyModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 29
B. Geller, H. Nelson, P. Carney, D. Weaver, T. Onega, K. Allison, P. Frederick, A. Tosteson, J. Elmore (2014)
Second opinion in breast pathology: policy, practice and perceptionJournal of Clinical Pathology, 67
J. Edwards, B. Fausto, Amber Tetlow, Richard Corona, Elise Valdes (2018)
Systematic review and meta-analyses of useful field of view cognitive trainingNeuroscience & Biobehavioral Reviews, 84
T. Tien, P. Pucher, M. Sodergren, Kumuthan Sriskandarajah, Guang-Zhong Yang, A. Darzi (2014)
Eye tracking for skills assessment and training: a systematic review.The Journal of surgical research, 191 1
G. Wood, K. Knapp, B. Rock, C. Cousens, C. Roobottom, Mark Wilson (2013)
Visual expertise in detecting and diagnosing skeletal fracturesSkeletal Radiology, 42
H. Jarodzka, K. Scheiter, Peter Gerjets, T. Gog (2010)
In the eyes of the beholder: How experts and novices interpret dynamic stimuliLearning and Instruction, 20
(2016)
The milestones guidebook
H. Kundel, C. Nodine, E. Krupinski, C. Mello-Thoms (2008)
Using gaze-tracking data and mixture distribution analysis to support a holistic model for the detection of cancers on mammograms.Academic radiology, 15 7
D. Manning, S. Ethell, T. Donovan, T. Crawford (2006)
How do radiologists do it? The influence of experience and training on searching for chest nodules.Radiography, 12
K. Berbaum, E. Brandser, E. Franken, D. Dorfman, R. Caldwell, E. Krupinski (2001)
Gaze dwell times on acute trauma injuries missed because of satisfaction of search.Academic radiology, 8 4
(2011)
a meta-analysis of eye-tracking research in professional domains,” Educ
M. Sibbald, Anique Bruin, Eric Yu, J. Merrienboer (2015)
Why verifying diagnostic decisions with a checklist can help: insights from eye trackingAdvances in Health Sciences Education, 20
(2014)
policy, practice and perception,” J
B. Corneil, D. Munoz, Brendan Chapman, Tania Admans, S. Cushing (2008)
Neuromuscular consequences of reflexive covert orientingNature Neuroscience, 11
(2012)
bottom-up and expertise effects in radiology,” Appl
Liron Pantanowitz, A. Parwani, W. Khalbuss (2011)
Digital imaging for cytopathology: are we there yet?Cytopathology, 22
(2019)
one eye is sometimes better than two,” Behav
L. Mason, Patrik Pluchino, Maria Tornatora (2015)
Eye-movement modeling of integrative reading of an illustrated text: Effects on processing and learningContemporary Educational Psychology, 41
K. Rayner (1998)
Eye movements in reading and information processing: 20 years of research.Psychological bulletin, 124 3
(2017)
a scoping review,” Comput
(2011)
a conceptual model,” Med
(2001)
evidence from eye movements,” Psychol
H. Matsumoto, Y. Terao, A. Yugeta, H. Fukuda, M. Emoto, T. Furubayashi, Tomoko Okano, R. Hanajima, Y. Ugawa (2011)
Where Do Neurologists Look When Viewing Brain CT Images? An Eye-Tracking Study Involving Stroke CasesPLoS ONE, 6
E. Krupinski, Allison Tillack, L. Richter, J. Henderson, A. Bhattacharyya, K. Scott, A. Graham, M. Descour, J. Davis, R. Weinstein (2006)
Eye-movement study and human performance using telepathology virtual slides: implications for medical education and differences with experience.Human pathology, 37 12
Tad Brunyé, Trafton Drew, D. Weaver, J. Elmore (2019)
A review of eye tracking for understanding and improving diagnostic interpretationCognitive Research: Principles and Implications, 4
H. Jarodzka, T. Balslev, K. Holmqvist, M. Nyström, K. Scheiter, Peter Gerjets, B. Eika (2012)
Conveying clinical reasoning based on visual observation via eye-movement modelling examplesInstructional Science, 40
A. Gegenfurtner, E. Lehtinen, R. Säljö (2011)
Expertise Differences in the Comprehension of Visualizations: a Meta-Analysis of Eye-Tracking Research in Professional DomainsEducational Psychology Review, 23
Ralf Engbert, R. Kliegl (2003)
Microsaccades uncover the orientation of covert attentionVision Research, 43
T. Onega, D. Weaver, P. Frederick, K. Allison, A. Tosteson, P. Carney, B. Geller, G. Longton, H. Nelson, Natalia Oster, M. Pepe, J. Elmore (2017)
The diagnostic challenge of low-grade ductal carcinoma in situ.European journal of cancer, 80
(1988)
diagnosing x-ray pictures,” in The Nature of Expertise, M
Randy Stein, S. Brennan (2004)
Another person's eye gaze as a cue in solving programming problems
E. Tiersma, A. Peters, H. Mooij, G. Fleuren (2003)
Visualising scanning patterns of pathologists in the grading of cervical intraepithelial neoplasiaJournal of Clinical Pathology, 56
(2018)
scanners and drillers,” J
K. Allison, L. Reisch, P. Carney, D. Weaver, S. Schnitt, F. O'Malley, B. Geller, J. Elmore (2014)
Understanding diagnostic variability in breast pathology: lessons learned from an expert consensus review panelHistopathology, 65
(2015)
effects on processing and learning,” Contemp
C. Nodine, H. Kundel (1987)
THE COGNITIVE SIDE OF VISUAL SEARCH IN RADIOLOGY
Michael Hout, S. Goldinger (2015)
Target templates: the precision of mental representations affects attentional guidance and decision-making in visual searchAttention, Perception, & Psychophysics, 77
H. Kundel, C. Nodine (2018)
A Short History of Image Perception in Medical RadiologyThe Handbook of Medical Image Perception and Techniques
E. Mercan, L. Shapiro, Tad Brunyé, D. Weaver, J. Elmore (2018)
Characterizing Diagnostic Search Patterns in Digital Breast Pathology: Scanners and DrillersJournal of Digital Imaging, 31
A. Donnelly, Maheswari Mukherjee, E. Lyden, J. Bridge, S. Lele, Najia Wright, Mary McGaughey, Alicia Culberson, Adam Horn, Whitney Wedel, S. Radio (2013)
Optimal z-axis scanning parameters for gynecologic cytology specimensJournal of Pathology Informatics, 4
J. Elmore, G. Longton, P. Carney, B. Geller, T. Onega, A. Tosteson, H. Nelson, M. Pepe, K. Allison, S. Schnitt, F. O'Malley, D. Weaver (2015)
Diagnostic concordance among pathologists interpreting breast biopsy specimens.JAMA, 313 11
(2015)
insights from eye tracking,” Adv
(1998)
20 years of research,” Psychol
H. Kundel, C. Nodine, E. Conant, S. Weinstein (2007)
Holistic component of image perception in mammogram interpretation: gaze-tracking study.Radiology, 242 2
J. Guttag (2016)
Introduction to Computation and Programming Using Python: With Application to Understanding Data
(2005)
adaptive gain and optimal performance,” Annu
A. Lesgold, H. Rubinson, P. Feltovich, R. Glaser, D. Klopfer, Yen Wang (1988)
Expertise in a complex skill: Diagnosing x-ray pictures.
Trafton Drew, L. Williams (2017)
Simple eye-movement feedback during visual search is not helpfulCognitive Research: Principles and Implications, 2
(1987)
From Psychology to Cognition, J
F. Gobet (2006)
The Cambridge handbook of expertise and expert performance
Nicholas Giovinco, S. Sutton, John Miller, Timothy Rankin, G. Gonzalez, B. Najafi, D. Armstrong (2015)
A passing glance? Differences in eye tracking and gaze patterns between trainees and experts reading plain film bunion radiographs.The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons, 54 3
J. Kogan, Lisa Conforti, Elizabeth Bernabeo, W. Iobst, E. Holmboe (2011)
Opening the black box of clinical skills assessment via observation: a conceptual modelMedical Education, 45
Trafton Drew, M. Võ, A. Olwal, F. Jacobson, S. Seltzer, J. Wolfe (2013)
Scanners and drillers: characterizing expert visual search through volumetric images.Journal of vision, 13 10
Stephen Adamo, J. Ericson, Joseph Nah, R. Brem, S. Mitroff (2018)
Mammography to tomosynthesis: examining the differences between two-dimensional and segmented-three-dimensional visual searchCognitive Research: Principles and Implications, 3
Sajay Sadasivan, J. Greenstein, A. Gramopadhye, A. Duchowski (2005)
Use of eye movements as feedforward training for a synthetic aircraft inspection taskProceedings of the SIGCHI Conference on Human Factors in Computing Systems
Ellen Kok, A. Bruin, S. Robben, J. Merriënboer (2012)
Looking in the Same Manner but Seeing it Differently: Bottom‐up and Expertise Effects in RadiologyApplied Cognitive Psychology, 26
L. Cooper, A. Gale, I. Darker, A. Toms, J. Saada (2009)
Radiology image perception and observer performance: How does expertise and clinical information alter interpretation? Stroke detection explored through eye-tracking, 7263
P. Frewen, D. Dozois, M. Joanisse, R. Neufeld (2008)
Selective attention to threat versus reward: meta-analysis and neural-network modeling of the dot-probe task.Clinical psychology review, 28 2
P. Subramanian (2006)
Active Vision: The Psychology of Looking and SeeingJournal of Neuro-ophthalmology, 26
G. Aston-Jones, J. Cohen (2005)
An integrative theory of locus coeruleus-norepinephrine function: adaptive gain and optimal performance.Annual review of neuroscience, 28
(2012)
iScan Coreo Au Product Page
M. Al-Moteri, M. Symmons, V. Plummer, S. Cooper (2017)
Eye tracking to investigate cue processing in medical decision-making: A scoping reviewComput. Hum. Behav., 66
R. Aggarwal, A. Darzi (2006)
Technical-skills training in the 21st century.The New England journal of medicine, 355 25
A. Fogarasi, G. Szirtes, Gergo Zsiák, András Lörincz (2012)
Improving seizure recognition by visual reinforcementNeurology Psychiatry and Brain Research, 18
K. Blondon, Rolf Wipfli, C. Lovis (2015)
Use of eye-tracking technology in clinical reasoning: a systematic reviewStudies in health technology and informatics, 210
Natalia Oster, P. Carney, K. Allison, D. Weaver, L. Reisch, G. Longton, T. Onega, M. Pepe, B. Geller, H. Nelson, Tyler Ross, A. Tosteson, J. Elmore (2013)
Development of a diagnostic test set to assess agreement in breast pathology: practical application of the Guidelines for Reporting Reliability and Agreement Studies (GRRAS)BMC Women's Health, 13
D. Litchfield, L. Ball, T. Donovan, D. Manning, T. Crawford (2010)
Viewing another person's eye movements improves identification of pulmonary nodules in chest x-ray inspection.Journal of experimental psychology. Applied, 16 3
Abstract.Purpose: Physicians’ eye movements provide insights into relative reliance on different visual features during medical image review and diagnosis. Current theories posit that increasing expertise is associated with relatively holistic viewing strategies activated early in the image viewing experience. This study examined whether early image viewing behavior is associated with experience level and diagnostic accuracy when pathologists and trainees interpreted breast biopsies.Approach: Ninety-two residents in training and experienced pathologists at nine major U.S. medical centers interpreted digitized whole slide images of breast biopsy cases while eye movements were monitored. The breadth of visual attention and frequency and duration of eye fixations on critical image regions were recorded. We dissociated eye movements occurring early during initial viewing (prior to first zoom) versus later viewing, examining seven viewing behaviors of interest.Results: Residents and faculty pathologists were similarly likely to detect critical image regions during early image viewing, but faculty members showed more and longer duration eye fixations in these regions. Among pathology residents, year of residency predicted increasingly higher odds of fixating on critical image regions during early viewing. No viewing behavior was significantly associated with diagnostic accuracy.Conclusions: Results suggest early detection and recognition of critical image features by experienced pathologists, with relatively directed and efficient search behavior. The results also suggest that the immediate distribution of eye movements over medical images warrants further exploration as a potential metric for the objective monitoring and evaluation of progress during medical training.
Journal of Medical Imaging – SPIE
Published: Sep 1, 2020
Keywords: medical informatics; pathology; decision-making; medical image interpretation; eye-tracking; diagnosis; medical education; accuracy
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.