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无需视觉搜索解读胸部X光片。

Interpreting chest radiographs without visual search.

作者信息

Kundel H L, Nodine C F

出版信息

Radiology. 1975 Sep;116(3):527-32. doi: 10.1148/116.3.527.

DOI:10.1148/116.3.527
PMID:125436
Abstract

Ten radiologists were shown a series of 10 normal and 10 abnormal chest films under two viewing conditions: a 0.2-second flash and unlimited viewing time. The results were compared in terms of verbal content, diagnostic accuracy, and level of confidence. The overall accuracy was surprisingly high (70% true positives) considering that no search was possible. Performance improved as expected with free search (97% true positives). These data support the hypothesis that visual search begins with a global response that establishes content, detects gross deviations from normal, and organizes subsequent foveal checking fixations to conduct a detailed examination of ambiguities. The total search strategy then consists of an ordered sequence of interspersed global and checking fixations.

摘要

十名放射科医生在两种观察条件下观看了一系列10张正常胸部X光片和10张异常胸部X光片:0.2秒的闪光和无限制的观察时间。从言语内容、诊断准确性和置信度方面对结果进行了比较。考虑到无法进行搜索,总体准确率出奇地高(真阳性率为70%)。自由搜索时,表现如预期那样得到了改善(真阳性率为97%)。这些数据支持了这样一种假设,即视觉搜索始于一种全局反应,这种反应确立内容、检测与正常情况的明显偏差,并组织随后的中央凹检查注视以对模糊之处进行详细检查。然后,总的搜索策略由一系列穿插的全局注视和检查注视组成。

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