Behavioral Research Program, National Cancer Institute, Rockville, MD, USA.
Clinical Research in Complementary and Integrative Health Branch, National Center for Complementary and Integrative Health, Rockville, MD, USA.
JNCI Cancer Spectr. 2022 Jan 5;6(1). doi: 10.1093/jncics/pkab099.
Medical image interpretation is central to detecting, diagnosing, and staging cancer and many other disorders. At a time when medical imaging is being transformed by digital technologies and artificial intelligence, understanding the basic perceptual and cognitive processes underlying medical image interpretation is vital for increasing diagnosticians' accuracy and performance, improving patient outcomes, and reducing diagnostician burnout. Medical image perception remains substantially understudied. In September 2019, the National Cancer Institute convened a multidisciplinary panel of radiologists and pathologists together with researchers working in medical image perception and adjacent fields of cognition and perception for the "Cognition and Medical Image Perception Think Tank." The Think Tank's key objectives were to identify critical unsolved problems related to visual perception in pathology and radiology from the perspective of diagnosticians, discuss how these clinically relevant questions could be addressed through cognitive and perception research, identify barriers and solutions for transdisciplinary collaborations, define ways to elevate the profile of cognition and perception research within the medical image community, determine the greatest needs to advance medical image perception, and outline future goals and strategies to evaluate progress. The Think Tank emphasized diagnosticians' perspectives as the crucial starting point for medical image perception research, with diagnosticians describing their interpretation process and identifying perceptual and cognitive problems that arise. This article reports the deliberations of the Think Tank participants to address these objectives and highlight opportunities to expand research on medical image perception.
医学图像解释是检测、诊断和分期癌症和许多其他疾病的核心。在数字技术和人工智能正在改变医学成像的时代,了解医学图像解释的基本感知和认知过程对于提高诊断医生的准确性和性能、改善患者预后和减少诊断医生的倦怠至关重要。医学图像感知仍然在很大程度上未被充分研究。2019 年 9 月,美国国家癌症研究所召集了一个由放射科医生和病理学家组成的多学科小组,以及从事医学图像感知以及认知和感知相关领域研究的研究人员,参加了“认知与医学图像感知智库”。智库的主要目标是从诊断医生的角度确定与病理学和放射学中的视觉感知相关的关键未解决问题,讨论如何通过认知和感知研究来解决这些与临床相关的问题,确定跨学科合作的障碍和解决方案,确定在医学图像界提升认知和感知研究形象的方法,确定推进医学图像感知的最大需求,并概述未来的目标和策略以评估进展。智库强调诊断医生的观点是医学图像感知研究的关键起点,诊断医生描述他们的解释过程并确定出现的感知和认知问题。本文报告了智库参与者为解决这些目标和突出扩大医学图像感知研究的机会而进行的审议。