阴影之下有什么？正式分析：应用艺术史方法提高住院医师在乳腺 X 线摄影和胸部 X 线摄影方面的解读技能。

Penn State Health Milton S. Hershey Medical Center, 30 Hope Drive, Hershey, Pennsylvania 17033, USA (A.I.C., J.M., E.K.A.).

La Salle University, 1900 W. Olney Ave, Philadelphia, Pennsylvania 19141, USA (S.C.).

Acad Radiol. 2024 Feb;31(2):383-389. doi: 10.1016/j.acra.2023.10.063.

RATIONALE AND OBJECTIVES

To assess the feasibility of using an art history tool of formal analysis in resident education for interpretations of mammography and chest radiographs METHODS: In a pre-post study design, residents were shown pre-selected 10 mammograms and 10 chest radiographs for a total of 20 unique anonymized patient cases. After the pretest, residents attended four formal analysis art history lessons. The formal elements included line, light, dark, shade, proportion and balance. The post-tests were administered utilizing the same set of images given during the pre-test. After the completion of the pre- and post-tests, the participants filled out a written survey.

RESULTS

On average, participants improved their image descriptions for a mean of 30% of the total number of mammographic images they evaluated, and similarly they improved their image diagnoses for a mean of 31% of the mammographic images. On average, participants improved their image descriptions for a mean of 37% of the total number of chest radiographs they evaluated, while improving their image diagnoses for a mean of 52% of the chest X-rays. Of the 20 participants, 14 (70%) completed the post study survey. Almost all of the respondents endorsed agreement in understanding the application of formal analysis to radiologic interpretation. Eight out of 14 (57%) participants self-reported improvement in identifying abnormalities and contriving descriptors.

CONCLUSION

This pilot study shows that formal art analysis used by art historians may improve radiologic learners' ability to perceive and describe relevant radiologic abnormalities which in turn would lead to a more accurate radiologic differential diagnosis. The formal analysis process trains the eye to detect and categorize the underlying structure of images. This method provides an alternative arts intervention specifically designed to improve fundamental visual skills in radiology education.

背景与目的

评估将艺术史中的形式分析工具应用于住院医师教育以解读乳腺 X 线摄影和胸部 X 线摄影的可行性。

方法

在一项前后测试设计中，研究对象观看了预先选择的 10 张乳腺 X 线摄影片和 10 张胸部 X 线片，共计 20 个匿名患者的独特病例。在预测试后，住院医师参加了 4 次形式分析艺术史课程。形式元素包括线条、光线、明暗、阴影、比例和平衡。进行后测试时，使用了与预测试中相同的图像集。在完成前后测试后，参与者填写了一份书面调查问卷。

结果

平均而言，参与者提高了他们对所评估的乳腺 X 线摄影图像总数的 30%的图像描述，并且类似地，他们提高了对乳腺 X 线摄影图像总数的 31%的图像诊断。平均而言，参与者提高了他们对所评估的胸部 X 射线总数的 37%的图像描述，而对胸部 X 射线总数的 52%的图像诊断提高了。在 20 名参与者中，有 14 名（70%）完成了研究后的调查。几乎所有的受访者都认同形式分析在放射学解释中的应用。14 名参与者中有 8 名（57%）报告说在识别异常和构思描述符方面有所提高。