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Expert radiologist performance does not appear to impact upon their capability in perceiving the gist of the abnormal on mammograms

机译:放射线专家的表现似乎不会影响他们在乳房X线照片上感知异常要点的能力

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This study explored whether having a better performance in usual presentation condition, more years of experience, and higher volume of annual mammogram assessment make a radiologist better at perceiving the gist of the abnormal on a mammogram. Nineteen radiologists were recruited for two experiments. In the first one (gist experiment), the initial impressions of the radiologists were collected based on a half-second image presentation on a scale of 0 (confident normal) and 100 (confident abnormal). In the second one, radiologists viewed similar set of cases using BreastScreen Reader Assessment Strategy platform and rated each case on a scale of 1-5. Using Spearman correlation, we explored if the area under receiver operating characteristics curve (AUC) in two experiments were correlated. Radiologists were also grouped based on variables describing their experience levels and workload and their performance in both experiments were compared among the groups. The AUC values in the gist experiment was not significantly correlated to the AUC values in the normal reporting experiment (Spearman correlation=0.183, p-value=0.453). Radiologists' performances under the normal reporting conditions, was linked to the number of cases per week (p=0.044), number of hours per week currently spent reading mammograms(p=0.028), and number of years they have been reading mammograms (p=0.041). However, none of the variables reached a p-value<0.05 for the AUC of the gist experiment. The results suggest that further studies should be done to establish relationships between the gist response and radiologists' characteristics since being a high-performing radiologist, highly experienced radiologist, or reading high volume of mammograms does not indicate superior capability when perceiving the gist of the abnormal.
机译:这项研究探讨了在通常的表现情况下是否具有更好的表现,更多的经验以及每年的乳房X线照片评估量的增加是否可使放射科医生更好地感知乳房X线照片上的异常要点。招募了19名放射科医生进行两次实验。在第一个实验中(主要实验),基于半秒的图像显示收集了放射科医生的初始印象,该图像的显示时间为0(确信正常)和100(确信异常)。在第二篇中,放射科医生使用BreastScreen Reader评估策略平台查看了类似的病例集,并以1-5的等级对每个病例​​进行了评分。使用Spearman相关性,我们探讨了两个实验中接收器工作特性曲线(AUC)下的面积是否相关。还根据描述其经验水平和工作量的变量对放射科医生进行了分组,并在两组之间比较了他们在两个实验中的表现。要点实验中的AUC值与正常报告实验中的AUC值没有显着相关(Spearman相关性= 0.183,p值= 0.453)。放射科医生在正常报告条件下的表现与每周病例数(p = 0.044),目前每周花费在阅读乳房X线照片上的小时数(p = 0.028)以及他们阅读乳房X线照片的年数(p = 0.041)。但是,对于本要点实验的AUC,所有变量均未达到p值<0.05。结果表明,应该做进一步的研究,以建立主要反应与放射线医师特征之间的关系,因为作为一名高级放射线医师,经验丰富的放射线医师,或者阅读大量的乳房X线照片并不表示在感知异常的主旨时具有出色的能力。 。

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