Influence of clinical history on perception of abnormalities in pediatric radiographs

Academic Radiology
Kevin BerbaumK R Lueben

Abstract

We tested whether having clinical information would improve perception or simply decision making. Sixty-four pediatric chest and abdominal radiographs, half of which had abnormalities, were presented to nine radiologists under one of two conditions. In one condition, history consistent with abnormalities actually present for positive cases was provided for positive and matched negative cases before inspection. In a second condition, this information was provided only after inspection was completed and the radiograph was no longer available. Because detailed visual memory is short-lived, the image information was no longer available when the history was provided after inspection. A control condition measured detection without history. Detection was significantly better with history provided before inspection. Detection did not differ for history provided after inspection and inspection without history. The only difference between conditions with history was in whether history influenced perception; history affected decision making in both conditions. Clinical history affected perception in interpreting radiographs, not simply decision making.

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Citations

May 8, 2013·Pediatric Radiology·Chetan Chandulal ShahS Bruce Greenberg
Aug 17, 2004·European Radiology·Uta ZaspelJoerg W Oestmann
Nov 30, 2011·Journal of Digital Imaging·Elizabeth Krupinski, Bruce I Reiner
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Feb 21, 2006·Academic Radiology·Kevin S Berbaum, E A Franken
Sep 2, 2020·Journal of Medical Radiation Sciences·Chelsea CastilloLiam Caffery
Jul 28, 2018·The Indian Journal of Radiology & Imaging·Upendra Kumar JoishVivek Sreekanth

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