@inproceedings{3bbc35913d014301a83184105e2f3ec0,
title = "Comparing the Subsequent Search Miss Effect Between Mammography and Tomosynthesis",
abstract = "The Subsequent Search Miss (SSM) effect occurs when detecting one abnormality lowers the chance of finding an additional one in the same image. SSM errors occur in both digital mammography (DM) and digital breast tomosynthesis (DBT), but no prior work has directly compared their error rates. We compared SSMs between novices and experts with virtual DM and DBT images generated with the VICTRE pipeline. Participants searched for up to two masses and had their eye movements tracked to better understand why SSMs occurred. Novices made SSMs in both DM and DBT, while experts only made them in DM. SSMs were categorized as scanning errors (mass never fixated), perceptual errors (mass fixated for <1 second and not reported), or decision errors (mass fixated for >1 second and not reported). Scanning errors occurred more frequently in DBT, but perceptual errors accounted for most SSMs in DM, with a similar pattern of errors observed for both novices and experts when a mass was fixated. Overall, DBT improved detection and minimized SSM errors compared to DM, but errors still occurred, suggesting that while DBT imaging may mitigate SSM errors, they remain a source of errors in cancer screening.",
keywords = "Breast Cancer, Eye-tracking, Mammography, Satisfaction of Search, Subsequent Search Miss, Taxonomy of Errors, Tomosynthesis, Visual Search",
author = "Brandon Eich and Lyndon Rakusen and Miguel Lago and Claudia Mello-Thoms and Adamo, \{Stephen H.\}",
note = "Publisher Copyright: {\textcopyright} 2026 SPIE. All rights reserved.; Medical Imaging 2026: Image Perception, Observer Performance, and Technology Assessment ; Conference date: 17-02-2026 Through 19-02-2026",
year = "2026",
month = apr,
day = "3",
doi = "10.1117/12.3086690",
language = "English (US)",
series = "Progress in Biomedical Optics and Imaging - Proceedings of SPIE",
publisher = "SPIE",
editor = "Anastasio, \{Mark A.\} and Brankov, \{Jovan G.\}",
booktitle = "Medical Imaging 2026",
}