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Searching for bone fractures: A comparison with pulmonary nodule search

  • Chartene H. Hu
  • , Harold L. Kundel
  • , Calvin F. Nodine
  • , Elizabeth A. Krupinski
  • , Lawrence C. Toto

Research output: Contribution to journalArticlepeer-review

Abstract

Rationale and Objectives. We aimed to determine if the characteristics and principles of visual search described for the detection of pulmonary nodules apply to extremity fractures. Methods.: The eye positions of staff orthopedic radiologists, radiology residents, and medical students were monitored as they searched hand and wrist X-ray images for fractures and a chest image for nodules. Results.: More systematic scanning patterns were observed for experienced observers than inexperienced observers. Positive decisions for bone durations were significantly longer for false-negative versus true-negative decisions. Intercluster jump distances were found to be greater for chest images than bone iamges. Conclusions.: A search for bone fractures can be qualitatively characterized by classifying observer scan paths, dwell times, and jump distances. Gaze duration can be a useful predictor of bone image locations containing potential missed fractures. Perceptual feedback could aid observers in the detection of inconspicuous fractures.

Original languageEnglish (US)
Pages (from-to)25-32
Number of pages8
JournalAcademic radiology
Volume1
Issue number1
DOIs
StatePublished - Sep 1994

Keywords

  • Visual search
  • bone fractures
  • detection and decision making
  • eye-position monitoring

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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