Ryoichi Nakashima

Visual search of experts in medical image reading: the effect of training, target prevalence, and expert knowledge

The aims of this study are (a) To determine the effect of training on the multiple-target lesion search performance; and (b) To examine the effect of target prevalence on the performance of radiologists and novices. We conducted four sessions of 500 trials in a lesion search on a medical image task in which participants searched for three different target lesions. Participants were 10 radiologists and novices. In each session, the prevalence of the different target lesions varied from low (2%) to high (40%). The sensitivity of novices was higher in the later sessions than in the first session, whereas there were no differences among sessions in radiologists. The improvement on sensitivity of novices was largely due to attenuations of false alarm (FA) errors. In addition, miss rates of the three targets did not differ in data of novices, whereas radiologists produced a higher miss rate for the highest prevalence target lesion (non-serious lesion) than for the other two lesions (serious lesions). The conclusions are (a) The training for the multiple-target lesion search task can be effective to reduce FA errors; and (b) The prevalence effect on lesion search can be attenuated by the multiple-target identification and the knowledge about seriousness of lesions. This suggests that acquired knowledge about normal cases and serious lesions is an important aspect of a radiologists’ skill in searching for medical lesions and their high performance levels.

Visual search in divided areas: Dividers initially interfere with and later facilitate visual search

A common search paradigm requires observers to search for a target among undivided spatial arrays of many items. Yet our visual environment is populated with items that are typically arranged within smaller (subdivided) spatial areas outlined by dividers (e.g., frames). It remains unclear how dividers impact visual search performance. In this study, we manipulated the presence and absence of frames and the number of frames subdividing search displays. Observers searched for a target O among Cs, a typically inefficient search task, and for a target C among Os, a typically efficient search. The results indicated that the presence of divider frames in a search display initially interferes with visual search tasks when targets are quickly detected (i.e., efficient search), leading to early interference; conversely, frames later facilitate visual search in tasks in which targets take longer to detect (i.e., inefficient search), leading to late facilitation. Such interference and facilitation appear only for conditions with a specific number of frames. Relative to previous studies of grouping (due to item proximity or similarity), these findings suggest that frame enclosures of multiple items may induce a grouping effect that influences search performance.

Does scene context always facilitate retrieval of visual object representations

An object-to-scene binding hypothesis maintains that visual object representations are stored as part of a larger scene representation or scene context, and that scene context facilitates retrieval of object representations (see, e.g., Hollingworth, Journal of Experimental Psychology: Learning, Memory and Cognition, 32, 58–69, 2006). Support for this hypothesis comes from data using an intentional memory task. In the present study, we examined whether scene context always facilitates retrieval of visual object representations. In two experiments, we investigated whether the scene context facilitates retrieval of object representations, using a new paradigm in which a memory task is appended to a repeated-flicker change detection task. Results indicated that in normal scene viewing, in which many simultaneous objects appear, scene context facilitation of the retrieval of object representations—henceforth termed object-to-scene binding—occurred only when the observer was required to retain much information for a task (i.e., an intentional memory task).

The effect of expert knowledge on medical search: medical experts have specialized abilities for detecting serious lesions

How does domain-specific knowledge influence the experts’ performance in their domain of expertise? Specifically, can visual search experts find, with uniform efficiency, any type of target in their domain of expertise? We examined whether acquired knowledge of target importance influences an expert’s visual search performance. In some professional searches (e.g., medical screenings), certain targets are rare; one aim of this study was to examine the extent to which experts miss such targets in their searches. In one experiment, radiologists (medical experts) engaged in a medical lesion search task in which both the importance (i.e., seriousness/gravity) and the prevalence of targets varied. Results showed decreased target detection rates in the low prevalence conditions (i.e., the prevalence effect). Also, experts were better at detecting important (versus unimportant) lesions. Results of an experiment using novices ruled out the possibility that decreased performance with unimportant targets was due to low target noticeability/visibility. Overall, the findings suggest that radiologists do not have a generalized ability to detect any type of lesion; instead, they have acquired a specialized ability to detect only those important lesions relevant for effective medical practices.

Experimental system for measurement of radiologists’ performance by visual search task

PurposeDetective performance of radiologists for “obvious” targets should be evaluated by visual search task instead of ROC analysis, but visual task have not been applied to radiology studies. The aim of this study was to set up an environment that allows visual search task in radiology, to evaluate its feasibility, and to preliminarily investigate the effect of career on the performance.Materials and methodsIn a darkroom, ten radiologists were asked to answer the type of lesion by pressing buttons, when images without lesions, with bulla, ground-glass nodule, and solid nodule were randomly presented on a display. Differences in accuracy and reaction times depending on board certification were investigated.ResultsThe visual search task was successfully and feasibly performed. Radiologists were found to have high sensitivity, specificity, positive predictive values and negative predictive values in non-board and board groups. Reaction time was under 1 second for all target types in both groups. Board radiologists were significantly faster in answering for bulla, but there were no significant differences for other targets and values.ConclusionWe developed an experimental system that allows visual search experiment in radiology. Reaction time for detection of bulla was shortened with experience.

Sustained attention can create an (illusory) experience of seeing dynamic change

Recent studies speculated that two types of change detection exist, one involving the experience of seeing dynamic change (change over brief interval), the other involving detecting a completed change (change over long interval), with only the former requiring sustained attention. To examine this supposition, a flicker change detection task was conducted in which the spatial location of objects was manipulated (shift, no-shift). In shift conditions, changed image display appeared in different locations than they did in the original display. The time interval separating images was manipulated (200 or 1000 ms). Results showed that a shift led to poor change detection only in the short interval condition. The performance decline by the image shift was not attenuated even when participants knew beforehand whether or not a shift would occur. Results indicate that sustained attention, which is sustained for a brief time, is related to the experience of seeing dynamic change.

To see dynamic change: continuous focused attention facilitates change detection, but the effect persists briefly

ABSTRACT What is the role of continuously focused attention on an object in change detection? To ensure focused attention on one object, we conducted a single object change detection task, manipulating an object’s location between pre-change and post-change displays (same or different location), and also manipulating a blank duration (the FOD task) and a pre-change object presentation duration (the FBD task). If attention is continuously focused at the spatial location of the pre-change object, a location shift of the post-change object should interrupt change detection due to a cognitive cost of attentional shift. Results suggest attention is focused continuously for a brief blank duration, and attention can facilitate the detection of change occurring at the location of attentional focus. Additionally, although attention is focused continuously for a long time if a target is visible, the effect of attention declines with time. The results clarify the new temporal characteristics of focused attention.