A Review of Perceptual Expertise in Radiology-How it develops, How we can test it, and Why humans still matter in the era of Artificial Intelligence.

Artificial intelligence Attention Expertise Gist Holistic processing Perceptual learning Radiology Visual perception Visual search

Journal

Academic radiology
ISSN: 1878-4046
Titre abrégé: Acad Radiol
Pays: United States
ID NLM: 9440159

Informations de publication

Date de publication:
01 2020
Historique:
received: 18 07 2019
revised: 26 08 2019
accepted: 27 08 2019
entrez: 11 12 2019
pubmed: 11 12 2019
medline: 4 11 2020
Statut: ppublish

Résumé

As the first step in image interpretation is detection, an error in perception can prematurely end the diagnostic process leading to missed diagnoses. Because perceptual errors of this sort-"failure to detect"-are the most common interpretive error (and cause of litigation) in radiology, understanding the nature of perceptual expertise is essential in decreasing radiology's long-standing error rates. In this article, we review what constitutes a perceptual error, the existing models of radiologic image perception, the development of perceptual expertise and how it can be tested, perceptual learning methods in training radiologists, and why understanding perceptual expertise is still relevant in the era of artificial intelligence. Adding targeted interventions, such as perceptual learning, to existing teaching practices, has the potential to enhance expertise and reduce medical error.

Identifiants

pubmed: 31818384
pii: S1076-6332(19)30440-4
doi: 10.1016/j.acra.2019.08.018
pii:
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S. Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

26-38

Subventions

Organisme : NEI NIH HHS
ID : R01 EY031971
Pays : United States

Informations de copyright

Copyright © 2019 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

Auteurs

Stephen Waite (S)

Department of Radiology, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA. Electronic address: waite.stephen@gmail.com.

Zerwa Farooq (Z)

Department of Radiology, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.

Arkadij Grigorian (A)

Department of Radiology, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.

Christopher Sistrom (C)

Department of Radiology, University of Florida College of Medicine, Gainesville, Florida; Schneider Institutes for Health Policy, Brandeis University, Waltham, Massachusetts.

Srinivas Kolla (S)

Department of Radiology, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.

Anthony Mancuso (A)

Department of Radiology, University of Florida College of Medicine, Gainesville, Florida.

Susana Martinez-Conde (S)

Departments of Ophthalmology, Neurology, and Physiology/Pharmacology, SUNY Downstate Medical Center, Brooklyn, New York.

Robert G Alexander (RG)

Departments of Ophthalmology, Neurology, and Physiology/Pharmacology, SUNY Downstate Medical Center, Brooklyn, New York.

Alan Kantor (A)

Department of Radiology, Lincoln Hospital-NYC Health and Hospitals, Bronx, New York.

Stephen L Macknik (SL)

Departments of Ophthalmology, Neurology, and Physiology/Pharmacology, SUNY Downstate Medical Center, Brooklyn, New York.

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Classifications MeSH