NotesFAQContact Us
Search Tips
Peer reviewed Peer reviewed
Direct linkDirect link
ERIC Number: EJ1090626
Record Type: Journal
Publication Date: 2016-Mar
Pages: 17
Abstractor: As Provided
ISSN: ISSN-1382-4996
Systematic Viewing in Radiology: Seeing More, Missing Less?
Kok, Ellen M.; Jarodzka, Halszka; de Bruin, Anique B. H.; BinAmir, Hussain A. N.; Robben, Simon G. F.; van Merriënboer, Jeroen J. G.
Advances in Health Sciences Education, v21 n1 p189-205 Mar 2016
To prevent radiologists from overlooking lesions, radiology textbooks recommend "systematic viewing," a technique whereby anatomical areas are inspected in a fixed order. This would ensure complete inspection (full coverage) of the image and, in turn, improve diagnostic performance. To test this assumption, two experiments were performed. Both experiments investigated the relationship between systematic viewing, coverage, and diagnostic performance. Additionally, the first investigated whether systematic viewing increases with expertise; the second investigated whether novices benefit from full-coverage or systematic viewing training. In Experiment 1, 11 students, ten residents, and nine radiologists inspected five chest radiographs. Experiment 2 had 75 students undergo a training in either systematic, full-coverage (without being systematic) or non-systematic viewing. Eye movements and diagnostic performance were measured throughout both experiments. In Experiment 1, no significant correlations were found between systematic viewing and coverage, r = -0.10, p = 0.62, and coverage and performance, r = -0.06, p = 0.74. Experts were significantly more systematic than students F[subscript 2,25] = 4.35, p = 0.02. In Experiment 2, significant correlations were found between systematic viewing and coverage, r = -0.35, p < 0.01, but not between coverage and performance, r = 0.13, p = 0.31. Participants in the full-coverage training performed worse compared with both other groups, which did not differ between them, F[subscript 2,71] = 3.95, p = 0.02. In conclusion, the data question the assumption that systematic viewing leads to increased coverage, and, consequently, to improved performance. Experts inspected cases more systematically, but students did not benefit from systematic viewing training.
Springer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: Higher Education; Postsecondary Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A