Tentative Diagnoses Facilitate the Detection of Diverse Lesions in Chest Radiographs

Abstract

The influence of clinical history upon detection has been frequently studied. In a unique investigation, detection of diverse abnormalities commonly encountered in practice was tested, and the influence of clinical history was conceptualized as suggesting a tentative diagnosis. Categorical prompts that were correct for specific abnormalities resulted in detection superior to that with unprompted reading. Prompts that were plausible but incorrect for abnormal and normal cases led to very few false-positive responses, and subsequent reports of specific abnormalities were as accurate as in unprompted reading. It is concluded that appropriate clinical history results in improved perceptual performance rather than simply improved decision-making.

Keywords

Medical diagnosisCategorical variableReading (process)Clinical historyRadiographyPerceptionMedicineMedical historyPsychologyClinical PracticeRadiologyComputer scienceLinguisticsSurgeryPhysical therapyNeuroscienceMachine learning

Affiliated Institutions

Related Publications

The Effect of Verification on the Assessment of Imaging Techniques

George Révész , Harold L. Kundel , Michael Bonitatibus

In order to measure the accuracy of a diagnostic imaging technique, the correctness of each observer decision must be determined. This is often difficult in clinical cases, and ...

1983 Investigative Radiology 41 citations

Digital radiography of subtle pulmonary abnormalities: an ROC study of the effect of pixel size on observer performance.

Heber MacMahon , Carl J. Vyborny , C.E. Metz +3 more

Forty conventional radiographs with examples of mild interstitial infiltrates and subtle pneumothoraces and 40 normal studies of the chest were selected and digitized, with pixe...

1986 Radiology 149 citations

Three-dimensional computed tomography of acetabular fractures.

Dan L. Burk , Dana C. Mears , W. H. Kennedy +2 more

Computer programs that produce 3D surface reformations from sets of contiguous axial CT scans were used in evaluating a variety of acetabular fractures in 20 patients. The 3D im...

1985 Radiology 113 citations

Analysis of mammography: a blind interpretation of BCDDP radiographs.

James E. Goin , J. D. Haberman , Marie Linder +1 more

An ROC curve analysis of mammography is presented. This study is based on a blind interpretation of radiographs of patients who underwent screening during the Oklahoma Breast Ca...

1983 Radiology 9 citations

Retrospective comparison of the original and revised McDonald criteria in a general neurology practice in Ireland

John C. McHugh , P.L. Galvin , Raymond P. Murphy

Background The McDonald criteria were introduced in 2001 as guidelines to facilitate early and accurate diagnosis of multiple sclerosis (MS). They were revised in 2005. Although...

2007 Multiple Sclerosis Journal 12 citations

Publication Info

Year: 1986
Type: article
Volume: 21
Issue: 7
Pages: 532-539
Citations: 64
Access: Closed

External Links

View on DOI.org

Social Impact

Altmetric

Tentative Diagnoses Facilitate the Detection of Diverse Lesions in Chest Radiographs

PlumX Metrics

Social media, news, blog, policy document mentions

Citation Metrics

OpenAlex

Cite This

APA Style

                            
                                
                                    Kevin S. Berbaum, 
                                
                                    E A Franken, 
                                
                                    Donald D. Dorfman
                                
                                et al.
                            
                            (1986). 
                            Tentative Diagnoses Facilitate the Detection of Diverse Lesions in Chest Radiographs. 
                            Investigative Radiology
                            , 21
                            (7)
                            , 532-539.
                            https://doi.org/10.1097/00004424-198607000-00004
                        

Identifiers

DOI: 10.1097/00004424-198607000-00004