Evidence map›Paper›PMID 29880817›Full record

Trial reportScientific reports2018

Radiologists can detect the 'gist' of breast cancer before any overt signs of cancer appear.

Patrick C Brennan, Ziba Gandomkar, Ernest U Ekpo, Kriscia Tapia, Phuong D Trieu, Sarah J Lewis, Jeremy M Wolfe, Karla K Evans

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
  2. Article
  3. Beyond minutiae: inferring missing details from global structure in fingerprints.Cognitive research: principles and implications · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Science, evidence, law, and justice.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Contributions of global and local processing on medical image perception.Journal of medical imaging (Bellingham, Wash.) · 2023
    Article
  13. Signals of global symmetry are important for abnormality detection in mammograms.Journal of medical imaging (Bellingham, Wash.) · 2023
    Article
  14. Using global feedback to induce learning of gist of abnormality in mammograms.Cognitive research: principles and implications · 2023
    Article
  15. Hip fracture or not? The reversed prevalence effect among non-experts' diagnosis.Cognitive research: principles and implications · 2023
    Article
  16. Article
  17. Article
  18. Review
  19. Spotting lesions in thorax X-rays at a glance: holistic processing in radiology.Cognitive research: principles and implications · 2022
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

Patrick C BrennanImage Optimisation and Perception, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Ziba GandomkarImage Optimisation and Perception, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia. ziba.gandomkar@sydney.edu.au.
Ernest U EkpoImage Optimisation and Perception, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-6851-0969
Kriscia TapiaImage Optimisation and Perception, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Phuong D TrieuImage Optimisation and Perception, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Sarah J LewisImage Optimisation and Perception, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Jeremy M WolfeVisual Attention Lab, Harvard Medical School, Cambridge, MA, USA.ORCID 0000-0002-6475-1984
Karla K EvansDepartment of Psychology, University of York, Heslington, York, UK.
The University of Sydney · AUHarvard University · USUniversity of York · GB

Funding

Prevalence effects in visual search: Theoretical and practical implicationsR01EY017001 · NEI · BRIGHAM AND WOMEN'S HOSPITAL · PI Jeremy M Wolfe · 2007 to 2026
$8.2M
NEI NIH HHS R01 EY017001
6 · The paper itself

Abstract

Radiologists can detect abnormality in mammograms at above-chance levels after a momentary glimpse of an image. The study investigated this instantaneous perception of an abnormality, known as a "gist" response, when 23 radiologists viewed prior mammograms of women that were reported as normal, but later diagnosed with breast cancer at subsequent screening. Five categories of cases were included: current cancer-containing mammograms, current mammograms of the normal breast contralateral to the cancer, prior mammograms of normal cases, prior mammograms with visible cancer signs in a breast from women who were initially reported as normal, but later diagnosed with breast cancer at subsequent screening in the same breast, and prior mammograms without any visible cancer signs from women labelled as initially normal but subsequently diagnosed with cancer. Our findings suggest that readers can distinguish patients who were diagnosed with cancer, from individuals without breast cancer (normal category), at above-chance levels based on a half-second glimpse of the mammogram even before any lesion becomes visible on the mammogram. Although 20 of the 23 radiologists demonstrated this ability, radiologists' abilities for perceiving the gist of the abnormal varied between the readers and appeared to be linked to expertise. These results could have implications for identifying women of higher than average risk of a future malignancy event, thus impacting upon tailored screening strategies.

Indexed as

MammographyAdultAgedBreastBreast NeoplasmsFemaleHumansMiddle AgedRadiologists

Identifiers

PMID29880817
PMCPMC5992208
OpenAlexW2806905600

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.