Evidence map›Paper›PMID 34469467›Full record

Observational studyPloS one2021

Holistic processing only? The role of the right fusiform face area in radiological expertise.

Ellen M Kok, Bettina Sorger, Koos van Geel, Andreas Gegenfurtner, Jeroen J G van Merriënboer, Simon G F Robben, Anique B H de Bruin

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Spotting lesions in thorax X-rays at a glance: holistic processing in radiology.Cognitive research: principles and implications · 2022
    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

7 authors.

Ellen M KokSchool of Health Professions Education, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0001-9752-2531
Bettina SorgerDepartment of Cognitive Neuroscience, Maastricht University, Maastricht, The Netherlands.
Koos van GeelSchool of Health Professions Education, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0003-2231-4484
Andreas GegenfurtnerSchool of Health Professions Education, Maastricht University, Maastricht, The Netherlands.
Jeroen J G van MerriënboerSchool of Health Professions Education, Maastricht University, Maastricht, The Netherlands.
Simon G F RobbenSchool of Health Professions Education, Maastricht University, Maastricht, The Netherlands.
Anique B H de BruinSchool of Health Professions Education, Maastricht University, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiologists can visually detect abnormalities on radiographs within 2s, a process that resembles holistic visual processing of faces. Interestingly, there is empirical evidence using functional magnetic resonance imaging (fMRI) for the involvement of the right fusiform face area (FFA) in visual-expertise tasks such as radiological image interpretation. The speed by which stimuli (e.g., faces, abnormalities) are recognized is an important characteristic of holistic processing. However, evidence for the involvement of the right FFA in holistic processing in radiology comes mostly from short or artificial tasks in which the quick, 'holistic' mode of diagnostic processing is not contrasted with the slower 'search-to-find' mode. In our fMRI study, we hypothesized that the right FFA responds selectively to the 'holistic' mode of diagnostic processing and less so to the 'search-to-find' mode. Eleven laypeople and 17 radiologists in training diagnosed 66 radiographs in 2s each (holistic mode) and subsequently checked their diagnosis in an extended (10-s) period (search-to-find mode). During data analysis, we first identified individual regions of interest (ROIs) for the right FFA using a localizer task. Then we employed ROI-based ANOVAs and obtained tentative support for the hypothesis that the right FFA shows more activation for radiologists in training versus laypeople, in particular in the holistic mode (i.e., during 2s trials), and less so in the search-to-find mode (i.e., during 10-s trials). No significant correlation was found between diagnostic performance (diagnostic accuracy) and brain-activation level within the right FFA for both, short-presentation and long-presentation diagnostic trials. Our results provide tentative evidence from a diagnostic-reasoning task that the FFA supports the holistic processing of visual stimuli in participants' expertise domain.

Indexed as

AdultBrain MappingCase-Control StudiesClinical CompetenceFemaleHumansInternship and ResidencyMagnetic Resonance ImagingMalePattern Recognition, VisualPhotic StimulationRadiographyRadiologistsRadiologyReaction TimeTime Factors

Identifiers

PMID34469467
PMCPMC8409609

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Registered trials

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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.