Evidence map›Paper›PMID 40626877›Full record

ArticleRadiology2025

Influence of AI Decision Support on Radiologists' Performance and Visual Search in Screening Mammography.

Jessie J J Gommers, Sarah D Verboom, Katya M Duvivier, Cornelis Jan van Rooden, A Fleur van Raamt, Janneke B Houwers, Dick B Naafs, Lucien E M Duijm, Miguel P Eckstein, Craig K Abbey and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Jessie J J Gommers *Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands.ORCID 0000-0001-6668-7819
Sarah D Verboom *Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands.ORCID 0009-0004-9757-9422
Katya M DuvivierDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, Amsterdam, the Netherlands.ORCID 0000-0002-8713-0443
Cornelis Jan van RoodenDepartment of Radiology and Nuclear Medicine, Haga Teaching Hospital, Den Haag, the Netherlands.ORCID 0000-0002-7030-1023
A Fleur van RaamtDepartment of Radiology, Gelre Hospitals, Apeldoorn, the Netherlands.ORCID 0000-0001-8174-5036
Janneke B HouwersDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands.ORCID 0000-0003-4709-4131
Dick B NaafsDepartment of Radiology, Diakonessenhuis, Utrecht/Zeist, the Netherlands.
Lucien E M DuijmDepartment of Radiology, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands.ORCID 0000-0002-7919-1393
Miguel P EcksteinDepartment of Psychological and Brain Sciences, University of California-Santa Barbara, Santa Barbara, Calif.
Craig K AbbeyDepartment of Psychological and Brain Sciences, University of California-Santa Barbara, Santa Barbara, Calif.ORCID 0000-0003-4608-9402
Mireille J M BroedersIQ Health Science Department, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-8741-8148
Ioannis SechopoulosDepartment of Medical Imaging, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands.ORCID 0000-0001-9615-8205

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Artificial intelligence (AI) decision support may improve radiologist performance during screening mammography interpretation, but its effect on radiologists' visual search behavior remains unclear. Purpose To compare radiologist performance and visual search patterns when reading screening mammograms with and without an AI decision support system. Materials and Methods In this retrospective multireader multicase study, 12 breast screening radiologists with 4-32 years of experience (median, 12 years) from 10 institutions evaluated screening mammograms acquired between September 2016 and May 2019. Assessments were conducted unaided and with a Food and Drug Administration-approved, European Commission-marked AI decision support system, which assigns a region suspicion score from 1 to 100, with 100 indicating the highest malignancy likelihood. An eye tracker monitored readers' eye movements. Area under the receiver operating characteristic curve (AUC), sensitivity, and specificity between unaided and AI-assisted reading were compared using multireader multicase analysis software. Reading times, breast fixation coverage (percentage breast covered by fixations within 2.5° visual angle radius), fixation time, and time to first fixation within the lesion region were compared using bootstrap resampling (

Indexed as

Artificial IntelligenceBreast NeoplasmsClinical CompetenceMammographyRadiologistsAgedBreastEarly Detection of CancerEye MovementsFemaleHumansMiddle AgedRetrospective StudiesSensitivity and Specificity

Identifiers

PMID40626877
PMCPMC12314766

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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.