Defining and Optimizing Critical Interpretation Skills in Screening Mammography to Improve Cancer Detection

定义和优化筛查乳房 X 光检查的关键解释技能，以提高癌症检出率

• 批准号: 10614623
• 负责人: Lonie Salkowski
• 金额: $ 42.21万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-01 至 2027-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10614623
• 关键词: American College of Radiology; Applications Grants; Architecture; Benign; Biopsy; Breast; Breast Cancer Detection; Cancer Detection; Characteristics; Clinic; Clinical; Cognition; Cognitive; Continuing Education; Data; Detection; Development; Discrimination; Education; Educational Psychology; Evaluation; Faculty; Feedback; Fellowship; General Practitioners; Goals; Image; Individual Differences; Intelligence; Judgment; Learning; Legal patent; Lesion; Liquid substance; Machine Learning; Malignant Neoplasms; Mammary Gland Parenchyma; Mammographic screening; Mammography; Measures; Mission; Outcome; Patient Care; Patient-Focused Outcomes; Perception; Performance; Personality Traits; Physicians; Positioning Attribute; Preparation; Psychology; Public Health; Radiology Specialty; Reading; Research; Research Proposals; Residencies; Resources; Risk; Short-Term Memory; Societies; Specialist; Surveys; System; Testing; Time; Time Perception; Training; Training and Education; United States; United States National Institutes of Health; Women' s Health; breast imaging; calcification; computer science; cost; density; experience; high risk; imager; improved; innovation; insight; processing speed; programs; radiologist; screening; simulation; skill acquisition; skills; stem; tool; visual tracking

Project Summary Abstract There is a critical lack of information regarding how radiology residents develop interpretive skills for screening mammography. Consequently, little is known how to avert or correct errors in perception and cognition. The majority of radiology residents have only the required minimum 12 weeks of breast imaging training. Yet, the majority of mammograms in the United States are interpreted by general radiologists, not board-certified breast imagers. The negative impact on patient care by not filling this gap in education is continued missed cancers and unnecessary additional imaging and biopsies. The long-term goal of this project is to reduce interpretive errors in breast imaging for improved patient outcomes by providing objective tools and resources to improve trainee education. The overall objectives of this proposal are to understand cognitive and perceptual skill development in a specialized simulation system by bringing together experts in radiology, computer science, educational psychology, and psychology. In residency there is no opportunity for residents to interpret mammographic studies independently from attending radiologists. Thus, offering no opportunity to ‘practice’ their skills. Our education system needs improvement. This project will implement a specialized simulation system with sequential evaluation of radiology resident performance in screening mammography providing objective measures and feedback to trainees. The central hypothesis of this project is that a systemized simulation screening mammography system within residency training will aid in identifying critical cognitive and perceptual errors that negatively impact patient care and outcomes. This hypothesis will be tested by three specific aims: 1) Use machine learning tools to develop congruent case sets for consecutive simulation sessions. 2) Assess the impact of sequential simulation training and examine predictors of individual differences in learning trajectories, by a) assess interpretive skills of radiology residents and fellows in the breast screening simulation system, b) assess real-time perception skills with eye tracking in simulation sessions, and c) assess the resident’s fundamental cognitive and perceptual abilities as well as personality traits. 3) Assess and quantify the effects of sequential simulation training. This research proposal is innovative, in that it provides sequential opportunities for radiology residents to independently interpret screening mammograms in a specialized simulation system that will obtain information about the development of interpretive and perceptive skills over time during real-world practice. This research proposal is significant because simulation training is effective at taking high-risk stakes skills and putting them in a low risk encounters to assess and improve performance. Improving the preparation of radiology residents to interpret screening mammograms will have far reaching impact on women’s health and overall public health.

项目摘要 有一个关键的信息缺乏关于放射科居民如何发展解释技能， 筛查性乳房X光检查因此，很少有人知道如何避免或纠正感知错误， 认知.大多数放射科住院医师只有所需的最低12周的乳房成像 训练然而，在美国，大多数乳房X光检查都是由普通放射科医生解释的，而不是由医生解释。 经过认证的乳房成像仪不填补这一教育空白对病人护理的负面影响是 继续遗漏癌症和不必要的额外成像和活检。这个项目的长期目标是 是通过提供客观的工具来减少乳腺成像中的解释错误， 和资源来改善受训者的教育。 本提案的总体目标是了解认知和感知技能的发展， 专门的模拟系统，汇集了放射学，计算机科学，教育， 心理学和心理学。在住院医生那里，住院医生没有机会解释乳房X光片。 独立于主治放射科医生进行研究。因此，没有机会“实践”他们的技能。我们 教育制度需要改进。该项目将实现一个专门的仿真系统， 放射科住院医师在筛查性乳腺X线摄影中表现的序贯评价 措施和对受训人员的反馈。这个项目的中心假设是，一个系统化的模拟 住院医师培训中的筛查乳房X光检查系统将有助于识别关键的认知和感知 对患者护理和结果产生负面影响的错误。这一假设将通过三个具体目标进行检验： 1)使用机器学习工具为连续的模拟会话开发一致的案例集。2)评估 序贯模拟训练的影响，并检查学习中个体差异的预测因素 轨迹，通过a）评估放射科住院医师和研究员在乳房筛查模拟中的解释技能 系统，B）在模拟会话中用眼动跟踪评估实时感知技能，以及c）评估 居民的基本认知和感知能力以及个性特征。3)评估和量化 顺序模拟训练的效果。 这项研究建议是创新的，因为它提供了连续的机会，放射科居民 在一个专门的模拟系统中独立解释筛查乳房X光片， 在现实世界的实践中，随着时间的推移，解释和感知技能的发展信息。 这项研究建议是重要的，因为模拟训练是有效的，在采取高风险的赌注技能， 将他们置于低风险环境中，以评估和提高绩效。改进《公约》的编写工作 放射科住院医师解释筛查乳房X光片将对妇女的健康产生深远的影响， 整体公共卫生。