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Characterizing Diagnostic Search Patterns in Digital Breast Pathology: Scanners and Drillers

Overview of attention for article published in Journal of Digital Imaging, July 2017
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Title
Characterizing Diagnostic Search Patterns in Digital Breast Pathology: Scanners and Drillers
Published in
Journal of Digital Imaging, July 2017
DOI 10.1007/s10278-017-9990-5
Pubmed ID
Authors

Ezgi Mercan, Linda G. Shapiro, Tad T. Brunyé, Donald L. Weaver, Joann G. Elmore

Abstract

Following a baseline demographic survey, 87 pathologists interpreted 240 digital whole slide images of breast biopsy specimens representing a range of diagnostic categories from benign to atypia, ductal carcinoma in situ, and invasive cancer. A web-based viewer recorded pathologists' behaviors while interpreting a subset of 60 randomly selected and randomly ordered slides. To characterize diagnostic search patterns, we used the viewport location, time stamp, and zoom level data to calculate four variables: average zoom level, maximum zoom level, zoom level variance, and scanning percentage. Two distinct search strategies were confirmed: scanning is characterized by panning at a constant zoom level, while drilling involves zooming in and out at various locations. Statistical analysis was applied to examine the associations of different visual interpretive strategies with pathologist characteristics, diagnostic accuracy, and efficiency. We found that females scanned more than males, and age was positively correlated with scanning percentage, while the facility size was negatively correlated. Throughout 60 cases, the scanning percentage and total interpretation time per slide decreased, and these two variables were positively correlated. The scanning percentage was not predictive of diagnostic accuracy. Increasing average zoom level, maximum zoom level, and zoom variance were correlated with over-interpretation.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 45 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 45 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 7 16%
Student > Master 5 11%
Researcher 4 9%
Student > Doctoral Student 3 7%
Student > Bachelor 3 7%
Other 10 22%
Unknown 13 29%
Readers by discipline Count As %
Psychology 7 16%
Computer Science 6 13%
Biochemistry, Genetics and Molecular Biology 4 9%
Medicine and Dentistry 3 7%
Nursing and Health Professions 2 4%
Other 6 13%
Unknown 17 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 February 2018.
All research outputs
#17,902,783
of 22,985,065 outputs
Outputs from Journal of Digital Imaging
#812
of 1,059 outputs
Outputs of similar age
#224,855
of 313,319 outputs
Outputs of similar age from Journal of Digital Imaging
#24
of 33 outputs
Altmetric has tracked 22,985,065 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,059 research outputs from this source. They receive a mean Attention Score of 4.6. This one is in the 18th percentile – i.e., 18% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 313,319 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 23rd percentile – i.e., 23% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 33 others from the same source and published within six weeks on either side of this one. This one is in the 24th percentile – i.e., 24% of its contemporaries scored the same or lower than it.