Title
Automatic Lung Nodule Detection Combined With Gaze Information Improves Radiologists’ Screening Performance
Abstract
Early diagnosis of lung cancer via computed tomography can significantly reduce the morbidity and mortality rates associated with the pathology. However, searching lung nodules is a high complexity task, which affects the success of screening programs. Whilst computer-aided detection systems can be used as second observers, they may bias radiologists and introduce significant time overheads. With this in mind, this study assesses the potential of using gaze information for integrating automatic detection systems in the clinical practice. For that purpose, 4 radiologists were asked to annotate 20 scans from a public dataset while being monitored by an eye tracker device, and an automatic lung nodule detection system was developed. Our results show that radiologists follow a similar search routine and tend to have lower fixation periods in regions where finding errors occur. The overall detection sensitivity of the specialists was $\mathbf {0.67\pm 0.07}$, whereas the system achieved 0.69. Combining the annotations of one radiologist with the automatic system significantly improves the detection performance to similar levels of two annotators. Filtering automatic detection candidates only for low fixation regions still significantly improves the detection sensitivity without increasing the number of false-positives.
Year
DOI
Venue
2020
10.1109/JBHI.2020.2976150
IEEE Journal of Biomedical and Health Informatics
Keywords
DocType
Volume
Deep Learning,Eye-Tracking Technology,Fixation, Ocular,Humans,Lung Neoplasms,Radiographic Image Interpretation, Computer-Assisted,Radiologists,Tomography, X-Ray Computed
Journal
24
Issue
ISSN
Citations 
10
2168-2194
0
PageRank 
References 
Authors
0.34
0
11
Name
Order
Citations
PageRank
Guilherme Aresta1305.58
Isabel Ramos2283.52
Aurélio J. C. Campilho332140.49
Carlos Ferreira411.02
Joao Pedrosa582.89
Teresa Araujo6305.24
Joao Rebelo700.34
Eduardo Negrao800.34
A. Cunha922.76
A. Cunha1022.76
Filipe Alves1100.34