KEYWORDS: Breast, Mammography, Databases, Diagnostics, Health informatics, Breast cancer, Radiology, Medical research, Medical imaging, Ultrasonography
Computer-based tools are increasingly used for training and the continuing professional development of radiologists. We
propose an adaptive training system to support individualised learning in mammography, based on a set of real cases,
which are annotated with educational content by experienced breast radiologists. The system has knowledge of the
strengths and weakness of each radiologist's performance: each radiologist is assessed to compute a profile showing how
they perform on different sets of cases, classified by type of abnormality, breast density, and perceptual difficulty. We
also assess variability in cognitive aspects of image perception, classifying errors made by radiologists as errors of
search, recognition or decision. This is a novel element in our approach. The profile is used to select cases to present to
the radiologist. The intelligent and flexible presentation of these cases distinguishes our system from existing training
tools. The training cases are organised and indexed by an ontology we have developed for breast radiologist training,
which is consistent with the radiologists' profile. Hence, the training system is able to select appropriate cases to
compose an individualised training path, addressing the variability of the radiologists' performance. A substantial part of
the system, the ontology has been evaluated on a large number of cases, and the training system is under implementation
for further evaluation.
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