Measuring performance efficiency and consistency in visual discriminations with noisy images.

These experiments measured the efficiency of disk discrimination performance, relative to an "ideal" observer, and compared 2 visually dissimilar tasks in which noisy image stimuli were identical for a physical calculation yielding optimum decisions. Performance consistency was measured by estimating the assumed underlying correlation in an observer's judgments about the same individual "frozen noise" images across independent replications of each condition. Larger disk sizes on the stimulus images considerably reduced observer performance efficiency (by a factor of 10) in both discrimination tasks, regardless of the image viewing distance. But even when efficiency was very low (5% or less), performance consistency still remained quite high (about 50%). About half of each observer's inefficiency appeared to reflect consistent (but suboptimal) perceptual "miscalculations" of the noisy stimulus information. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Improving diagnostic accuracy: a comparison of interactive and Delphi consultations

Consultation among physicians on difficult diagnostic problems is commonly used to improve the accuracy of medical decisions. Such consultation is most often informal and interactive. Nevertheless, behavioral studies suggest that non-interactive techniques may be more effective problem solving methods. Of these the Delphi approach, involving pooling and feedback of anonymously contributed information, has generated particular interest. To assess the relative effectiveness of independent decision making, interactive group consultation, and Delphi techniques in a clinical setting we compared the diagnostic accuracy of 17 radiologists interpreting radiologic examinations in these settings. Interactive consultation improved performance by 69% compared to radiologists interpreting the studies individually. In addition, two Delphi strategies each produced an additional 20% mean improvement in accuracy over interactive consultation. Whereas interactive consultation improved the accuracy of the best individual readers by only 6%, a Delphi model improved their performance by 25%. Thus, Delphi was an effective, easily applied method of clinical consultation whose usefulness in other clinical setting should be evaluated.     

Enhanced displays of medical images: evaluation of the effectiveness of color, motion, and contour for detecting and localizing liver lesions

RATIONALE AND OBJECTIVES: Many perceptual studies have shown that the detection of large, low-contrast targets is better either in color or in contrast-reversing presentations than in standard gray scale. We determined the value of several new display techniques for viewing liver computed tomography (CT) scans. METHODS: Eight observers (four radiologists and four nonradiologists) viewed sets of 100 liver CT images (50 with lesions and 50 without) under five display conditions on a Macintosh computer: (1) color (equiluminant color contrast); (2) color-luminance (combined luminance and chromatic contrast); (3) flicker (luminance contrast that reversed polarity at 2 Hz); (4) contour (shaded intensity mapping); and (5) control (conventional gray scale). Receiver operating characteristics (ROC) techniques were used for analysis. RESULTS: The measured ROC curve areas for the different viewing conditions were as follows: control = 0.77 +/- 0.01 (mean +/- standard error of the mean); color = 0.78 +/- 0.01; color-luminance = 0.82 +/- 0.01; flicker = 0.78 +/- 0.01; and contour = 0.76 +/- 0.01. The percentage of lesions correctly located ranged from 0.82 (color-luminance) to 0.75 (flicker). Performance under the color-luminance condition was significantly better than in the control condition (p = .01), whereas the other experimental conditions were not significantly different from the control condition (p > .21). CONCLUSION: The use of mixed color and luminance displays may have perceptual advantages for radiologists and can improve performance over that of gray-scale viewing.     

Relationship between content of crude protein in rations for dairy cows and milk yield,concentration of urea in milk and ammonia emissions

During recent decades, efforts have been made in several countries to diminish the negative environmental influence of dairy production. The main focus has been on nitrogen and phosphorus. Modern dairy production in Western Europe is often based on imported feed-stuffs, mostly protein-rich feeds. In Sweden at least, it is wished that the use of imported feedstuffs in animal production will decrease due to the risk of contamination with Salmonella and the ban of using GMO crops in Swedish dairy production. An experiment was carried out to investigate whether a lower content of crude protein in the diet would decrease the ammonia release from cow manure and whether a well-balanced diet using only feedstuffs of Swedish origin would maintain milk production. Five treatments were arranged in a Latin square design. Two different protein supplements made of ingredients of Swedish origin were each fed at two protein levels, and a fifth imported commercial protein mix was fed at the higher level. The treatments with low protein levels (13.1 to 13.5%) had a significantly lower milk yield, kilograms of ECM, but, on the other hand the net profit, milk income minus feed cost was nearly the same in all treatments except diet C, which had lower feed cost but also lower net profit due to lower milk yield. The content of urea in milk was higher with diets high in crude protein (17%) content. A decreased protein level in the diets did not influence the content of casein or whey protein, but the commercial concentrate showed a tendency to give lower values than the Swedish mixtures. The low protein diets gave significantly lower ammonia release from manure compared with the high protein diets. There were no production differences between the diets of Swedish feeds compared with the imported control. The readily fermentable beet pulp should have helped cows use the higher N diet more efficiently and increased the response. This gives the rumen microbes a possibility to match the inflow of protein with carbohydrates. Income over feed costs shows that it is possible to compile diets using products of Swedish origin and still be competitive. On the other hand, this structure may change quickly due to altered world market prices.