Cue utilisation reduces the impact of response bias in histopathology

Journal article


Carrigan, A. J., Charlton, A., Wiggins, M. W., Georgiou, A, Palmeri, T and Curby, K. M.. (2022). Cue utilisation reduces the impact of response bias in histopathology. Applied Ergonomics : Human factors in technology and society. 98, pp. 1-10. https://doi.org/10.1016/j.apergo.2021.103590
AuthorsCarrigan, A. J., Charlton, A., Wiggins, M. W., Georgiou, A, Palmeri, T and Curby, K. M.
Abstract

Histopathologists make diagnostic decisions that are thought to be based on pattern recognition, likely informed by cue-based associations formed in memory, a process known as cue utilisation. Typically, the cases presented to the histopathologist have already been classified as ‘abnormal’ by clinical examination and/or other diagnostic tests. This results in a high disease prevalence, the potential for ‘abnormality priming’, and a response bias leading to false positives on normal cases. This study investigated whether higher cue utilisation is associated with a reduction in positive response bias in the diagnostic decisions of histopathologists. Data were collected from eighty-two histopathologists who completed a series of demographic and experience-related questions and the histopathology edition of the Expert Intensive Skills Evaluation 2.0 (EXPERTise 2.0) to establish behavioural indicators of context-related cue utilisation. They also completed a separate, diagnostic task comprising breast histopathology images where the frequency of abnormality was manipulated to create a high disease prevalence context for diagnostic decisions relating to normal tissue. Participants were assigned to higher or lower cue utilisation groups based on their performance on EXPERTise 2.0. When the effects of experience were controlled, higher cue utilisation was specifically associated with a greater accuracy classifying normal images, recording a lower positive response bias. This study suggests that cue utilisation may play a protective role against response biases in histopathology settings.

Keywordshistopathology; cue utilisation; response bias
Year01 Jan 2022
JournalApplied Ergonomics : Human factors in technology and society
Journal citation98, pp. 1-10
PublisherElsevier Ltd. (UK)
ISSN0003-6870
Digital Object Identifier (DOI)https://doi.org/10.1016/j.apergo.2021.103590
Web address (URL)https://www.sciencedirect.com/science/article/pii/S0003687021002374?via%3Dihub
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-10
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online28 Sep 2021
Publication process dates
Accepted03 Sep 2021
Deposited30 Aug 2024
ARC Funded ResearchThis output has been funded, wholly or partially, under the Australian Research Council Act 2001
Grant IDDP5056000
Additional information

© 2021 The Authors. Published by Elsevier Ltd.

This is an open access article under the CC BY-NC-ND license

This work supported by an ARC Discovery Project grant awarded to M.W.W (CI) K.M.C., A.G., and T.P. (DP5056000).

Place of publicationUnited Kingdom
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