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Speed Versus Interpretation Accuracy: Current Thoughts and Literature Review.

Lawrence R Muroff^1,2, Leonard Berlin^3,4,5

¹Department of Radiology, University of Florida, College of Medicine, Gainesville, FL.

AJR. American Journal of Roentgenology

|June 6, 2019

Summary

The speed of reading medical images does not correlate with diagnostic accuracy. No established guidelines link interpretation time to accuracy, and other factors are more influential.

Keywords:

accuracy interpretation speed

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Area of Science:

Radiology
Medical Imaging Interpretation

Background:

The relationship between reading speed and diagnostic accuracy is a long-standing debate.
Previous studies and anecdotal evidence have suggested a link, but lacked robust validation.

Purpose of the Study:

To critically evaluate the purported relationship between diagnostic image interpretation speed and accuracy.
To review existing literature and practical considerations regarding this issue.

Main Methods:

Literature review of studies investigating reading speed and diagnostic accuracy.
Discussion of practical considerations and expert experience in medical image interpretation.

Main Results:

No credible scientific relationship has been established between the speed of diagnostic image interpretation and accuracy.
No national guidelines exist to support a link between interpretation time and diagnostic outcomes.

Conclusions:

Diagnostic accuracy is influenced by numerous factors, not including the length of interpretation time.
Attributing diagnostic accuracy to reading speed is not supported by current evidence and would be irresponsible.