Differences in examination characteristics of pigmented skin lesions: Results of an eye tracking study

Dreiseitl, Stephan; Pivec, Maja; Binder, Michael

doi:10.1016/j.artmed.2011.11.004

Cited by 18 publications

(19 citation statements)

References 27 publications

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“…Eye tracking is a natural fit for dermatology, but only two studies have utilized eye tracking to examine visual patterns in mole diagnosis. First, Dreiseitl, Pivec, and Binder (2012) compared people with different diagnostic experience, finding experts arrived at diagnosis 70% quicker than novices. Additionally, both total fixation time and total number of fixations were lower for experts compared to novices.…”

Section: The Use Of Visual Communication In Skin Cancer Control Effortsmentioning

confidence: 99%

“…Specifically, research in visual perceptual learning (VPL) and eye tracking indicates that measurable increases in processing efficiency begin to manifest when an individual transitions from novice toward expertise (Ahissar & Hochstein, 2004; Dreiseitl et al, 2012; Fahle, 2005; Krupinski et al, 2014). Eye tracking can capture these shifts in processing efficiency.…”

Section: The Use Of Visual Communication In Skin Cancer Control Effortsmentioning

confidence: 99%

“…Fixation-based metrics have been shown to inversely correlate with visual skill, effectively discriminating between novices and experts (Dreiseitl et al, 2012; Krupinski et al, 2014; Nodine, Mello-Thoms, Kundel, & Weinstein, 2002). As such, a selection of fixation-based metrics were tested in VSAM to track subject skill progression, including number of fixations, average and total fixation duration, fixations within a lookzone (i.e., time spent looking at an atypical mole), and a variety of lookzone-based measures derived from these (listed in Table 1).…”

Section: Explicating a Model Of Visual Skill Acquisition For Melanomamentioning

confidence: 99%

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Do Pattern-Focused Visuals Improve Skin Self-Examination Performance? Explicating the Visual Skill Acquisition Model

John

Jensen

King

et al. 2017

Journal of Health Communication

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Skin self-examination (SSE) consists of routinely checking the body for atypical moles that might be cancerous. Identifying atypical moles is a visual task; thus, SSE training materials utilize pattern-focused visuals to cultivate this skill. Despite widespread use, researchers have yet to explicate how pattern-focused visuals cultivate visual skill. Using eye tracking to capture the visual scanpaths of a sample of laypersons (N = 92), the current study employed a 2 (pattern: ABCDE vs. ugly duckling sign [UDS]) × 2 (presentation: photorealistic images vs. illustrations) factorial design to assess whether and how pattern-focused visuals can increase layperson accuracy in identifying atypical moles. Overall, illustrations resulted in greater sensitivity, while photos resulted in greater specificity. The UDS × photorealistic condition showed greatest specificity. For those in the photo condition with high self-efficacy, UDS increased specificity directly. For those in the photo condition with self-efficacy levels at the mean or lower, there was a conditional indirect effect such that these individuals spent a larger amount of their viewing time observing the atypical moles, and time on target was positively related to specificity. Illustrations provided significant gains in specificity for those with low-to-moderate self-efficacy by increasing total fixation time on the atypical moles. Findings suggest that maximizing visual processing efficiency could enhance existing SSE training techniques.Melanoma incidence rates continue to rise in the United States (Siegel, Naishadham, & Jemal, 2012). As melanoma risk increases, health communication researchers and Address correspondence to Kevin K. John, School of Communication, Brigham Young University, 328 BRMB, Provo, UT 84602, USA. kevin.k.john@gmail.com. Color versions of one or more of the figures in the article can be found online at www.tandfonline.com/uhcm. HHS Public AccessAuthor manuscript J Health Commun. Author manuscript; available in PMC 2017 October 26. Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript practitioners benefit from improving communication to at-risk individuals about prevention and early detection. For melanoma, prevention options include traditional sun safety tips (Chu, Atkinson, Hershfield, & Rosen, 2016), whereas secondary prevention and early detection efforts emphasize teaching individuals to identify atypical moles via skin selfexamination (SSE; Goodson & Grossman, 2009). People need proficiency in three behaviors/skills related to SSE to contribute to skin cancer control efforts: (1) completing a thorough SSE of their entire body, (2), recognizing and identifying potentially atypical moles while performing SSE, and (3) bringing atypical or suspicious moles to the attention of their primary care provider or dermatologist.The current study investigates how to enhance people's ability to identify atypical moles. 1 At present, practitioners utilize pattern-focused visual training methods (e.g., ABCDE and ugly d...

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Section: The Use Of Visual Communication In Skin Cancer Control Effortsmentioning

confidence: 99%

Section: The Use Of Visual Communication In Skin Cancer Control Effortsmentioning

confidence: 99%

Section: Explicating a Model Of Visual Skill Acquisition For Melanomamentioning

confidence: 99%

See 1 more Smart Citation

Do Pattern-Focused Visuals Improve Skin Self-Examination Performance? Explicating the Visual Skill Acquisition Model

John

Jensen

King

et al. 2017

Journal of Health Communication

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show abstract

“…In one study comparing the eye movements of consultant dermatologists to registrars, consultants made quicker diagnoses. This is because consultants have more experience and therefore more advanced skills in eye pattern recognition ( 4 ). Therein lies the rub – there is ongoing uncertainty surrounding the use of patient images for educational purposes.…”

mentioning

confidence: 99%

Teledermatology in medical education – a ‘rash’ decision?

Lami

Malabanan

McAuliffe

2015

Medical Education Online

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“…Eye-tracking systems have also been used to evaluate skin features, such as pigmented lesions and acne vulgaris [8] [9].…”

Section: Introductionmentioning

confidence: 99%

Effects of Makeup Application on Diverting the Gaze of Others from Areas of Inflammatory Lesions in Patients with Acne Vulgaris

Murakami-Yoneda¹,

Hata²,

Shirahige³

et al. 2015

JCDSA

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Skin manifestations can be major sources of stress for patients with skin diseases; hence, the effective use of makeup and cosmetic products for these patients has been established. The objective of this study was to determine if makeup can divert observers' gaze from areas of inflammatory acne lesions. Both base and point makeup were applied to two Japanese female patients with mild to moderate acne vulgaris to hide skin manifestations, as well as to accentuate the eyes and lips. Photographs of their faces were shown, at various stages of makeup application, to 22 observers (11 men and 11 women). The effects of makeup application, and other eye-diverting strategies (e.g., clothing, accessories, and hairstyle), used to draw observers' gaze away from acne lesions, were evaluated by analyzing observers' eye movements. As base makeup application proceeded, time to first fixation, total fixation duration, and fixation count changed. Compared to "no makeup", the time to first fixation, total fixation duration, and fixation count also decreased significantly after point makeup application. The additional eye-diverting strategies used also had significant gaze-diverting effects. Therefore, makeup can be useful for patients with acne to divert others' gaze from lesions. Therefore, it should be actively integrated into acne management.

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Differences in examination characteristics of pigmented skin lesions: Results of an eye tracking study

Cited by 18 publications

References 27 publications

Do Pattern-Focused Visuals Improve Skin Self-Examination Performance? Explicating the Visual Skill Acquisition Model

Do Pattern-Focused Visuals Improve Skin Self-Examination Performance? Explicating the Visual Skill Acquisition Model

Teledermatology in medical education – a ‘rash’ decision?

Effects of Makeup Application on Diverting the Gaze of Others from Areas of Inflammatory Lesions in Patients with Acne Vulgaris

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