Phenomenological ethnography of radiology: expert performance in enacting diagnostic cognition

Enactive Approach to Normativity in Oncoradiology Diagnostics: Communication, Affection by, and Enaction of Modified Experiences

“…Another problem with such operations is that they are mainly preoccupied with attentive operations or distractions [29,30], isolating visual search in the "internal" horizon of an image (see Section 2). I propose that this is a reductive understanding of human cognition which is not founded on a careful ethnographic observation [31] and an analysis of human behavior in general and professional cognition in particular. Long story short, at today's speed of diagnostics [32], it is impossible to talk about inference (except perhaps in respect of novice radiologists) and memory as the storing of strictly classified representations.…”

Número completo

“…For example, a scientist who interprets an image should know the related scientific context (both theoretical and experimental), details of the image-making process, recent related findings, etc. (Friis, 2017) (Briedis, 2019;Rosenberger, 2020;Sturken & Cartwright, 2017).…”

“…This observational opportunity became possible because of fMRI technology. It enables us to see inside the brain without surgery or any other clinical invasion (Briedis, 2019). But how is it possible from the technical point of view?…”

“…For this reason, a practitioner has to apply a complex set of various hermeneutic strategies which might include laboratory knowledge and 'practices of seeing' like: image navigation (rotation, zoomingin/out), disclosing relations between different components on the image, prioritizing primary and secondary findings, technical talks with other practitioners (Briedis, 2019(Briedis, , 2022Goodwin, 1995;Lynch, 1985b). These laboratory practices are actively synchronized with the fMRI visuals in a way that the practitioners can 'make' the movement of the subject visible on the brain scans (Alač, 2014).…”

Phenomenological ethnography can lead to the improvement of radiology diagnostics

“…Now I will turn to the ways in which the radiologist improves, or at least suggests how to improve, the radiological environment, exhibiting both professional ethics and intersubjective sensitivity. For further details, see Briedis, 2019. It should be noted that the radiologist that I was observing during a number of ethnographic sessions was the head of the department which showed how multisensorial perception of the professional environment also depends on a radiologist's professional status.…”