Abstract
In this paper, we study the reliability of X-ray imaging diagnosis considering human cognitive abilities (e.g., spatial orientation, visualization, line orientation, and perceptual speed), which play a vital role in the clinical decision making that requires classification systems. Also, this study explores sex influence on X-ray imaging diagnosis based on 176 X-ray images evaluated by 10 female radiologists and 8 male radiologists. Most related literature focuses on a binary classification (True or False) that uses a set of features derived from a given pattern. Also, they utilize the Receiver Operating Characteristics (ROC) analyses for assessing the accuracy of X-ray diagnosis. In this study, we use fuzzy benchmarking to construct fuzzy classification systems required for fuzzy medical decision-making and fuzzy reliability assessment. The proposed method differentiates the influence of human cognitive abilities and sex in X-ray diagnosis. The results from this study shows reliability of X-ray diagnosis is high and male radiologists excel in spatial and line orientation and female radiologists perform better in perceptual speed while both are competent in visualization ability.
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