💬In plain words
What the trial is, and whether it could suit you
Chest X-rays are commonly used to help diagnose and manage chest conditions. Artificial intelligence (AI) tools are increasingly being used to support chest X-ray interpretation. However, it is not yet clear whether the timing of AI information affects how clinicians review images, make decisions, and use AI support.
This study will look at whether showing AI information before or after a clinician first reviews a chest X-ray changes how they look at the image, how long they take, their interpretation decisions, their confidence, and their trust in AI support.
Healthcare professional participants will complete two chest X-ray interpretation sessions in a controlled NHS research setting. During each session, participants will review de-identified chest X-ray images while wearing eye-tracking equipment. Eye-tracking will record where a participant looks on the image and how long they spe
Sign in to get the eligibility rules as simple questions to take to your doctor.
📋 Eligibility rules (as published)
Inclusion Criteria:
Main reader study:
* Healthcare professionals aged 18 years or over
* Registered to practise in the UK
* Employed by the NHS or another healthcare service operating in the UK
* Current or recent, within the last 3 years, clinical experience involving chest X-ray interpretation, review, or use in clinical practice
* Able to attend two onsite study sessions at University Hospitals of Leicester NHS Trust at mutually agreed times
* Able and willing to provide written informed consent
* Compatible with the eye-tracking equipment
Supplementary survey:
* Adults aged 18 years or over
* Live in the UK or have used the NHS or another UK healthcare service within the last 5 years
* Able to provide informed electronic consent
* Belong to one of the following respondent groups: healthcare professionals or healthcare staff, patients or carers, or members of the public
* Healthcare professional respondents may include adults involved in requesting, interpreting, checking, or acting on chest X-ray findings in clinical practice
Exclusion Criteria:
Main reader study:
* Inability to attend both onsite study sessions at University Hospitals of Leicester NHS Trust
* Eye-tracking incompatibility, such as visual, neurological, or physical conditions preventing adequate gaze tracking or participant comfort
* Direct involvement in selection, adjudication, or preparation of the chest X-rays used in the study
* Conflicts of interest, including direct involvement in development of the AI system under evaluation
* Prior participation in a closely related AI chest X-ray study where overlap in image sets or study procedures may compromise validity, assessed on a case-by-case basis
Supplementary survey:
* Aged under 18 years
* Does not live in the UK and has not used the NHS or another UK healthcare service within the last 5 years
* Unable to provide informed electronic consent
* Does not meet one of the eligible respondent groups for the survey
💊
What it tests
- Original CXR First Timing
- AI Output First Timing
University Hospitals of Leicester NHS Trust
Leicester, United Kingdom
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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