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Jpn J Radiol. 2019 Mar 19. doi: 10.1007/s11604-019-00826-2. [Epub ahead of print]

Monitoring of fatigue in radiologists during prolonged image interpretation using fNIRS.

Author information

1
Department of Radiology, Komaki City Hospital, 1-20 Johbu, Komaki, 485-8520, Aichi, Japan. dr284@hotmail.com.
2
Nagoya Jhohoku Radiology Clinic, Nagoya, Japan.
3
Department of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
4
Department of Radiology, Anjo Kosei Hospital, Anjo, Japan.
5
Department of Radiological and Medical Laboratory Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan.
6
Department of Radiology, Aichi Medical University, Nagakute, Japan.
7
Department of Radiology, Komaki City Hospital, 1-20 Johbu, Komaki, 485-8520, Aichi, Japan.
8
Spectratech, Inc., Tokyo, Japan.

Abstract

PURPOSE:

To determine whether functional near-infrared spectroscopy (fNIRS) allows monitoring fatigue in radiologists during prolonged image interpretation.

MATERIALS AND METHODS:

Nine radiologists participated as subjects in the present study and continuously interpreted medical images and generated reports for cases for more than 4 h under real clinical work conditions. We measured changes in oxygenated hemoglobin concentrations [oxy-Hb] in the prefrontal cortex using 16-channel fNIRS (OEG16ME, Spectratech) every hour during the Stroop task to evaluate fatigue of radiologists and recorded fatigue scale (FS) as a behavior data.

RESULTS:

Two subjects showed a subjective feeling of fatigue and an apparent decrease in brain activity after 4 h, so the experiment was completed in 4 h. The remaining seven subjects continued the experiment up to 5 h. FS decreased with time, and a significant reduction was observed between before and the end of image interpretation. Seven out of nine subjects showed a minimum [oxy-Hb] change at the end of prolonged image interpretation. The mean change of [oxy-Hb] at the end of all nine subjects was significantly less than the maximum during image interpretation.

CONCLUSION:

fNIRS using the change of [oxy-Hb] may be useful for monitoring fatigue in radiologists during image interpretation.

KEYWORDS:

Fatigue; Near-infrared; Radiologists; Spectroscopy; Workload

PMID:
30891667
DOI:
10.1007/s11604-019-00826-2

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