The impacts of mangrove range expansion on wetland ecosystem services in the southeastern United States: Current understanding, knowledge gaps, and emerging research needs.

Climate change is transforming ecosystems and affecting ecosystem goods and services. Along the Gulf of Mexico and Atlantic coasts of the southeastern United States, the frequency and intensity of extreme freeze events greatly influence whether coastal wetlands are dominated by freeze-sensitive woody plants (mangrove forests) or freeze-tolerant grass-like plants (salt marshes). In response to warming winters, mangroves have been expanding and displacing salt marshes at varying degrees of severity in parts of north Florida, Louisiana, and Texas. As winter warming accelerates, mangrove range expansion is expected to increasingly modify wetland ecosystem structure and function. Because there are differences in the ecological and societal benefits that salt marshes and mangroves provide, coastal environmental managers are challenged to anticipate the effects of mangrove expansion on critical wetland ecosystem services, including those related to carbon sequestration, wildlife habitat, storm protection, erosion reduction, water purification, fisheries support, and recreation. Mangrove range expansion may also affect wetland stability in the face of extreme climatic events and rising sea levels. Here, we review the current understanding of the effects of mangrove range expansion and displacement of salt marshes on wetland ecosystem services in the southeastern United States. We also identify critical knowledge gaps and emerging research needs regarding the ecological and societal implications of salt marsh displacement by expanding mangrove forests. One consistent theme throughout our review is that there are ecological trade-offs for consideration by coastal managers. Mangrove expansion and marsh displacement can produce beneficial changes in some ecosystem services, while simultaneously producing detrimental changes in other services. Thus, there can be local-scale differences in perceptions of the impacts of mangrove expansion into salt marshes. For very specific local reasons, some individuals may see mangrove expansion as a positive change to be embraced, while others may see mangrove expansion as a negative change to be constrained.

Characteristics of expert search behavior in volumetric medical image interpretation.

Purpose: Experienced radiologists have enhanced global processing ability relative to novices, allowing experts to rapidly detect medical abnormalities without performing an exhaustive search. However, evidence for global processing models is primarily limited to two-dimensional image interpretation, and it is unclear whether these findings generalize to volumetric images, which are widely used in clinical practice. We examined whether radiologists searching volumetric images use methods consistent with global processing models of expertise. In addition, we investigated whether search strategy (scanning/drilling) differs with experience level. Approach: Fifty radiologists with a wide range of experience evaluated chest computed-tomography scans for lung nodules while their eye movements and scrolling behaviors were tracked. Multiple linear regressions were used to determine: (1) how search behaviors differed with years of experience and the number of chest CTs evaluated per week and (2) which search behaviors predicted better performance. Results: Contrary to global processing models based on 2D images, experience was unrelated to measures of global processing (saccadic amplitude, coverage, time to first fixation, search time, and depth passes) in this task. Drilling behavior was associated with better accuracy than scanning behavior when controlling for observer experience. Greater image coverage was a strong predictor of task accuracy. Conclusions: Global processing ability may play a relatively small role in volumetric image interpretation, where global scene statistics are not available to radiologists in a single glance. Rather, in volumetric images, it may be more important to engage in search strategies that support a more thorough search of the image.

Maintaining rejected distractors in working memory during visual search depends on search stimuli: Evidence from contralateral delay activity.

The presence of memory for rejected distractors during visual search has been heavily debated in the literature and has proven challenging to investigate behaviorally. In this research, we used an electrophysiological index of working memory (contralateral delay activity) to passively measure working memory activity during visual search. Participants were asked to indicate whether a novel target was present or absent in a lateralized search array with three visual set sizes (2, 4, or 6). If rejected distractors are maintained in working memory during search, working memory activity should increase with the number of distractors that need to be evaluated. Therefore, we predicted the amplitude of the contralateral delay activity would be larger for target-absent trials and would increase with visual set size until WM capacity was reached. In Experiment 1, we found no evidence for distractor maintenance in working memory during search for real-world stimuli. In Experiment 2, we found partial evidence in support of distractor maintenance during search for stimuli with high target/distractor similarity. In both experiments, working memory capacity did not appear to be a limiting factor during visual search. These results suggest the role of working memory during search may depend on the visual search task in question. Maintaining distractors in working memory appears to be unnecessary during search for realistic stimuli. However, there appears to be a limited role for distractor maintenance during search for artificial stimuli with a high degree of feature overlap.

What do we know about volumetric medical image interpretation?: a review of the basic science and medical image perception literatures.

Interpretation of volumetric medical images represents a rapidly growing proportion of the workload in radiology. However, relatively little is known about the strategies that best guide search behavior when looking for abnormalities in volumetric images. Although there is extensive literature on two-dimensional medical image perception, it is an open question whether the conclusions drawn from these images can be generalized to volumetric images. Importantly, volumetric images have distinct characteristics (e.g., scrolling through depth, smooth-pursuit eye-movements, motion onset cues, etc.) that should be considered in future research. In this manuscript, we will review the literature on medical image perception and discuss relevant findings from basic science that can be used to generate predictions about expertise in volumetric image interpretation. By better understanding search through volumetric images, we may be able to identify common sources of error, characterize the optimal strategies for searching through depth, or develop new training and assessment techniques for radiology residents.

Neural Processing of Repeated Search Targets Depends Upon the Stimuli: Real World Stimuli Engage Semantic Processing and Recognition Memory.

Recent evidence has suggested that visual working memory (VWM) plays an important role in representing the target prior to initiating a visual search. The more familiar we are with the search target, the more refined the representation of the target (or "target template") becomes. This sharpening of the target template is thought to underlie the reduced response time (RT) and increased accuracy associated with repeatedly searching for the same target. Perhaps target representations transition from limited-capacity VWM to Long-Term Memory (LTM) as targets repeat. In prior work, amplitude of an event-related potential (ERP) component associated with VWM representation decreased with target repetition, broadly supporting this notion. However, previous research has focused on artificial stimuli (Landolt Cs) that are far removed from search targets in the real world. The current study extends this work by directly comparing target representations for artificial stimuli and common object images. We found VWM representation follows the same pattern for real and artificial stimuli. However, the initial selection of the real world objects follows a much different pattern than more typical artificial stimuli. Further, the morphology of nonlateralized waveforms was substantially different for the two stimulus categories. This suggests that the two types of stimuli were processed in fundamentally different ways. We conclude that object type strongly influences how we deploy attentional and mnemonic resources prior to search. Early attentional selection of familiar objects may facilitate additional LTM processes that lead to behavioral benefits not seen with more simplistic stimuli.

Quantifying the costs of interruption during diagnostic radiology interpretation using mobile eye-tracking glasses.

What are the costs and consequences of interruptions during diagnostic radiology? The cognitive psychology literature suggests that interruptions lead to an array of negative consequences that could hurt patient outcomes and lead to lower patient throughput. Meanwhile, observational studies have both noted a strikingly high rate of interruptions and rising number of interruptions faced by radiologists. There is some observational evidence that more interruptions could lead to worse patient outcomes: Balint et al. (2014) found that the shifts with more telephone calls received in the reading room were associated with more discrepant calls. The purpose of the current study was to use an experimental manipulation to precisely quantify the costs of two different types of interruption: telephone interruption and an interpersonal interruption. We found that the first telephone interruption led to a significant increase in time spent on the case, but there was no effect on diagnostic accuracy. Eye-tracking revealed that interruptions strongly influenced where the radiologists looked: they tended to spend more time looking at dictation screens and less on medical images immediately after interruption. Our results demonstrate that while radiologists' eye movements are reliably influenced by interruptions, the behavioral consequences were relatively mild, suggesting effective compensatory mechanisms.

Simple eye-movement feedback during visual search is not helpful.

Searching for targets in the visual world, or visual search, is something we all do every day. We frequently make 'false-negative' errors, wherein we erroneously conclude a target was absent when one was, in fact, present. These sorts of errors can have tremendous costs, as when signs of cancers are missed in diagnostic radiology. Prior research has characterized the cause of many of these errors as being due to failure to completely search the area where targets may be present; indeed, roughly one-third of chest nodules missed in lung cancer screening are never fixated (Drew, Võ, Olwal, Jacobson, Seltzer and Wolfe, Journal of Vision 13:3, 2013). This suggests that observers do not have a good representation of what areas have and have not been searched prior to declaring an area target free. Therefore, in six experiments, we sought to examine the utility of reducing the uncertainty with respect to what areas had been examined via online eye-tracking feedback. We hypothesized that providing information about what areas had or had not been examined would lead to lower rates of false negatives or more efficient search, namely faster response times with no cost on target detection accuracy. Neither of these predictions held true. Over six experiments, online eye-tracking feedback did not yield any reliable performance benefits.

Distraction in diagnostic radiology: How is search through volumetric medical images affected by interruptions?

Observational studies have shown that interruptions are a frequent occurrence in diagnostic radiology. The present study used an experimental design in order to quantify the cost of these interruptions during search through volumetric medical images. Participants searched through chest CT scans for nodules that are indicative of lung cancer. In half of the cases, search was interrupted by a series of true or false math equations. The primary cost of these interruptions was an increase in search time with no corresponding increase in accuracy or lung coverage. This time cost was not modulated by the difficulty of the interruption task or an individual's working memory capacity. Eye-tracking suggests that this time cost was driven by impaired memory for which regions of the lung were searched prior to the interruption. Potential interventions will be discussed in the context of these results.