In radiological screening, clinicians scan myriads of radiographs with the intent of recognizing and differentiating lesions. Even though they are trained experts, radiologists’ human search engines are not perfect: average daily error rates are estimated around 3–5%. A main underlying assumption in radiological screening is that visual search on a current radiograph occurs independently of previously seen radiographs. However, recent studies have shown that human perception is biased by previously seen stimuli; the bias in our visual system to misperceive current stimuli towards previous stimuli is called serial dependence. Here, we tested whether serial dependence impacts radiologists’ recognition of simulated lesions embedded in actual radiographs. We found that serial dependence affected radiologists’ recognition of simulated lesions; perception on an average trial was pulled 13% toward the 1-back stimulus. Simulated lesions were perceived as biased towards the those seen in the previous 1 or 2 radiographs. Similar results were found when testing lesion recognition in a group of untrained observers. Taken together, these results suggest that perceptual judgements of radiologists are affected by previous visual experience, and thus some of the diagnostic errors exhibited by radiologists may be caused by serial dependence from previously seen radiographs.

Humans perceive faces holistically rather than as a set of separate features. Previous work demonstrates that some individuals are better at this holistic type of processing than others. Here, we show that there are unique individual differences in holistic processing of specific Mooney faces. We operationalized the increased difficulty of recognizing a face when inverted compared to upright as a measure of the degree to which individual Mooney faces were processed holistically by individual observers. Our results show that Mooney faces vary considerably in the extent to which they tap into holistic processing; some Mooney faces require holistic processing more than others. Importantly, there is little between-subject agreement about which faces are processed holistically; specific faces that are processed holistically by one observer are not by other observers. Essentially, what counts as holistic for one person is unique to that particular observer. Interestingly, we found that the per-face, per-observer differences in face discrimination only occurred for harder Mooney faces that required relatively more holistic processing. These findings suggest that holistic processing of hard Mooney faces depends on a particular observer's experience whereas processing of easier, cartoon-like Mooney faces can proceed universally for everyone. Future work using Mooney faces in perception research should take these stimulus-specific individual differences into account to best isolate holistic processing.

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