Objective: Scanning model observers have been efficiently applied as a research tool to predict human-observer performance in F-18 positron emission tomography (PET). We investigated whether a visual-search (VS) observer could provide more reliable predictions with comparable efficiency. Methods: Simulated two-dimensional images of a digital phantom featuring tumours in the liver, lungs and background soft tissue were prepared in coronal, sagittal and transverse display formats. A localization receiver operating characteristic (LROC) study quantified tumour detectability as a function of organ and format for two human observers, a channelized non-prewhitening (CNPW) scanning observer and two versions of a basic VS observer. The VS observers compared watershed (WS) and gradient-based search processes that identified focal uptake points for subsequent analysis with the CNPW observer. The model observers treated "backgroundknown-exactly" (BKE) and "background-assumedhomogeneous" assumptions, either searching the entire organ of interest (Task A) or a reduced area that helped limit false positives (Task B). Performance was indicated by area under the LROC curve. Concordance in the localizations between observers was also analysed. The prospect of better clinical outcomes is a major impetus for research in medical imaging. This motivation is formalized in the practice of task-based assessments, whereby image quality is defined by how well observers can perform a specified task with an appropriate set of test images.1 An observer could be a human or a mathematical algorithm, undertaking diagnostic tasks such as parameter estimation or tumour detection. With tumour detection, diagnostic accuracy as measured in observer studies provides a basic measure of imaging system performance.2 It has been suggested that consistent use of observer studies for evaluation and optimization in the early stages of technology development could improve both the focus of imaging research and the efficiency of later-stage studies. High levels of observer variance can make human-observer studies impractical for extensive assessments. A standard alternative is to employ a mathematical model observer that mimics humans for the bulk of the observing work, augmenting these data with occasional human-observer data for validation purposes. Many of these model observers in regular use trace their derivation to ideal observers from signal detection theory. 4 An ideal observer establishes the upper bound on diagnostic accuracy for a given task when performance of the task is limited by stochastic processes such as quantum and anatomical noise. Models of human observers generally build on an ideal observer by incorporating additional sources of noise or other inefficiencies such as limited visual-response characteristics.Among the widely used model examples are linear, Hotelling-type observers for two-hypothesis (binary) tasks. These observers are constructed by treating the image variations as a multivariate Gaussian process, with the relevant stoch...