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. 2024 May 28;26:85. doi: 10.1186/s13058-024-01846-1

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© The Author(s) 2024

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 1 — RiViewer software display of an example cancer case from the test set a Maximum intensity projections (MIP). The whole RiViewer screen is shown, including the control panel and timer. b Axial and sagittal slices as they would appear to a reader who has correctly identified a cancer and committed to their opinion for the case. The ground truth is displayed as a red, volume region of interest (ROI) and the reader’s point ROI is displayed as white and black superimposed crosses. Pop-up white text describes the ground truth/cancer histology. c Axial and sagittal slices with the reader’s point ROI hidden to enable the reader to review the cancer appearance prior to moving on to view the next scan. This figure demonstrates how the software enabled trainee readers to compare their own opinion with the ground truth of each scan during formative assessment in the current study