Abstract
                                                                        Pneumoconiosis,  a  lung  disease  caused  by  the  inhalation  of  dust,  is  mainly  diagnosed  using  chest  radiographs.  The  effects   of   using   contralateral   symmetric   (CS)   information   present   in   chest   radiographs   in   the   diagnosis   of   pneumoconiosis  are  studied  using  an  eye  tracking  experimental  study.  The  role  of  expertise  and  the  influence  of  CS  information  on  the  performance  of  readers  with  different  expertise  level  are  also  of  interest.  Experimental  subjects  ranging from novices & medical students to staff radiologists were presented with 17 double and 16 single lung images, and were asked to give profusion ratings for each lung zone. Eye movements and the time for their diagnosis were also recorded.  Kruskal-Wallis  test  (χ2(6)  =  13.38,  p  =  .038),  showed  that  the  observer  error  (average  sum  of  absolute  differences)  in  double  lung  images  differed  significantly  across  the  different  expertise  categories  when  considering  all  the  participants.  Wilcoxon-signed  rank  test  indicated  that  the  observer  error  was  significantly  higher  for  single-lung  images  (Z  =  3.13,  p  <  .001)  than  for  the  double-lung  images  for  all  the  participants.  Mann-Whitney  test  (U  =  28,  p  =  .038) showed that the differential error between single and double lung images is significantly higher in doctors [staff & residents]  than  in  non-doctors  [others].  Thus,  Expertise  &  CS  information  plays  a  significant  role  in  the  diagnosis  of  pneumoconiosis.  CS  information  helps  in  diagnosing  pneumoconiosis  by  reducing  the  general  tendency  of  giving  less  profusion ratings. Training and experience appear to play important roles in learning to use the CS information present in the chest radiographs.