Intuition versus rational thinking: psychological challenges in radiology and a potential solution.

Humans think overwhelmingly intuitively rather than rationally. We perceive what is apparent to us and attribute differences in perception to the fault of others. Many cognitive biases are unconscious, and we assume they affect others more than ourselves. Radiologists should understand these limitations and seek methods to address them. A potential method is the checklist, which has been used to improve consistency and quality both outside and within medicine. Structured reporting can serve as a checklist and, although promising, has yet to widely demonstrate benefits.