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Proceedings Paper

Filmless digital chest radiography within the radiology department
Author(s): Gregory G. Reiker; Hartwig R. Blume; Richard M. Slone; Pamela K. Woodard; David S. Gierada; Stuart S. Sagel; R. Gilbert Jost; G. James Blaine
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Paper Abstract

The technical purposes of this work were to develop improvements in the methodology for assessing the physical performance of CRT monitors and display controller systems and to explore image processing techniques to make soft- and hard-copy image quality visually similar. The clinical purpose was to determine whether, with proper image processing, soft-copy presentations of digital chest radiographs could become equivalent to hard-copy for visualizing normal and pathological features. The luminance characteristic curve, luminance uniformity, modulation transfer function, and noise power spectra of the CRT monitors as well as video waveforms of a display controller were measured. Posteroanterior and lateral chest radiographs were acquired by a dedicated thorax imaging system with a selenium detector and processed using a previously optimized algorithm for printing on film. A Laplacian pyramid filter was employed to compensate for the mid- to high-frequency contrast losses in the soft-copy presentation. Five chest radiologists directly compared the soft- and hard-copy presentations in eighteen patients with CT-proven pathologies. Based on 99 percent confidence intervals, the soft-copy images were preferred for seven of the fourteen anatomic categories and image contrast, and the hard-copy images were preferred for brightness and image granularity. There were no preferences for the depiction of pathologies, spatial resolution, and the remaining anatomic categories. After determining the physical properties of the CRT monitors, image processing operations can be defined to produce soft-copy renditions of soft-copy displays for primary diagnosis to make digital radiography more cost- effective and to encourage additional development of filmless image interpretation and management in a PACS.

Paper Details

Date Published: 22 May 1997
PDF: 14 pages
Proc. SPIE 3035, Medical Imaging 1997: PACS Design and Evaluation: Engineering and Clinical Issues, (22 May 1997); doi: 10.1117/12.274591
Show Author Affiliations
Gregory G. Reiker, Mallinckrodt Institute of Radiology/Washington Univ. School of Medicine (United States)
Hartwig R. Blume, Philips Medical Systems North America Co. (United States)
Richard M. Slone, Mallinckrodt Institute of Radiology/Washington Univ. School of Medicine (United States)
Pamela K. Woodard, Mallinckrodt Institute of Radiology/Washington Univ. School of Medicine (United States)
David S. Gierada, Mallinckrodt Institute of Radiology/Washington Univ. School of Medicine (United States)
Stuart S. Sagel, Mallinckrodt Institute of Radiology/Washington Univ. School of Medicine (United States)
R. Gilbert Jost, Mallinckrodt Institute of Radiology/Washington Univ. School of Medicine (United States)
G. James Blaine, Mallinckrodt Institute of Radiology/Washington Univ. School of Medicine (United States)


Published in SPIE Proceedings Vol. 3035:
Medical Imaging 1997: PACS Design and Evaluation: Engineering and Clinical Issues
Steven C. Horii; G. James Blaine, Editor(s)

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