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Proceedings Paper

Redesigning the PACS reading room: optimizing monitor and room lighting
Author(s): Bruce I. Reiner; Eliot L. Siegel; Bill Rostenberg
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Paper Abstract

Room design can have a major on radiologist productivity in a soft-copy reading environment. Several factors must be taken into account to optimize the radiologist's reading room, including lighting. The purpose of this study was to utilize the result of pervious research on the effect of ambient light on operator fatigue, to make specific design recommendations to enhance radiologist productivity in a filmless reading environment. One hundred musculoskeletal exams were interpreted by four radiologists, experienced with PACS, using a 2.0K X 1.6K four-monitor workstation. Radiologists were asked to provide subjective levels of fatigue during the reading sessions with varying levels of ambient light. Participating radiologists were surveyed as to specific factors contributing to fatigue in the current room design and asked to make recommendations to enhance productivity. The architectural literature was reviewed and specific modifications to reading room design were proposed to optimize lighting conditions in a filmless environment. Quantitative data demonstrated lower levels of ambient light optimized radiologist productivity in soft-copy interpretation by increasing interpretation accuracy and reducing levels of operator fatigue. A number of recommendations to further enhance room design were identified through radiologist surveys and review of the literature including use of separate task lighting, antiglare filters, neutral-colored surfaces, and partitions to separate individual workstations. Task lighting can be utilized in either a fixed or movable form, and be controlled by the radiologist through use of a dimmer. Design considerations of the PACS reading room are an important determinant of technology acceptance, overall work quality, and radiologist productivity. While considered by some to be a 'minor detail' in overall design, lighting plays a major role in productivity, and should be considered when designing the 'ideal PACS reading room'.

Paper Details

Date Published: 18 July 1999
PDF: 5 pages
Proc. SPIE 3662, Medical Imaging 1999: PACS Design and Evaluation: Engineering and Clinical Issues, (18 July 1999); doi: 10.1117/12.352756
Show Author Affiliations
Bruce I. Reiner, Univ. of Maryland School of Medicine and SMP/SHG Inc. (United States)
Eliot L. Siegel, Univ. of Maryland School of Medicine and SMP/SHG Inc. (United States)
Bill Rostenberg, SMP/SHG Inc. (United States)


Published in SPIE Proceedings Vol. 3662:
Medical Imaging 1999: PACS Design and Evaluation: Engineering and Clinical Issues
G. James Blaine; Steven C. Horii, Editor(s)

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