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[Comparison of LCD and CRT monitors for detection of pulmonary nodules and interstitial lung diseases on digital chest radiographs by using receiver operating characteristic analysis].

Abstract
Soft copy reading of digital images has been practiced commonly in the PACS environment. In this study, we compared liquid-crystal display (LCD) and cathode-ray tube (CRT) monitors for detection of pulmonary nodules and interstitial lung diseases on digital chest radiographs by using receiver operating characteristic (ROC) analysis. Digital chest images with a 1000x1000 matrix size and a 8 bit grayscale were displayed on LCD/CRT monitor with 2M pixels in each observer test. Eight and ten radiologists participated in the observer tests for detection of nodules and interstitial diseases, respectively. In each observer test, radiologists marked their confidence levels for diagnosis of pulmonary nodules or interstitial diseases. The detection performance of radiologists was evaluated by ROC analyses. The average Az values (area under the ROC curve) in detecting pulmonary nodules with LCD and CRT monitors were 0.792 and 0.814, respectively. In addition, the average Az values in detecting interstitial diseases with LCD and CRT monitors were 0.951 and 0.953, respectively. There was no statistically significant difference between LCD and CRT for both detection of pulmonary nodules (P=0.522) and interstitial lung diseases (P=0.869). Therefore, we believe that the LCD monitor instead of the CRT monitor can be used for the diagnosis of pulmonary nodules and interstitial lung diseases in digital chest images.
AuthorsRyuji Ikeda, Shigehiko Katsuragawa, Toshiaki Shimonobou, Yasuhiro Hiai, Masahiro Hashida, Kazuo Awai, Yasuyuki Yamashita, Kunio Doi
JournalNihon Hoshasen Gijutsu Gakkai zasshi (Nihon Hoshasen Gijutsu Gakkai Zasshi) Vol. 62 Issue 5 Pg. 734-41 (May 20 2006) ISSN: 0369-4305 [Print] Japan
PMID16733502 (Publication Type: Comparative Study, Journal Article)
Topics
  • Data Display
  • Humans
  • Liquid Crystals
  • Lung Diseases, Interstitial (diagnostic imaging)
  • ROC Curve
  • Radiographic Image Enhancement (instrumentation)
  • Radiology Information Systems
  • Solitary Pulmonary Nodule (diagnostic imaging)
  • X-Ray Intensifying Screens

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