Observer Performance Using Virtual Pathology Slides: Impact of LCD Color Reproduction Accuracy.

The use of color LCDs in medical imaging is growing as more clinical specialties use digital images as a resource in diagnosis and treatment decisions. Telemedicine applications such as telepathology, teledermatology, and teleophthalmology rely heavily on color images. However, standard methods for...

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Bibliographic Details
Published in:Journal of Digital Imaging Vol. 25; no. 6; pp. 738 - 744
Main Authors: Krupinski, Elizabeth, Silverstein, Louis, Hashmi, Syed, Graham, Anna, Weinstein, Ronald, Roehrig, Hans
Format: pictorial research tables/charts Journal Article
Published: Springer Nature Dec2012
Online Access:View this record in EBSCOhost
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      dt: Dec2012
      vid: 25
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-012-9479-1
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        atl: Observer Performance Using Virtual Pathology Slides: Impact of LCD Color Reproduction Accuracy.
      aug:
        au:
          Krupinski, Elizabeth
          Silverstein, Louis
          Hashmi, Syed
          Graham, Anna
          Weinstein, Ronald
          Roehrig, Hans
        affil: Department of Medical Imaging, University of Arizona, 1609 N Warren Bldg 211 Rm 112 Tucson 85724 USA
      sug:
        subj:
          Microscopy, Virtual
          Color
          Computer Peripherals Standards
          Slides
          Calibration
          Vision Tests
          Clinical Assessment Tools
          Evaluation Research
          P-Value
          Paired T-Tests
          ROC Curve
          Funding Source
          Human
      ab: The use of color LCDs in medical imaging is growing as more clinical specialties use digital images as a resource in diagnosis and treatment decisions. Telemedicine applications such as telepathology, teledermatology, and teleophthalmology rely heavily on color images. However, standard methods for calibrating, characterizing, and profiling color displays do not exist, resulting in inconsistent presentation. To address this, we developed a calibration, characterization, and profiling protocol for color-critical medical imaging applications. Physical characterization of displays calibrated with and without the protocol revealed high color reproduction accuracy with the protocol. The present study assessed the impact of this protocol on observer performance. A set of 250 breast biopsy virtual slide regions of interest (half malignant, half benign) were shown to six pathologists, once using the calibration protocol and once using the same display in its 'native' off-the-shelf uncalibrated state. Diagnostic accuracy and time to render a decision were measured. In terms of ROC performance, Az (area under the curve) calibrated = 0.8570 and Az uncalibrated = 0.8488. No statistically significant difference ( p = 0.4112) was observed. In terms of interpretation speed, mean calibrated = 4.895 s; mean uncalibrated = 6.304 s which is statistically significant ( p = 0.0460). Early results suggest a slight advantage diagnostically for a properly calibrated and color-managed display and a significant potential advantage in terms of improved workflow. Future work should be conducted using different types of color images that may be more dependent on accurate color rendering and a wider range of LCDs with varying characteristics.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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