Finding-specific display presets for computed radiography soft-copy reading...Proceedings of the 16th Symposium for Computer Applications in Radiology. 'PACS: Performance Improvement in Radiology.' Houston, TX, May 6-9, 1999

Much work has been done to optimize the display of cross-sectional modality imaging examinations for soft-copy reading (i.e., window/level tissue presets, and format presentations such as tile and stack modes, four-on-one, nine-on-one, etc). Less attention has been paid to the display of digital for...

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Published in:Journal of Digital Imaging Vol. 12; pp. 3 - 9
Main Authors: Andriole KP, Gould RG, Webb WR
Format: research Journal Article
Published: Springer Nature May1999 Supplement
Online Access:View this record in EBSCOhost
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      dt: May1999 Supplement
      vid: 12
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      pub: Springer Nature
      place: New York, New York
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        atl: Finding-specific display presets for computed radiography soft-copy reading...Proceedings of the 16th Symposium for Computer Applications in Radiology. 'PACS: Performance Improvement in Radiology.' Houston, TX, May 6-9, 1999
      aug:
        au:
          Andriole KP
          Gould RG
          Webb WR
        affil: UCSF Department of Radiology, 530 Parnassus Box 0628, San Francisco, CA 94143-0628
      sug:
        subj:
          Data Display
          Tomography, X-Ray Computed
          Radiography, Computed
          Image Processing, Computer Assisted
          Radiographic Image Enhancement
          Human
      ab: Much work has been done to optimize the display of cross-sectional modality imaging examinations for soft-copy reading (i.e., window/level tissue presets, and format presentations such as tile and stack modes, four-on-one, nine-on-one, etc). Less attention has been paid to the display of digital forms of the conventional projection x-ray. The purpose of this study is to assess the utility of providing presets for computed radiography (CR) soft-copy display, based not on the window/level settings, but on processing applied to the image optimized for visualization of specific findings, pathologies, etc (i.e., pneumothorax, tumor, tube location). It is felt that digital display of CR images based on finding-specific processing presets has the potential to: speed reading of digital projection x-ray examinations on soft copy; improve diagnostic efficacy; standardize display across examination type, clinical scenario, important key findings, and significant negatives; facilitate image comparison; and improve confidence in and acceptance of soft-copy reading. Clinical chest images are acquired using an Agfa-Gevaert (Mortsel, Belgium) ADC 70 CR scanner and Fuji (Stamford, CT) 9000 and AC2 CR scanners. Those demonstrating pertinent findings are transferred over the clinical picture archiving and communications system (PACS) network to a research image processing station (Agfa PS5000), where the optimal image-processing settings per finding, pathologic category, etc, are developed in conjunction with a thoracic radiologist, by manipulating the multiscale image contrast amplification (Agfa MUSICA) algorithm parameters. Soft-copy display of images processed with finding-specific settings are compared with the standard default image presentation for 50 cases of each category. Comparison is scored using a 5-point scale with the positive scale denoting the standard presentation is preferred over the finding-specific processing, the negative scale denoting the finding-specific processing is preferred over the standard presentation, and zero denoting no difference. Processing settings have been developed for several findings including pneumothorax and lung nodules, and clinical cases are currently being collected in preparation for formal clinical trials. Preliminary results indicate a preference for the optimized-processing presentation of images over the standard default, particularly by inexperienced radiology residents and referring clinicians. Copyright (c) 1999 by W.B. Saunders Company
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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