Krupinski E A, Weinstein R S, Rozek L S
Department of Radiology, University of Arizona, Tucson, USA.
Telemed J. 1996 Summer;2(2):101-8. doi: 10.1089/tmj.1.1996.2.101.
To compare diagnostic accuracy using conventional versus monitor-displayed medical images in order to determine if years of experience as a board-certified clinician influences diagnostic performance in either modality.
In separate observer performance studies, six radiologists and six pathologists differing in years of experience viewed clinical images, once in the conventional modality (X-ray film or light microscopy) and once using a monitor display. Readers also were surveyed regarding their experience with digital/video display systems.
In both studies, performance was similar for conventional and monitor modalities. For the conventional displays, there was a positive correlation between years of clinical experience and performance. For the monitor displays, however, there was a strong negative correlation between years of clinical experience and performance. Performance using the monitor displays correlated highly with experience using digital/video systems in general.
More exposure to and use of monitor displays, such as recreational video games and computers, may influence positively the clinician-monitor display system interaction and improve diagnostic performance.
比较使用传统医学图像与显示器显示的医学图像的诊断准确性，以确定作为获得委员会认证的临床医生的年限是否会影响两种模式下的诊断性能。
在单独的观察者性能研究中，六名经验不同的放射科医生和六名病理科医生查看临床图像，一次采用传统模式（X光片或光学显微镜），一次使用显示器显示。还对读者进行了关于他们使用数字/视频显示系统的经验的调查。
在两项研究中，传统模式和显示器模式下的性能相似。对于传统显示器，临床经验年限与性能之间存在正相关。然而，对于显示器显示，临床经验年限与性能之间存在强烈的负相关。总体而言，使用显示器显示的性能与使用数字/视频系统的经验高度相关。
更多地接触和使用显示器显示，如休闲视频游戏和计算机，可能会对临床医生与显示器显示系统的交互产生积极影响，并提高诊断性能。
