Araki Yoko, Sanada Shigeru, Kobayashi Takeshi, Hashimoto Noriyuki, Funabasama Shintaro
Department of Radiological Technology, Graduate School of Medical Science, Kanazawa University.
Nihon Hoshasen Gijutsu Gakkai Zasshi. 2005 Aug 20;61(8):1151-7. doi: 10.6009/jjrt.kj00003943077.
With the recent great advances in technology, the use of flat panel displays (FPD) is tending to increase. However, there is concern that the physical properties are not understood well enough by physicians to take advantage of the improved physical properties to assist them with diagnosis. Because displays of differing physical properties are being used in clinics, we have not seen enough research about the relationship between diagnostic ability and the physical properties of displays. The purpose of this study was to evaluate radiologists' performance in the diagnosis of nodules in chest radiographs with three kinds of flat panel displays: 3M- and 5M-pixel monochrome flat panel displays, and a 3M-pixel color flat panel display. Nine radiologists participated in this observer study. Sixty chest radiographs were used. Thirty-five images depicted malignant nodules, and 25 images were normal. We set for an 8-bit gray scale in advance. The radiologists' performance was evaluated with receiver operating characteristic (ROC) analysis by using a computer program (ROCKIT; Charles E. Metz, University of Chicago) . Observer performance for the diagnosis of nodules in chest radiographs was not significantly different using 3M- and 5M-pixel monochrome, and 3M-pixel color flat panel displays. Further investigation of frequent spatial patterns requiring higher resolutions such as the interstitial infiltrate pattern in chest images and the microcalcifications in mammographs will be needed.
随着近期技术的巨大进步,平板显示器(FPD)的使用有增加的趋势。然而,人们担心医生对其物理特性了解不足,无法利用这些改进的物理特性辅助诊断。由于临床上使用的显示器物理特性各异,我们尚未看到足够多关于诊断能力与显示器物理特性之间关系的研究。本研究的目的是评估放射科医生使用三种平板显示器诊断胸部X光片中结节的表现:300万像素和500万像素的单色平板显示器,以及300万像素的彩色平板显示器。九名放射科医生参与了这项观察性研究。使用了60张胸部X光片。其中35张图像显示恶性结节,25张图像为正常图像。我们预先设置为8位灰度。通过使用计算机程序(ROCKIT;芝加哥大学的查尔斯·E·梅茨)进行接受者操作特征(ROC)分析来评估放射科医生的表现。使用300万像素和500万像素的单色平板显示器以及300万像素的彩色平板显示器诊断胸部X光片中结节的观察者表现没有显著差异。对于胸部图像中的间质浸润模式和乳腺X光片中的微钙化等需要更高分辨率的常见空间模式,还需要进一步研究。