Kawasumi Yusuke, Yamada Takayuki, Ota Hideki, Tsuboi Masahiro, Takase Kei, Sato Akihiro, Higano Shuichi, Ishibashi Tadashi, Takahashi Shoki
Department of Diagnostic Radiology, Tohoku University Graduate School of Medicine, 1-1 Seiryo, Aoba, Sendai, Miyagi, 980-8574, Japan.
Eur Radiol. 2008 Oct;18(10):2148-54. doi: 10.1007/s00330-008-1008-8. Epub 2008 May 8.
This study compared the ability of an efficient household liquid crystal display (LCD) and a medical high-resolution LCD to detect small hepatic lesions on unenhanced computed tomography (CT) images. We obtained the images from 100 subjects who had undergone abdominal CT. They consisted of 41 patients with a single space-occupying lesion (SOL) in the liver and 59 control subjects with no SOL. Independently, five radiologists rated their confidence concerning the presence of hepatic SOLs on a continuous scale from 0 to 1. Receiver-operating characteristic (ROC) analysis was performed using the jackknife method using the program LABMRMC. We evaluated the differences in A(z) based on the 95% confidence intervals. The mean A(z) of the five observers was 0.9594 with the efficient household LCD vs. 0.9335 with the medical high-resolution LCD. The difference was -0.0422, and the 95% confidence interval was -0.1101 to 0.0257 (p=0.2203). There was no significant difference in the A(z) value between the two types of LCDs. The diagnostic performance with the household LCD was comparable to that with the high-resolution LCD, implying that the former type of LCD can be used to diagnose CT images.
本研究比较了高效家用液晶显示器(LCD)和医用高分辨率LCD在未增强计算机断层扫描(CT)图像上检测肝脏小病变的能力。我们从100名接受腹部CT检查的受试者中获取了图像。其中包括41例肝脏有单个占位性病变(SOL)的患者和59例无SOL的对照受试者。5名放射科医生独立地以0到1的连续量表对肝脏SOL的存在表示其信心程度。使用LABMRMC程序采用留一法进行接受者操作特征(ROC)分析。我们基于95%置信区间评估了A(z)的差异。使用高效家用LCD时,5名观察者的平均A(z)为0.9594,而使用医用高分辨率LCD时为0.9335。差异为-0.0422,95%置信区间为-0.1101至0.0257(p = 0.2203)。两种类型的LCD在A(z)值上没有显著差异。家用LCD的诊断性能与高分辨率LCD相当,这意味着前一种类型的LCD可用于诊断CT图像。