Fiebich M, Wiesmann W, Peters P E
Institut für Klinische Radiologie, Westfälische Wilhelms-Universität, Münster.
Radiologe. 1994 Jun;34(6):317-22.
PAC systems are economically advantageous if the use of hardcopies for reporting, archiving and demonstrations is restricted. In place of a film a CRT display has to be used for visualisation. Problems in reporting regarding brightness, contrast, intensity and spatial resolution are described and compared to conventional X-ray films. Results from different studies using CRT displays for reporting are summarised and compared. Some of these studies show reduced diagnostic accuracy if a CRT display is used. This problem may be solved by further developments and by the implementation of software, e.g. computer-aided diagnosis. If the quality of reporting on a CRT display is increased and equivalent to the film, the introduction of a PACS will be qualitatively and economically acceptable.
如果限制使用硬拷贝进行报告、存档和展示,那么图像存档与通信系统(PACS)在经济上具有优势。必须使用阴极射线管(CRT)显示器来代替胶片进行图像可视化。文中描述了在报告方面有关亮度、对比度、强度和空间分辨率的问题,并与传统X射线胶片进行了比较。总结并比较了使用CRT显示器进行报告的不同研究结果。其中一些研究表明,如果使用CRT显示器,诊断准确性会降低。这个问题可以通过进一步的技术发展和软件的应用来解决,例如计算机辅助诊断。如果CRT显示器上报告的质量得以提高并与胶片相当,那么引入PACS在质量和经济上都是可以接受的。