Ehsan Samei1, Ananth Poolla, Michael J Ulissey, John M Lewin. 1. Duke Advanced Imaging Laboratories, Departments of Radiology Physics and Biomedical Engineering, and Medical Physics Graduate Program, Duke University Medical Center, Durham, NC 27705, USA. samei@duke.edu
Abstract
RATIONALE AND OBJECTIVES: To evaluate the comparative performance of high-fidelity liquid crystal display (LCD) and cathode ray tube (CRT) devices for mammography applications, and to assess the impact of LCD viewing angle on detection accuracy. MATERIALS AND METHODS: Ninety 1 k x 1 k images were selected from a database of digital mammograms: 30 without any abnormality present, 30 with subtle masses, and 30 with subtle microcalcifications. The images were used with waived informed consent, Health Insurance Portability and Accountability Act compliance, and Institutional Review Board approval. With postprocessing presentation identical to those of the commercial mammography system used, 1 k x 1 k sections of images were viewed on a monochrome CRT and a color LCD in native grayscale, and with a grayscale representative of images viewed from a 30 degrees or 50 degrees off-normal viewing angle. Randomized images were independently scored by four experienced breast radiologists for the presence of lesions using a 0-100 grading scale. To compare diagnostic performance of the display modes, observer scores were analyzed using receiver operating characteristic (ROC) and analysis of variance. RESULTS: For masses and microcalcifications, the detection rate in terms of the area under the ROC curve (A(z)) showed a 2% increase and a 4% decrease from CRT to LCD, respectively. However, differences were not statistically significant (P > .05). The viewing angle data showed better microcalcification detection but lower mass detection at 30 degrees viewing orientation. The overall results varied notably from observer to observer yielding no statistically discernible trends across all observers, suggesting that within the 0-50 degrees viewing angle range and in a controlled observer experiment, the variation in the contrast response of the LCD has little or no impact on the detection of mammographic lesions. CONCLUSIONS: Although CRTs and LCDs differ in terms of angular response, resolution, noise, and color, these characteristics seem to have little influence on the detection of mammographic lesions. The results suggest comparable performance in clinical applications of the two devices.
RATIONALE AND OBJECTIVES: To evaluate the comparative performance of high-fidelity liquid crystal display (LCD) and cathode ray tube (CRT) devices for mammography applications, and to assess the impact of LCD viewing angle on detection accuracy. MATERIALS AND METHODS: Ninety 1 k x 1 k images were selected from a database of digital mammograms: 30 without any abnormality present, 30 with subtle masses, and 30 with subtle microcalcifications. The images were used with waived informed consent, Health Insurance Portability and Accountability Act compliance, and Institutional Review Board approval. With postprocessing presentation identical to those of the commercial mammography system used, 1 k x 1 k sections of images were viewed on a monochrome CRT and a color LCD in native grayscale, and with a grayscale representative of images viewed from a 30 degrees or 50 degrees off-normal viewing angle. Randomized images were independently scored by four experienced breast radiologists for the presence of lesions using a 0-100 grading scale. To compare diagnostic performance of the display modes, observer scores were analyzed using receiver operating characteristic (ROC) and analysis of variance. RESULTS: For masses and microcalcifications, the detection rate in terms of the area under the ROC curve (A(z)) showed a 2% increase and a 4% decrease from CRT to LCD, respectively. However, differences were not statistically significant (P > .05). The viewing angle data showed better microcalcification detection but lower mass detection at 30 degrees viewing orientation. The overall results varied notably from observer to observer yielding no statistically discernible trends across all observers, suggesting that within the 0-50 degrees viewing angle range and in a controlled observer experiment, the variation in the contrast response of the LCD has little or no impact on the detection of mammographic lesions. CONCLUSIONS: Although CRTs and LCDs differ in terms of angular response, resolution, noise, and color, these characteristics seem to have little influence on the detection of mammographic lesions. The results suggest comparable performance in clinical applications of the two devices.
Authors: Ehsan Samei; Aldo Badano; Dev Chakraborty; Ken Compton; Craig Cornelius; Kevin Corrigan; Michael J Flynn; Bradley Hemminger; Nick Hangiandreou; Jeffrey Johnson; Donna M Moxley-Stevens; William Pavlicek; Hans Roehrig; Lois Rutz; Jeffrey Shepard; Robert A Uzenoff; Jihong Wang; Charles E Willis Journal: Med Phys Date: 2005-04 Impact factor: 4.071
Authors: Robert S Saunders; Ehsan Samei; Jay Baker; David Delong; Mary Scott Soo; Ruth Walsh; Etta Pisano; Cherie M Kuzmiak; Dag Pavic Journal: Acad Radiol Date: 2006-11 Impact factor: 3.173
Authors: Etta D Pisano; Constantine Gatsonis; Edward Hendrick; Martin Yaffe; Janet K Baum; Suddhasatta Acharyya; Emily F Conant; Laurie L Fajardo; Lawrence Bassett; Carl D'Orsi; Roberta Jong; Murray Rebner Journal: N Engl J Med Date: 2005-09-16 Impact factor: 91.245
Authors: Francina Em Dams; K Y Esther Leung; Pieter Hm van der Valk; Marc Cjm Kock; Jeroen Bosman; Sjoerd P Niehof Journal: Med Devices (Auckl) Date: 2014-10-31