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Comparison of readability between liquid crystal displays and cathode-ray tubes.

Flat-panel displays, especially liquid crystal displays (LCDs), are almost universally used today. Do LCDs assure better readability than cathode-ray tubes (CRTs)? Two experiments were carried out to determine which type of display is better using a newly developed device. Four types of displays were tested; negative and positive CRTs, and LCDs with and without backlighting. Variables were the type of display, age, and gender. At first, analyses of readability using eye movements were conducted. Middle-aged subjects showed slower reading speed than young subjects. Then, experiments of pupillo-accommodative functions were carried out. Non-backlit LCDs reduced focusing speed among young subjects and reading performance in middle-aged subjects. Since middle-aged workers have more difficulties than young workers, they should have their vision properly corrected for VDT viewing, more appropriate displays and a more comfortable illuminance environment than young workers.

Adolescent↗

Reaction time to accelerating lines and dots on a cathode-ray tube.

Two experiments recorded the simple RT of 13 and 10 airline pilots, respectively, to accelerating lines and dots on a cathode-ray tube. In Exp. 1, dotted lines of six lengths moved in-line or frontally, and downward or to the right. Exp. 2 compared seven different in-line-moving solid lines with dot pairs of corresponding separations, and with single dots. RT increased with the length of in-line-moving solid lines but not when dotted lines were used. RT decreased with frontal movement of dotted lines. RT to dot pairs was shorter than to solid lines or single dots. Results indicate the importance of three factors: amount of movement information, visual angle, and inhibition of the retinal area stimulated.

Humans↗

Influence of monitor luminance and room illumination on soft-copy reading evaluation with electronically generated contrast-detail phantom: comparison of cathode-ray tube monitor with liquid crystal display.

The influence of monitor brightness and room illumination on soft-copy diagnosis by both cathode-ray tube (CRT) monitor and liquid crystal display (LCD) was evaluated and compared using a contrast-detail phantom. Nine observers (7 radiologists and 2 radiological technicians) interpreted six types of electronically generated contrast-detail phantom images using a 21-inch CRT (2,048x2,560) and a 21-inch LCD (2,048x2,560) under 6 kinds of viewing conditions, i.e. monitor brightness of 330 cd/m2 or 450 cd/m2, and room illumination of 20, 100 or 420 lux at the center of the display. Observers were requested to determine the visible borderline of the objects. Between 330 cd/m2 and 450 cd/m2, no significant difference in the visible area was found under any of the three lighting conditions. However, in two low-contrast phantom images, the visible area on the LCD was significantly larger than that on the CRT, independent of both monitor brightness and room illumination. (p<0.05). The effect of room illumination was not significant, suggesting that the use of LCD at high room illumination is acceptable.

Computers↗

Luminance artifacts of cathode-ray tube displays for vision research.

Phosphor persistence, video bandwidth, DC restoration and high-voltage regulation affect the appearance of images presented on cathode-ray tubes (CRTs), potentially resulting in differences between nominal and actual stimuli. We illustrate these effects by measuring physical parameters of horizontal and vertical static and counter-phase flickering gratings, and we illustrate problems for vision research by measuring contrast sensitivity to these gratings. We also measured the extent to which calibration protocols actually result in the monitor being calibrated over its entire area regardless of image size. The results of our physical measurements indicate substantial differences between gratings that nominally differ only as to orientation. Consistent with these differences, our psychophysical measurements indicate different sensitivities when the bars of the gratings are parallel or orthogonal to raster lines, regardless of the retinal orientation of the gratings. The results of our calibration check show that only a small region around the target area of calibration can be regarded as effectively linearized, and only if the size of the test image used during the check is similar to the size of the calibration patch. Overall, our results indicate potentially severe problems with the use of CRTs in vision research, and we discuss some published results that are likely to have been affected by these problems.

Artifacts↗

Active matrix liquid crystal displays for clinical imaging: comparison with cathode ray tube displays.

Fifteen large-area, flat-panel displays used for clinical image review were evaluated for image quality and compared with 30 comparably sized cathode ray tube (CRT) monitors. Measurements were of image display patterns by Video Electronic Standards Association (VESA) and a commercial product. Field measurements were made of: maximum and minimum luminance, ambient lighting, characteristic curve (gamma), point shape and size, high-contrast resolution, uniformity, and distortion. Assessments were made of pixel defects, latent image patterns, ghosting artifacts, and viewing angle luminance. Also, a questionnaire was generated for users of the flat-panel and CRT units. Seventeen respondents indicated no preference for either flat panel or CRT. Results show these flat panels to have higher luminance (mean, 177.7 cd/m2); larger number of just noticeable differences (JNDs; n = 555), higher gamma, comparable uniformity, and warm-up time. CRTs had less angle viewing dependence and far fewer artifacts (ghosting and latent images). Our questionnaire showed active matrix liquid crystal displays (AMLCD) to be fully acceptable for clinical image viewing. Furthermore, the statistical results show that further testing for new AMLCDs of this type is unwarranted.

Computer Terminals↗

Diagnostic usefulness of chest computed radiography--film versus cathode-ray tube images.

Seventy-one plain chest images obtained by computed radiography (CR) with an imaging plate were interpreted on film and two kinds of cathode-ray tube (CRT) monitors installed separately at two facilities (1,024 x 1,536 pixels, 8 bits, and 1,024 x 1,280 pixels, 10 bits) by 20 radiologists and four chest internists. The clinical categories of these 71 cases included pulmonary nodules and interstitial abnormalities. Image reading sessions were held over a total of 4 days, ie, 2 days and then another 2 days, 3 weeks later. Twenty-four observers formed four groups with six members each. Two groups read either films or CRT images at one of the two facilities. In the second experiment, 26 of 71 images were compressed at 10:1, 19 of 71 were compressed at 20:1, and 26 were not compressed. Analyses of the areas under the receiver-operating characteristic curves showed no significant differences in detection of pulmonary abnormalities between film and CRT. In detecting interstitial pulmonary abnormalities, film was more sensitive than CRT monitor. There were no significant differences in observers' performances between the two different kinds of CRT workstation. Subjective evaluation of image quality showed that images irreversibly compressed to the ratios of 10:1 and 20:1 were inferior to original images. Although further considerations are needed with regard to spatial resolution requirements, image processing, and image compression, the utilization of CR CRT image as a substitute for CR film image will be possible.

Data Display↗

Detectability of catheters on bedside chest radiographs: comparison between liquid crystal display and high-resolution cathode-ray tube monitors.

PURPOSE: To compare observer performance with a flat-panel liquid crystal display (LCD) monitor and with a high-resolution gray-scale cathode-ray tube (CRT) monitor in the detection of simulated support catheters on bedside chest radiographs. MATERIALS AND METHODS: The ethics committee did not require approval or patient informed consent when this study began. Because of a change in regulations, before images were acquired the nature of the study and procedures were explained to patients or their relatives, and consent was then obtained. A total of 131 catheter fragments (12-14 per radiograph) were superimposed over 10 anteroposterior bedside chest radiographs obtained with storage phosphor technology. Images were displayed on an LCD monitor (1536 x 2048 matrix) and a CRT monitor (2048 x 2560 matrix). Five radiologists independently located the catheter fragments and rated their confidence in detection with bright and subdued ambient light. A two-way analysis of variance and the Friedman test were used for statistical analysis. RESULTS: There was no significant difference for either display type with respect to correctly detected catheter fragments (mean sensitivity, 56.6% and 56.0% for the CRT and the LCD monitors, respectively, with bright light and 61.2% for both monitors with subdued light). With both display types, detection rate with bright light decreased significantly (P < .05). False-positive rates and confidence ratings were not significantly affected by monitor type or ambient light. CONCLUSION: In a study with simulation of clinical conditions, performance of the LCD monitor and high-resolution CRT monitor for detection of support catheters on bedside chest radiographs was equivalent. With both displays, detection performance was equally reduced with bright ambient light.

Aged↗

Do liquid crystal displays assure better readability than cathode-ray tubes?

Flat-panel displays, especially liquid crystal displays (LCDs), are now firmly established as important devices for information displays. But do LCDs assure better readability than cathode-ray tubes (CRTs)? We carried out an experiment using four types of displays: negative and positive CRTs, and LCDs with and without backlighting. A syllable-checking task using the Japanese katakana alphabet was conducted among fifteen healthy workers. They were divided into three groups; Group 1 had five young males aged 25 to 29, Group 2 was made up of five young females aged 18 to 24, and Group 3 consisted of five middle-aged workers who were 40 to 50 years old. We used four ambient light levels: 200 lx, 500 lx, 1250 lx without reflected glare, and 500 lx with reflected glare, on the display screens from behind. The illuminance of the glare was approximately 200 cd/m2. Multiple regression analysis showed that non-backlit LCDs reduced reading performance in middle-aged subjects significantly. Since middle-aged workers have more difficulties than young workers, they need more appropriate displays and a more comfortable illuminance environment than younger workers.

Adolescent↗

Liquid-crystal display monitors and cathode-ray tube monitors: a comparison of observer performance in the detection of small solitary pulmonary nodules.

OBJECTIVE: To compare observer performance using liquid-crystal display (LCD) and cathode-ray tube (CRT) monitors in the interpretation of soft-copy chest radiographs for the detection of small solitary pulmonary nodules. MATERIALS AND METHODS: By reviewing our Medical Center's radiologic information system, the eight radiologists participating in this study (three board-certified and five resident) retrospectively collected 40 chest radiographs showing a solitary noncalcified pulmonary nodule approximately 1 cm in diameter, and 40 normal chest radiographs. All were obtained using a storage-phosphor system, and CT scans of the same patients served as the gold standard for the presence of a pulmonary nodule. Digital images were displayed on both high-resolution LCD and CRT monitors. The readers were requested to rank each image using a fivepoint scale (1 = definitely negative, 3 = equivocal or indeterminate, 5 = definitely positive), and the data were interpreted using receiver operating characteristic (ROC) analysis. RESULTS: The mean area under the ROC curve was 0.8901+/- 0.0259 for the LCD session, and 0.8716+/- 0.0266 for the CRT session (p > 0.05). The reading time for the LCD session was not significantly different from that for the CRT session (37.12 and 41.46 minutes, respectively; p = 0.889). CONCLUSION: For detecting small solitary pulmonary nodules, an LCD monitor and a CRT monitor are comparable.

Data Display↗

[Newly developed monitor for IVR: liquid crystal display (LCD) replaced with cathode ray tube (CRT)].

For physicians who monitor images during interventional radiology (VR), we have built and been using a system that employs a liquid crystal display (LCD) instead of the conventional cathode ray tube (CRT). The system incorporates a ceiling-suspension-type monitor (three-display monitor) with an LCD on each of the three displays for the head and abdominal regions and another ceiling-suspension-type monitor (5-display monitor) with an LCD on each display for the cardiac region. As these monitors are made to be thin and light in weight, they can be placed in a high position in the room, thereby saving space and allowing for more effective use of space in the X-ray room. The system has also improved the efficiency of operators in the IVR room. The three-display folding mechanism allows the displays to be viewed from multiple directions, thereby improving the environment so that the performance of IVR can be observed.

Data Display↗

The effect of cathode ray tube display format on observer performance in dental digitized radiography: comparison with plain films.

Studies of observer performance with non-manipulated digital images are almost lacking; nor has the effect of cathode ray tube (CRT) display formats been evaluated. The present study compared the diagnostic accuracy of observers with and without clinical experience in evaluating intra-oral dental films and the corresponding non-manipulated digitized images. Three different-sized (5", 9", 17") monitors were used to study the effect of CRT display format. Artificial radiolucent and radiopaque lesions in dry human mandibles were examined. ROC curve areas were averaged and cross-tabulated according to viewing method and observer experience. For the total group, the non-manipulated digital images resulted in smaller ROC curve areas than the plain films for all CRT formats, with a significantly inferior result for the 17" images (p = 0.036). The increase in diagnostic accuracy of the digital images with decreasing CRT size was not significant (p > 0.05). There was some difference in the mean ROC curve areas between teachers and students, but the effect of the viewing methods was not significant. In terms of observer performance, the experienced observers demonstrated a reduced, and the inexperienced an increased, variability with the digital images compared with conventional film.

Clinical Competence↗

Performance tests and quality control of cathode ray tube displays.

Spatial resolution, noise, characteristic curve, and absolute luminance are the essential parameters that describe physical image quality of a display. This paper presents simple procedures for assessing the performance of a cathode ray tube (CRT) in terms of these parameters as well as easy set up techniques. The procedures can be used in the environment where the CRT is used. The procedures are based on a digital representation of the Society of Motion Pictures and Television Engineers pattern plus a few simple other digital patterns. Additionally, measurement techniques are discussed for estimating brightness uniformity, veiling glare, and distortion. Apart from the absolute luminance, all performance features can be assessed with an uncalibrated photodetector and the eyes of a human observer. The measurement techniques especially enable the user to perform comparisons of different display systems.

Data Display↗

Diagnostic performance of liquid crystal and cathode-ray-tube monitors in brain computed tomography.

The aim of this study was to evaluate feasibility of reporting brain CT examinations on liquid crystal display (LCD) flat-screen monitors vs state-of-the-art cathode-ray-tube (CRT) monitors. Ninety-five brain CT examinations of 95 patients were displayed on Picture archiving and communications system (PACS) workstations equipped either with a dedicated medical imaging LCD colour monitor or on a high-resolution CRT which is used for routine reporting of CT, MRI and digital radiography images in our institution. Fifty cases were negative and 45 cases were positive for early brain infarction (EBI), the latter being defined by a combination of one or more signs: dense artery; hypodensity of brain parenchyma; and local brain swelling verified by control scans. Ten radiologists had to rate presence or absence of EBI on a five-point scale. Ratings were evaluated by CORROC2 ROC software and areas under the ROC curve (A(z)) were computed. Significance of differences between the two viewing conditions were evaluated with Wilcoxon test. Mean A(z) of the ten observers was 0.7901 with LCD vs 0.7695 with CRT which did not show statistical significance (p=0.2030). In the setting investigated, reporting of CT studies from high-performance LCD monitors seems feasible without significant detriment to diagnostic performance.

Acute Disease↗

Cathode ray tube quality control and acceptance testing program: initial results for clinical PACS displays.

The use of picture archiving and communication systems (PACS) and primary soft-copy interpretation in radiology is growing rapidly. The authors present a cathode ray tube (CRT) acceptance test and quality control (QC) program developed over a 5-year period on the basis of experience with multiple PACS and CRT vendors. The CRT QC procedures address monitor cleanliness and setup, qualitative image quality, and quantitative luminance and color measurements. Required materials include a photometer with luminance and color probes and 100%-video, flat-field window and test images from the Society of Motion Picture Test Engineers (SMPTE). Luminance was found to change over time for all gray-scale CRTs examined, which necessitated quarterly recalibration. The phosphor color of these monitors was also found to change, but changes were consistent and slow enough to warrant only annual measurements. Color measurements were found to be especially useful at initial setup and for CRT replacement. Use of this program allowed standardization of absolute luminance of individual CRTs, matching of phosphor color for multimonitor workstations, and systematic tracking of image artifacts. Implementation of a QC program is strongly recommended owing to the dynamic nature of CRT displays.

Color↗

Dermatological symptoms among visual display unit operators using plasma display and cathode ray tube screens.

A questionnaire survey was conducted to determine the prevalence of dermatological complaints in 672 full time visual display unit (VDU) operators in Singapore. Two hundred and sixty-nine operators worked with plasma display (PD) screens, while the other 403 used cathode ray tube (CRT) monitors. The overall one year period prevalence rate for dermatological complaints was 12%. Thirty-six (13%) PD operators and 46 (11%) CRT operators had skin complaints. The age and sex distribution of persons in the two groups were similar. Twenty-eight (10.4%) PD workers and 24 (6.0%) CRT workers had symptoms of itch, tingling, or the feeling of being stroked by a feather after working with the VDU for some time. Furthermore, 19 (7.1%) PD and 14 (3.5%) CRT workers stated that their skin problems improved during weekends or when they were off duty. The difference between these rates were not statistically significant. Operators with dermatological complaints in the past year were more likely to have a personal history of atopy, complain about their work environment, and have musculoskeletal symptoms of the shoulder and low back. The results indicate that the prevalence and nature of dermatological symptoms among operators using either type of VDU monitor are similar.

Adult↗

Temporal variation in the luminance level of stimuli displayed on a cathode-ray tube monitor: effects on performance on a visual vigilance task.

This paper assesses the extent to which the sensitivity decrement frequently observed in vigilance tasks is affected by temporal variations in the luminance level of the stimuli displayed on the screen of a cathode-ray tube (CRT) monitor. First, it was confirmed that the luminance of the stimuli displayed on the screen of the CRT monitor decreases substantially during the first hour after turning the monitor on, and then it remains quite stable. Second, an experiment was carried out in which participants performed a visual vigilance task at three different time periods within which the luminance of the stimuli displayed on the screen of a CRT monitor either decreased or remained stable. The results indicate that the vigilance decrement is modulated by temporal fluctuations of the luminance of the monitor screen, which is used to display the stimuli. However, the relationship between both variables is not simple: the largest sensitivity decrement was not associated with the largest luminance decrement, but to a medium luminance decrement.

Adult↗

Developing a graphic set for cathode ray tube display using a 7 x 9 dot pattern.

A symbol set for the 96 graphic characters of the USA Standard Code for Information Exchange is presented in a 7 x 9 dot matrix. The symbols are the result of studies to optimize the legibility and readability of cathode ray tube displays. The symbols are initially presented using a pattern of dots in a 7 wide by 12 high matrix. The lower three rows of the matrix accommodate the 12 characters which have descenders. These characters, however, are redrawn so that they, as well as the other ASCII graphics, fit within a 7 x 9 matrix.

Journal Article↗