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At least 145 records · Page 8Linked to original sources

Determining the MTF of medical imaging displays using edge techniques.

The modulation transfer function (MTF) of a medical imaging display is typically determined by measuring its response to square waves (bar patterns), white noise, and/or line stimuli. However, square waves and white noise methods involve capture and analysis of multiple images and are thus quite tedious. Measurement of the line-spread function (LSF) offers a good alternative. However, as previously reported, low-frequency response obtained from the LSF method is not as good as that obtained from measurement of edge-spread function (ESF). In this paper, we present two methods for evaluating the MTF of a medical imaging display from its ESF. High degree of accuracy in the higher frequency region (near the Nyquist frequency of the system) was achieved by reducing the noise. In the first method, which is a variant of the Gans' original method, the periodic raster noise is reduced by subtracting a shifted ESF from the ESF. The second method employs a low-pass differentiator (LPD). A novel near maximally flat LPD with the desired cut-off frequency was designed for this purpose. Noise reduction in both the methods was also achieved by averaging over large portions of the image data to form the ESF. Experimental results show that the MTF obtained by these methods is comparable to that obtained from the square wave response. Furthermore, the MTFs of rising and falling edges of a cathode ray tube (CRT) were measured. The results show that the rising and falling vertical MTFs are practically the same, whereas the rising horizontal MTF is poorer than the falling horizontal MTF in the midfrequency region.

Computer Terminals↗

Differential use of image enhancement techniques by experienced and inexperienced observers.

Full-field digital mammography (FFDM) systems are currently being used to acquire mammograms in digital format, but digital displays are less than ideal compared to traditional film-screen display. Certain physical properties of softcopy displays [e.g., modulation transfer function (MTF)] are less than optimal compared to film. We developed methods to compensate for some of these softcopy display deficiencies, based on careful physical characterization of the displays and image-processing software. A series of 100 FFDM and 60 digitized images was shown to six observers-half experienced (mammographers) and half inexperienced (radiology residents). The observers had to decide if a mass or microcalcification cluster was present and classify it as benign or malignant. A window could be activated that brought the image detail within the window to full resolution and corrected for the nonisotropic MTF of the Cathode Ray Tube (CRT) display. Experienced readers had better diagnostic performance and took less time to view the images. Experienced readers used window/level more than inexperienced readers, but inexperienced readers used magnification and the MTF compensation tool more often. Use of the magnification and the MTF tool increased reader decision confidence. Experienced and inexperienced readers use image-processing tools differently, with certain tools increasing reader confidence. Understanding how observers use image-processing tools may help in the development of better and more automated user interfaces.

Analysis of Variance↗

Optimization of reading conditions for flat panel displays.

Task Group 18 (TG 18) of the American Association of Physicists in Medicine has developed guidelines for Assessment of Display Performance for Medical Imaging Systems. In this document, a method for determination of the maximum room lighting for displays is suggested. It is based on luminance measurements of a black target displayed on each display device at different room illuminance levels. Linear extrapolation of the above luminance measurements vs. room illuminance allows one to determine diffuse and specular reflection coefficients. TG 18 guidelines have established recommended maximum room lighting. It is based on the characterization of the display by its minimum and maximum luminance and the description of room by diffuse and specular coefficients. We carried out these luminance measurements for three selected displays to determine their optimum viewing conditions: one cathode ray tube and two flat panels. We found some problems with the application of the TG 18 guidelines to optimize viewing conditions for IBM T221 flat panels. Introduction of the requirement for minimum room illuminance allows a more accurate determination of the optimal viewing conditions (maximum and minimum room illuminance) for IBM flat panels. It also addresses the possible loss of contrast in medical images on flat panel displays because of the effect of nonlinearity in the dependence of luminance on room illuminance at low room lighting.

Computer Terminals↗

Technologies and solutions for data display in the operating room.

Recent advances in technology have led to the introduction of a variety of innovative devices, each with their own platform for data display, into the operating room (OR). While these innovative applications are expanding the traditional boundaries of the surgical space and enhancing treatment capabilities, the introduction of additional screens and displays is placing an ever-increasing load on the OR team. This review describes the main data display platforms currently available in ORs: computer monitors with CRT (cathode ray tube) or LCD (liquid crystal display) screens, suspended imaging displays, wearable computers (WC), auditory displays and tactile (haptic) displays. The different display platforms are evaluated according to their compatibility with the characteristics of the working environment (OR), the monitoring task, and the users (the surgical team). No single display configuration provides an ultimate solution for presenting patient data in the OR. A multi-sensory data display including visual, acoustic and haptic manipulation is suggested as a promising configuration for data display in the OR.

Biotechnology↗

Grayscale calibration and quality assurance of diagnostic monitors in a PACS system.

PURPOSE: The aim of this study was to calibrate monitors used in soft-copy review of diagnostic images in a pictures archiving and communication system (PACS) and to assess critical quality assurance (QA) parameters through appropriate checks. MATERIALS AND METHODS: Barco [cathode ray tube (CRT) and liquid crystal display (LCD)] and EIZO (LCD) monitors were evaluated. Calibration and QA controls were carried out during acceptance tests on the systems and every 6 months according to the Task Group 18 (TG18) report by the American Association of Physicists in Medicine (AAPM). The parameters in question include: maximum luminance, contrast ratio, luminance response, spatial resolution and angular response. A subjective evaluation of image quality was also conducted by a number of radiologists. RESULTS: Barco medical monitors' results were well within tolerances, with significant parameters persisting over time. EIZO nonmedical monitors showed rapid performance deterioration below the minimum requirements. Calibration had to be repeated only in a few cases. Radiologists' evaluations showed that monitor quality is equal to or even better than that of conventional films. CONCLUSIONS: Medical monitors turned out to be fully adequate to the task. Periodic QA tests are, however, absolutely necessary to ensure constant quality levels.

Calibration↗

High speed rotating scanner for transesophageal cross-sectional echocardiography.

In conventional cross-sectional echocardiography, the configuration of the chest or the presence of excessive chest wall tissue or air-containing lung often limits the resolution and field of view. To increase the diagnostic capability of cross-sectional echocardiography, a transesophageal ultrasonic high speed rotating scanner that can obtain cardiac images without hindrance from ribs, sternum and lung was developed. The scanner uses a single small transducer with a flexible shaft to permit easy swallowing by adults and mechanically scans ultrasonic beams within the esophagus. The small transducer in the esophagus is rotated through a full 360 degrees at a rate of 15 to 50 cycles/s, and cardiac images obtained through the esophageal wall are displayed on a cathode ray tube in real time. The transesophageal scanning technique was evaluated in more than 50 adult patients. Aside from some slight gagging, no serious complications were encountered. In all patients, high quality images of most portions of the heart were obtained. There was little difference in the image quality among various patients.

Adolescent↗

Double-beam flying spot scanner for two-dimensional polyacrylamide gel electrophoresis.

The construction of a double-beam photometer in which the light source is a cathode ray oscilloscope is described. The light spot from the oscilloscope was focused and reduced in size at the gel plane to give a diameter of less than 0.15 mm and make it possible to scan over a 50 X 59-mm rectangle; using reduced spatial resolution (spot less than 0.2 mm) the area scanned becomes 70 X 90 mm. The light from the CRT was divided into two beams; one was directed through the transparent object to a photomultiplier and the other to a reference photomultiplier. The signals from these two detectors were converted to the logarithm of the ratio by a logging amplifier to give a direct measure of absorbance. Positioning of the spot, control of light intensity, and measurement of absorbance were carried out through an interface to a 16-bit computer. The relationship between measured and actual absorbance was linear over the range of absorbance 0 to 2, which could be raised to 1 to 3 by placing a neutral filter in the reference beam. The system generated an image containing 256 X 256 pixels in about 5 min, the scanning speed was determined by the persistence time of the P4 phosphor on the cathode ray tube, and faster scans can be made using A6 phosphor.

Calibration↗

Advanced concepts flight simulation facility.

The cockpit environment is changing rapidly. New technology allows airborne computerised information, flight automation and data transfer with the ground. By 1995, not only will the pilot's task have changed, but also the tools for doing that task. To provide knowledge and direction for these changes, the National Aeronautics and Space Administration (NASA) and the Lockheed-Georgia Company have completed three identical Advanced Concepts Flight Simulation Facilities. Many advanced features have been incorporated into the simulators - e g, cathode ray tube (CRT) displays of flight and systems information operated via touch-screen or voice, print-outs of clearances, cockpit traffic displays, current databases containing navigational charts, weather and flight plan information, and fuel-efficient autopilot control from take-off to touchdown. More importantly, this cockpit is a versatile test bed for studying displays, controls, procedures and crew management in a full-mission context. The facility also has an air traffic control simulation, with radio and data communications, and an outside visual scene with variable weather conditions. These provide a veridical flight environment to evaluate accurately advanced concepts in flight stations.

Journal Article↗

A system for the three-dimensional reconstruction of biological structures.

A system of programs for building three-dimensional models of biological structures was developed. Outlines of features such as cells, tissue edges, and neuron pathways are traced into a computer from tissue sections mounted on a light microscope or projected onto a data tablet. The three-dimensional models are built from a series of the two-dimensional outlines. The cathode ray tube displays of the three-dimensional models can be smoothly rotated for study, and a static display with hidden lines removed can be produced. Volume and surface area calculations for the models can be done. It is possible to obtain further anatomical data by counting and mapping silver grains in autoradiographs of tissue sections. The density of grains reveals pathways and boundaries in the structure. Displays of silver grain maps and counts can be superimposed on displays of the model of the structure.

Animals↗

A computer-aided three-dimensional display system for ultrasonic diagnosis of a breast tumour.

This paper describes a three-dimensional (3-d) display method by which the shape of an abnormal tissue, say, a breast tumour is represented as a line picture on a cathode ray tube (crt). The 3-d image consists of a set of overlaid contour lines, each of which shows the boundary of the tissue and is obtained from the corresponding B-scan digitized image by using image processing techniques such as smoothing and Laplacian. The system together with the 3-d algorithm is explained and some of the experimental results and pertaining problems are discussed.

Beta Particles↗

The oscilloscopic view: retinal illuminance and contrast of point and line targets.

The specification of intensity of self-luminous point and line targets, such as those created on cathode-ray tubes, is discussed and methods are outlined for measuring it and deducing the resulting retinal illuminance. The calculations can be extended to the specification of contrast by combining them with the more traditional method of identifying the retinal illuminance provided by uniform backgrounds. Such values of contrast are not independent of observation distance.

Humans↗

A method for studying the control of three-dimensional isometric forces using dynamic stereogram.

A system has been developed for measuring the three-dimensional (3D) isometric forces produced by the arm in response to a visual stimulus. The output of 3 load cells is combined to determine the components of the 3D response force. The maximum force range of the load cells is 2000 g which can be read with a resolution of 4 g and with a measured accuracy of +/- 10 g. An overload stop protects the device to a load of 23 kg. The visual instruction to the subject concerning the direction and magnitude of the 3D force vector to be produced is presented using a vivid spherical stereogram. This stereogram is produced using the anaglyphic technique where the left and right images are separated by color filters. A dense aggregation of points defines the target cursor, which can be positioned anywhere inside or on the surface of the sphere. This cursor can represent a stationary or a moving target. A force feedback cursor can be provided to indicate to the subject his/her response. The color display on the cathode ray tube is produced by a display generator driven by a computer.

Amplifiers, Electronic↗

Digital chest radiography--comparing two types of CRT monitors in a ROC experiment with a chest phantom.

Two principally different 1000-line CRT (cathode ray tube) monitors connected to a digital image intensifier system for chest radiography were compared in terms of image quality and viewing comfort. Image quality was assessed by means of ROC analysis. Five observers tried to find simulated pathology positioned over the lungs and the mediastinum of an anthropomorphic phantom. The observers also graded the viewing comfort of the two CRTs in terms of flicker, light levels, and general comfort. No significant difference in the detection of simulated pathology was demonstrated between the two monitors. A slight preference for the newer CRT (Imlogix) was seen as compared to the older standard CRT (Siemens) regarding flicker and general comfort.

Computers↗

Pseudometastases secondary to film static artifact.

Low density areas in the liver on computed tomography (CT) may be produced by cysts, abscesses, or tumors. A case is reported in which film static resulted in multiple focal low density areas in the liver in a patient with lymphoma. This potential pitfall in CT interpretation can be avoided by taking proper measures to avoid film artifacts and by reviewing all cases on the cathode ray tube (CRT) display as well as the hard copy film.

Adult↗

A three-dimensional measuring system for the human face using three-directional photography.

This study was intended to develop a three-dimensional measuring system of the human face for clinical use, to ensure a high precision and a simple input operation by means of a personal computer and to measure the degree of its accuracy. With this system, it is possible to measure automatically two-dimensional coordinates of hundreds of grid points on photographs of the human face with an image scanner as a reading device and to calculate their three-dimensional coordinates with a computer. An orthognathic surgical case illustrates this technique in which the patient's face is displayed before and after the surgery on a cathode-ray tube (CRT), with the three-dimensional coordinates obtained with this system. A cubic plaster cast with a certain degree of irregularity has been constructed to measure the precision of this system. Comparison was then made between the three-dimensional coordinates obtained with this system and the coordinates obtained with the contact three-dimensional measuring system. The mean of errors and the standard deviation were 0.04 +/- 0.24 mm for the X coordinate, 0.03 +/- 0.16 mm for the Y coordinate, and 0.08 +/- 0.23 mm for the Z coordinate. Thus the accuracy of this system is high enough for the measurement of the human face.

Cephalometry↗

Effect of transcranial magnetic stimulation on cerebral function in a monkey model.

The effect of transcranial magnetic stimulation on higher cerebral function was studied using 3 monkeys. They were trained in a delayed response task which required spatial short-term memory. The task was presented by a computer on a cathode-ray tube and results of the delayed response task, which consisted of the percentage of correct choices, reaction time and trial number, were analyzed. For stimulation, small and large round coils were used as well as a figure 8 configuration. Their maximal B-fields were 3.3 T, 1.9 T and 2.4 T, respectively. A total of more than 7000 stimuli were given to each monkey in various patterns. There was no deficit in the delayed response. Further complications such as epileptic seizures were not observed either. In conclusion, transcranial magnetic stimulation does not appear to have any effect on higher cerebral functions in monkeys.

Animals↗

On-axis and off-axis viewing of images on CRT displays and LCDs: observer performance and vision model predictions.

RATIONALE AND OBJECTIVES: Although cathode-ray tube (CRT) displays typically are used for softcopy display of radiographs in the digital reading environment, liquid crystal displays (LCDs) currently are being used as an alternative. LCDs have many desirable viewing properties compared with a CRT, but significant image degradation can occur with off-axis viewing. This study compares observer performance and predictions from a human visual system model for on-axis and off-axis viewing for CRT displays versus LCDs. MATERIALS AND METHODS: A set of mammograms with different lesion contrasts (n = 400) were shown to six radiologists on CRT and LCD monitors, once on-axis and once off-axis. Observer performance was measured by using receiver operating characteristic techniques. Performance was correlated with results of a human vision model designed to predict observer performance (just noticeable difference [JND]metrix model). Two approaches were used to generate model metrics; a paired discrimination and channelized model observer approach. RESULTS: The performance of human observers indicated that on-axis viewing with the LCD was better than with the CRT, but off-axis viewing was significantly better with the CRT than LCD (F = 8.8175; P < .0001). The paired discrimination model correctly predicted on-axis, but not off-axis, results. The channelized model observer correctly predicted both on- and off-axis results. CONCLUSION: Off-axis viewing of radiographic images on an LCD monitor degrades human observer performance significantly compared with a CRT display. Care should be taken in the clinic to avoid off-axis viewing during diagnostic interpretation.

Breast Neoplasms↗

Using a human visual system model to optimize soft-copy mammography display: influence of veiling glare.

RATIONALE AND OBJECTIVES: This project evaluated human observer performance and that of a human visual system model (JNDmetrix) to assess whether the veiling glare of a digital display influences observer performance during soft-copy interpretation of mammographic images for the detection of masses. MATERIALS AND METHODS: A set of 160 mammographic images, half containing a single mass, was processed to simulate four levels of veiling glare: none, comparable to a medical grade monochrome curved-screen cathode ray tube (CRT) display, double that of the CRT and quadruple that of the CRT. The images were shown to six observers in a randomized presentation order on a liquid crystal display (LCD) that had essentially no veiling glare. The images were also analyzed using the JNDmetrix human visual system model. RESULTS: Observer performance as measured using receiver operating characteristic techniques declined with increasing veiling glare (F = 6.884, P = .0035), with quadruple veiling glare yielding significantly lower performance than the lower veiling glare levels. The JNDmetrix model did not show a large reduction in performance as a function of veiling glare, and correlation with the human observer data was modest (0.588). CONCLUSIONS: Soft-copy display veiling glare can influence observer performance, but only at extreme levels. The impact of veiling glare on performance may be more pronounced for less experienced readers.

Glare↗