Abstract
Purpose
The purpose of this study was to assess the usefulness of color digital summation radiography (CDSR) for detection of nodules on chest radiographs by observers with different levels of experience.
Materials and methods
A total of 30 radiographs of chest phantoms with abnormalities and 30 normal ones were arranged at random. Set A was conventional radiographs only. Set B consisted of both conventional radiographs and CDSR images, which were colored with magenta. Five chest radiologists and five residents evaluated both image sets on a TFT monitor. The observers were asked to rate each image set using a continuous rating scale. The reading time for each set was also recorded.
Results
In set A, the performance of chest radiologists was significantly superior to that of the residents (P < 0.05). However, in set B, there was no significant difference in the performance of the chest radiologists and the residents. In both observer groups, the mean reading time per case in set B was significantly shorter than that in set A (P < 0.01).
Conclusion
By using CDSR, the detection capability of observers with little experience improves and is comparable to that of experienced observers. Moreover, the reading time becomes much shorter using CDSR.
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References
A Kano K Doi H MacMahon et al. (1994) ArticleTitleDigital image subtraction of temporally sequential chest images for detection of interval changes Med Phys 21 453–61 Occurrence Handle1:STN:280:ByuB28fktFQ%3D Occurrence Handle8208221
MC Difazio H MacMahon XW Xu et al. (1997) ArticleTitleDigital chest radiography: effect of temporal subtraction images on detection accuracy Radiology 202 447–52 Occurrence Handle1:STN:280:ByiC28jjvVc%3D Occurrence Handle9015072
S Katsuragawa H Tagashira Q Li et al. (1999) ArticleTitleComparison of the quality of temporal subtraction images obtained with manual and automated methods of digital chest radiography J Digit Imaging 12 166–72 Occurrence Handle1:STN:280:DC%2BD3c%2FlsFahsQ%3D%3D Occurrence Handle10587911
T Ishida K Ashizawa R Engelman et al. (1999) ArticleTitleApplication of temporal subtraction for detection of interval changes on chest radiographs: improvement of subtraction images using automated initial image matching J Digit Imaging 12 77–86 Occurrence Handle1:STN:280:DyaK1M3ntlOqtA%3D%3D Occurrence Handle10342250
T Ishida S Katsuragawa K Nakamura et al. (1999) ArticleTitleIterative image warping technique for temporal subtraction of sequential chest radiographs to detect interval change Med Phys 26 1320–9 Occurrence Handle10.1118/1.598627 Occurrence Handle1:STN:280:DyaK1MzmtFyrtQ%3D%3D Occurrence Handle10435534
Y Ogata H Naito H Azuma et al. (2002) ArticleTitleColor digital summation radiography: a sophisticated technique for image display in temporally sequential digital image Radiology 225(P) IssueIDSuppl 181–2
Y Ogata H Naito H Azuma et al. (2006) ArticleTitleNovel display technique for reference images for visibility of temporal change on radiographs: color digital summation radiography Radiat Med 24 24–8
AH Dowdy LJ Bonann (1953) ArticleTitleSimulate color Roentgengraphy Am J Roentogenol Radium Ther Nucl Med 70 581–4 Occurrence Handle1:STN:280:CyuD3Mzgslc%3D
HS Frey A Norman (1965) ArticleTitleRadiographic subtraction by color addition Radiology 84 123 Occurrence Handle1:STN:280:CCqD2MjjvVU%3D Occurrence Handle14252883
HR Prins JL Katz FW Billmever SuffixJr (1966) ArticleTitleInvestigations in colored radiography AJR Am J Roentgenol 98 966–78 Occurrence Handle1:STN:280:CCiD2c7jt1c%3D
RE Wise J Ganson (1966) ArticleTitleSubtraction technic: video and color methods Radiology 86 814–21 Occurrence Handle1:STN:280:CCmC3sfjs1Q%3D Occurrence Handle5327628
GS Schwaz (1966) ArticleTitleSubtraction radiography by means of additive color Radiology 87 445–9
HL Morrish (1969) ArticleTitleColor-additive subtraction Radiology 92 1211–15 Occurrence Handle1:STN:280:CCaB38rns10%3D Occurrence Handle4892836
HE Rockette D Gur CE Metz (1992) ArticleTitleThe use of continuous and discrete confidence judgment in receiver operating characteristic studies of diagnostic imaging techniques Invest Radiol 27 169–72 Occurrence Handle1:STN:280:By2B1M%2FnsFU%3D Occurrence Handle1601610
CE Metz (1989) ArticleTitleSome practical issues of experimental design and data analysis in radiological ROC studies Invest Radiol 24 234–45 Occurrence Handle1:STN:280:BiaA38nns1c%3D Occurrence Handle2753640
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Ogata, Y., Naito, H., Tomiyama, N. et al. Evaluation of the usefulness of color digital summation radiography in temporally sequential digital radiographs: a phantom study. Radiat Med 24, 182–186 (2006). https://doi.org/10.1007/s11604-005-1487-3
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DOI: https://doi.org/10.1007/s11604-005-1487-3