Medical displays for primary diagnosis are calibrated to the DICOM GSDF1 but there is no accepted standard today that describes how display systems for medical modalities involving color should be calibrated. Recently the Color Standard Display Function3,4 (CSDF), a calibration using the CIEDE2000 color difference metric to make a display as perceptually linear as possible has been proposed. In this work we present the results of a first observer study set up to investigate the interpretation accuracy of a rainbow color scale when a medical display is calibrated to CSDF versus DICOM GSDF and a second observer study set up to investigate the detectability of color differences when a medical display is calibrated to CSDF, DICOM GSDF and sRGB. The results of the first study indicate that the error when interpreting a rainbow color scale is lower for CSDF than for DICOM GSDF with statistically significant difference (Mann-Whitney U test) for eight out of twelve observers. The results correspond to what is expected based on CIEDE2000 color differences between consecutive colors along the rainbow color scale for both calibrations. The results of the second study indicate a statistical significant improvement in detecting color differences when a display is calibrated to CSDF compared to DICOM GSDF and a (non-significant) trend indicating improved detection for CSDF compared to sRGB. To our knowledge this is the first work that shows the added value of a perceptual color calibration method (CSDF) in interpreting medical color images using the rainbow color scale. Improved interpretation of the rainbow color scale may be beneficial in the area of quantitative medical imaging (e.g. PET SUV, quantitative MRI and CT and doppler US), where a medical specialist needs to interpret quantitative medical data based on a color scale and/or detect subtle color differences and where improved interpretation accuracy and improved detection of color differences may contribute to a better diagnosis. Our results indicate that for diagnostic applications involving both grayscale and color images, CSDF should be chosen over DICOM GSDF and sRGB as it assures excellent detection for color images and at the same time maintains DICOM GSDF for grayscale images.
KEYWORDS: Inspection, Signal attenuation, Mammography, 3D modeling, Databases, Breast cancer, Tissues, Statistical analysis, Digital mammography, Medical imaging
Purpose: To evaluate lesion detectability and reading time as a function of luminance level of the monitor. Material and Methods: 3D mass models and microcalcification clusters were simulated into ROIs of for processing mammograms. Randomly selected ROIs were subdivided in three groups according to their background glandularity: high (>30%), medium (15-30%) and low (<15%). 6 non-spiculated masses (9 – 11mm), 6 spiculated masses (5 – 7mm) and 6 microcalcification clusters (2 – 4mm) were scaled in 3D to create a range of sizes. The linear attenuation coefficient (AC) of the masses was adjusted from 100% glandular tissue to 90%, 80%, 70%, to create different contrasts. Six physicists read the full database on Barco’s Coronis Uniti monitor for four different luminance levels (300, 800, 1000 and 1200 Cd/m2), using a 4-AFC tool. Percentage correct (PC) and time were computed for all different conditions. A paired t-test was performed to evaluate the effect of luminance on PC and time. A multi-factorial analysis was performed using MANOVA.. Results: Paired t-test indicated a statistically significant difference for the average time per session between 300 and 1200; 800 and 1200; 1000 and 1200 Cd/m2, for all participants combined. There was no effect on PC. MANOVA denoted significantly lower reading times for high glandularity images at 1200 Cd/m2. Both types of masses were significantly faster detected at 1200 Cd/m2, for the contrast study. In the size study, microcalcification clusters and spiculated masses had a significantly higher detection rate at 1200 Cd/m2. Conclusion: These results demonstrate a significant decrease in reading time, while detectability remained constant.
Access to the requested content is limited to institutions that have purchased or subscribe to SPIE eBooks.
You are receiving this notice because your organization may not have SPIE eBooks access.*
*Shibboleth/Open Athens users─please
sign in
to access your institution's subscriptions.
To obtain this item, you may purchase the complete book in print or electronic format on
SPIE.org.
INSTITUTIONAL Select your institution to access the SPIE Digital Library.
PERSONAL Sign in with your SPIE account to access your personal subscriptions or to use specific features such as save to my library, sign up for alerts, save searches, etc.