Effects of the DICOM Grayscale Standard Display Function on the Accuracy of Medical-grade Grayscale and Consumer-grade Color Displays for Telemammography Screening

摘要

The aim of this study was to compare the diagnostic accuracy of consumer-grade and medical-grade monitors with very different costs for breast cancer detection when used with and without the Digital Imaging and Communication in Medicine (DICOM) standard calibration. This study was retrospective, with a factorial design and repeated measures, and used 70 digital mammograms (40 benign or normal cases and 30 malignant cases), four radiologists, and three displays with and without display calibration. Film mammograms were included. The readings were classified according to the Breast Imaging Reporting and Data System. One medical-grade grayscale display and two consumer-grade displays were compared. Receiver operating characteristic curves were plotted for nodules, micro calcifications, and the degree of malignancy. The diagnostic accuracy of each device was calculated as the area under the curve, and the accuracy was compared using an analysis of variance.