Abstract: The digital applications in radiology are a controversial advanced which potentially will influence all areas of patient imaging. It is utilized and accepted in angiography, computed tomography, magnetic resonance, nuclear imaging and sonography. More recently Computed Radiography has gained credibility in mobile scenarios as well as specific applications from cervical spine radiography to digital fluoroscopy. Usually this acceptance is related to benefits of lesser radiation exposure or an improved presentation with an incorrect radiographic technique. One advantage of interpreting from digital information is the potential manipulation of the image presentation to the observer through windowing, leveling and edge enhancement pre and/or during image review. Additionally this digital data can be transmitted over distance and represented as hard and/or soft copy for primary or consultative review. The number and quality of the images to be viewed, the environment of the review station as well as the observer experience with conventional radiographic as well as digital image evaluation are important aspects of delivering the radiologist's product i.e. the final interpretation. This paper assesses that product, specifically addressing the question `Is the radiologist's report the same whether derived from the original analog image or from its digitized image.' The object of this study is to determine whether a digital system (3M PACS) designed for consultative viewing in a satellite department can also be used directly for primary diagnosis of conventional chest exams.!15
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