title: Evaluation of a digital workstation for interpreting neonatal examinations. A receiver operating characteristic study.
abstract: OBJECTIVE
  The purpose of this study is to compare the diagnostic accuracy of interpreting clinical neonatal radiographs using a commercially available digital workstation versus conventional radiographic images.
  
  
  METHODS
  The case sample consists of 100 chest or abdominal radiographs from the neonatal intensive care unit in which diagnosis was confirmed. Four radiologists served as observers. During two initial reading sessions, half of the studies were viewed on digital radiography monitors and the other half by plain film. Observers indicated whether each patient had normal or abnormal findings and their degree of confidence in this judgment. Six weeks later, observers viewed cases on the alternate presentation system. Two statistical analyses were performed: the data from each observer were treated as a separate experiment in the first analysis; the data from all observers were combined using a new method in the second analysis.
  
  
  RESULTS
  No differences between areas under receiver operating characteristic (ROC) curves for viewing on the picture archiving and communication system (PACS) console and plain film were found for any observer (0.86 versus 0.86, 0.89 versus 0.86, 0.88 versus 0.85, 0.83 versus 0.82).
  
  
  CONCLUSIONS
  The study suggests that for pediatric plain film images, video images offer diagnostic information comparable with that of conventional radiographs for neonatal examinations.
authors.affiliation: Department of Radiology, University of Iowa, Iowa City 52242.
authors.forename: E A
authors.initials: EA
authors.lastname: Franken
authors.forename: K S
authors.initials: KS
authors.lastname: Berbaum
authors.forename: S M
authors.initials: SM
authors.lastname: Marley
authors.forename: W L
authors.initials: WL
authors.lastname: Smith
authors.forename: Y
authors.initials: Y
authors.lastname: Sato
authors.forename: S C
authors.initials: SC
authors.lastname: Kao
authors.forename: S G
authors.initials: SG
authors.lastname: Milam
mesh_terms: D005069:Evaluation Studies as Topic; D006801:Humans; D007231:Infant, Newborn; D015588:Observer Variation; D012372:ROC Curve; D011856:Radiographic Image Enhancement / Q000295:instrumentation; D011857:Radiographic Image Interpretation, Computer-Assisted / Q000295:instrumentation; D011859:Radiography / Q000295:instrumentation* / Q000706:statistics & numerical data; D011873:Radiology Information Systems / Q000295:instrumentation / Q000706:statistics & numerical data; D014962:X-Ray Film