title: Detection of pneumothorax: comparison of digital and conventional chest imaging.
abstract: To investigate radiologists' performance at interpreting digital radiographic images, we compared the detectability of pneumothoraces on computed radiographic chest images with 0.2-mm pixel size (2.5 Ip/mm) with their detectability on matched conventional screen-film images (5 Ip/mm). Eight radiologists reviewed 50 computed and 50 screen-film chest radiographs from 25 patients with pneumothoraces and 25 patients with other (or no) abnormalities. Four of the readers who best detected pneumothoraces on screen-film examinations performed worse when interpreting computed radiographic studies; the other four readers detected pneumothoraces similarly with both techniques. No relationship was found between the size of a pneumothorax and its likelihood of detection by either technique. These results raise concerns about implementing computed radiography for comprehensive chest imaging.
authors.affiliation: Department of Radiology, University of Arizona and University Medical Center, Tucson 85724.
authors.forename: L L
authors.initials: LL
authors.lastname: Fajardo
authors.forename: B J
authors.initials: BJ
authors.lastname: Hillman
authors.forename: G D
authors.initials: GD
authors.lastname: Pond
authors.forename: R F
authors.initials: RF
authors.lastname: Carmody
authors.forename: J E
authors.initials: JE
authors.lastname: Johnson
authors.forename: W R
authors.initials: WR
authors.lastname: Ferrell
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D008875:Middle Aged; D011030:Pneumothorax / Q000000981:diagnostic imaging*; D011446:Prospective Studies; D011856:Radiographic Image Enhancement; D012680:Sensitivity and Specificity