Interpretation time of serial chest CT examinations with stacked-metaphor workstation versus film alternator.
OBJECTIVE
Interpretation time of serial staging chest CT cases, which each contained current and previous examinations, with a simple prototype workstation called filmstack was experimentally compared with interpretation time with a film alternator.


METHODS
The filmstack displayed a "stack" of sections for each examination; user controls allowed rapid selection of preset attenuation windows and both synchronized and unsynchronized scrolling. Eight radiologists were timed as they used the filmstack and the film alternator to interpret four ergonomically complex serial CT cases.


RESULTS
All reports dictated on the basis of findings with filmstack and film were of acceptable clinical accuracy. The time to examine a case with filmstack was significantly faster than the time with film, including the time to load and unload the alternator (99% confidence [P = .01]). There was no statistically significant difference in interpretation time between filmstack and prehung film.


CONCLUSIONS
Use of a low-cost stacked CT workstation with a single 1,024 x 1,024 monitor is an effective means of interpreting cases that require comparison of multiple CT examinations.
D003199:Computer Systems; D003626:Data Display; D005500:Follow-Up Studies; D006801:Humans; D016014:Linear Models; D015999:Multivariate Analysis; D015588:Observer Variation; D013902:Radiography, Thoracic; D011871:Radiology; D011873:Radiology Information Systems / Q000706:statistics & numerical data; D013996:Time and Motion Studies; D014057:Tomography, X-Ray Computed; D014584:User-Computer Interface; D014962:X-Ray Film