title: Interpretation of subtle interstitial chest abnormalities: conventional radiography versus high-resolution storage-phosphor radiography--a preliminary study.
abstract: To evaluate the reliability of digital chest radiography in diagnosing subtle interstitial lung abnormalities, we performed several clinical studies including a comparison of conventional screen-film radiography and storage-phosphor radiography (2 K x 2 K pixels, 10 bit), and a comparison of conventional screen-film radiography and film-digitized radiography (2 K x 2 K pixels, 10 bit). From these previous studies, a spatial resolution of 0.2-mm pixel size was considered inadequate to diagnose subtle interstitial lung diseases. Under these circumstances, the newly developed Fuji Computed Radiography system (FCR 9000; Fuji Photo Film, Tokyo, Japan) has recently become available. This system provides 0.1-mm pixel size (4 K x 5 K pixels, 10-bit depth) and life-size hard copies (14 x 17 inches). To evaluate the reliability of new high-resolution storage-phosphor radiography (FCR 9000) in diagnosing simulated subtle interstitial abnormalities (including simulated lines, micronodules, and groundglass opacities), the differences among radiologists in interpreting conventional screen-film radiographs and life-size high-resolution storage-phosphor radiographs were studied. Observation was made by eight experienced chest radiologists and receiver-operating characteristic (ROC) analysis was performed. There was no significant difference in detecting in subtle simulated interstitial abnormalities between conventional film-screen radiography and high-resolution storage-phosphor radiography. For all three types of abnormalities, there was no significant difference between conventional and storage-phosphor radiography. In conclusion, the high-resolution storage-phosphor chest radiography (0.1-mm pixel size, 10-bit depth) may be substituted for conventional chest radiography in the detection of subtle interstitial abnormalities.
authors.affiliation: Department of Radiology, Osaka University Medical School, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Ikezoe
authors.forename: N
authors.initials: N
authors.lastname: Kohno
authors.forename: S
authors.initials: S
authors.lastname: Kido
authors.forename: N
authors.initials: N
authors.lastname: Takeuchi
authors.forename: T
authors.initials: T
authors.lastname: Johkoh
authors.forename: J
authors.initials: J
authors.lastname: Arisawa
authors.forename: T
authors.initials: T
authors.lastname: Kozuka
mesh_terms: D003626:Data Display; D003937:Diagnosis, Differential; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000000981:diagnostic imaging*; D012372:ROC Curve; D011856:Radiographic Image Enhancement / Q000295:instrumentation / Q000379:methods; D011857:Radiographic Image Interpretation, Computer-Assisted; D013902:Radiography, Thoracic; D015203:Reproducibility of Results; D014963:X-Ray Intensifying Screens