title: Digital storage of echocardiograms offers superior image quality to analog storage, even with 20:1 digital compression: results of the Digital Echo Record Access Study.
abstract: A large interobserver and intraobserver variability study was performed comparing both digitally compressed and uncompressed echocardiographic images with the same images recorded onto super-VHS video-cassette tape (the current standard). In a blinded, randomized fashion, 179 observers scored the diagnostic and image quality of 20 pairs of echocardiographic loops representing various pathologic conditions. Overall, the digital images were preferred to the S-VHS images both for image quality and diagnostic content (p < 0.0001) regardless of the background or experience level of the observer. Furthermore, uncompressed digital images and those compressed by the Joint Photographic Experts Group (JPEG) algorithm at ratios of 20:1 were judged equivalent. These findings show that digital compression may be used routinely in echocardiography, resulting in improved image and diagnostic quality over present standards.
authors.affiliation: Department of Cardiology, Cleveland Clinic Foundation, OH 44195, USA.
authors.forename: T H
authors.initials: TH
authors.lastname: Karson
authors.forename: R C
authors.initials: RC
authors.lastname: Zepp
authors.forename: S
authors.initials: S
authors.lastname: Chandra
authors.forename: A
authors.initials: A
authors.lastname: Morehead
authors.forename: J D
authors.initials: JD
authors.lastname: Thomas
mesh_terms: D000328:Adult; D000465:Algorithms; D004452:Echocardiography / Q000592:standards*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D015588:Observer Variation; D012984:Software; D014743:Videotape Recording