title: Impact of various compression rates on interpretation of digital coronary angiograms.
abstract: According to the ACC/ACR/NEMA/ESC-guidelines, digital techniques should be replaced by cinefilm for coronary angiography. The ad hoc group of experts recently chose CD-R (CD recordable) as transport media and the JPEG standard for image compression. To avoid a possible loss of image quality, the guidelines allow a maximal data compression of only 2:1. This, however, leads to a considerable limitation: coronary angiograms cannot be viewed in real-time directly from CD. Since the possible influence of higher compression rates on image quality of coronary angiograms had not been investigated in a controlled study, we evaluated 8 various compression rates (ranging from 5:1 to 43:1) according to a prospective, randomized and blinded protocol. Four independent observers assessed 1440 angiograms using a semiquantitative score. We found that angiograms with a compression rate of 5:1 and 6:1 did not lead to a clinically relevant deterioration of image quality, whereas 11:1 was still acceptable, but 43:1 becomes unacceptable. Since no clinically relevant loss of information at a compression rate of 6:1 was experienced in our study, a modification of the ACC/ACJ/NEMA/ESC-guidelines allowing higher compression rates should be considered.
authors.affiliation: Cardiac Catheterization Laboratories, Dr. Muller Hospital, Munich, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Silber
authors.forename: R
authors.initials: R
authors.lastname: Dörr
authors.forename: G
authors.initials: G
authors.lastname: Zindler
authors.forename: H
authors.initials: H
authors.lastname: Mühling
authors.forename: T
authors.initials: T
authors.lastname: Diebel
mesh_terms: D015901:Angiography, Digital Subtraction / Q000379:methods*; D016251:CD-ROM; D006328:Cardiac Catheterization; D017023:Coronary Angiography / Q000379:methods*; D003327:Coronary Disease / Q000000981:diagnostic imaging*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D011446:Prospective Studies