title: Evaluation of an automatic-mode image processing method in chest computed radiography.
abstract: OBJECTIVE
  The automatic image processing mode of the storage phosphor computed radiography system was evaluated.
  
  
  METHODS
  A dedicated chest unit designed for erect view was used to examine a chest phantom. Lucite plates 1, 2, and 3 cm thick that conformed to the shape of the lung were attached to the phantom, and images were obtained in automatic and manual image processing modes. The changes in the optical density of the lung, rib, and heart and the changes in contrast were measured. The degree of diffuse opacity due to the plates and the visibility of superimposed simulated nodular and honeycomb opacities were evaluated.
  
  
  RESULTS
  The decrease in optical density and contrast caused by increasing thickness of the Lucite plates was less pronounced in the automatic mode compared with the manual mode. When plates were placed only on the right lung, the optical density and the contrast on the contralateral side either increased or remained unchanged with the automatic mode. The degree of diffuse opacity was rated higher in the manual mode, and the visibility of superimposed simulated opacities was considered relatively constant in the automatic mode.
  
  
  CONCLUSIONS
  The automatic image reading mode used in the computed radiography chest system may mask the detection of abnormalities such as diffuse homogeneous lung opacity.
authors.affiliation: Department of Radiology, University Hospital of Occupational and Environmental Health, School of Medicine, Kitakyushu-shi, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Oda
authors.forename: H
authors.initials: H
authors.lastname: Nakata
authors.forename: H
authors.initials: H
authors.lastname: Watanabe
authors.forename: K
authors.initials: K
authors.lastname: Terada
mesh_terms: D005069:Evaluation Studies as Topic; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods*; D008168:Lung / Q000000981:diagnostic imaging; D017563:Lung Diseases, Interstitial / Q000000981:diagnostic imaging; D019047:Phantoms, Imaging; D011856:Radiographic Image Enhancement; D013902:Radiography, Thoracic; D012680:Sensitivity and Specificity