title: Full-field digital mammography on LCD versus CRT monitors.
abstract: OBJECTIVE
  Our purpose was to determine if the display of full-field digital mammograms on a 5-megapixel liquid crystal display (LCD) monitor is at least equivalent to the display of the same on a 5-megapixel cathode ray tube (CRT) monitor.
  
  
  METHODS
  Five radiologists evaluated normal anatomy and features of 61 abnormalities in 48 full-field digital mammograms. A 9-point Likert scale was used to compare images on two identical soft-copy review workstations, one equipped with two 5-megapixel CRTs and the other with two 5-megapixel LCDs. Outcomes were evaluated using a random-effects analysis of variance model. Means and SEs were reported. Ninety-five percent confidence intervals and p values were calculated.
  
  
  RESULTS
  The two systems were equivalent for most features. The LCDs were rated better for the sharpness of mass margins (p = 0.011) and mass conspicuity (p = 0.050). For calcium features, the LCDs were rated better than the CRTs for lesion conspicuity (p = 0.010) and number of calcifications (p = 0.043). For architectural distortions, there was no statistically significant difference between the monitors in any of the features evaluated. For display characteristics, the LCDs were better for luminance (p = 0.021). The CRTs were significantly better for image noise (p = 0.001). In the overall ratings, there was no statistically significant difference between the two displays.
  
  
  CONCLUSIONS
  The 5-megapixel monochrome active-matrix LCD is equivalent to and in some respects better than the 5-megapixel CRT display for full-field digital mammograms over a range of normal and abnormal findings.
authors.affiliation: Department of Radiology, The Elizabeth Wende Breast Clinic, 170 Sawgrass Dr., Rochester, NY 14620, USA.
authors.forename: Margarita L
authors.initials: ML
authors.lastname: Zuley
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Willison
authors.forename: Ermelinda
authors.initials: E
authors.lastname: Bonaccio
authors.forename: David P
authors.initials: DP
authors.lastname: Miller
authors.forename: David L
authors.initials: DL
authors.lastname: Leong
authors.forename: Posy J
authors.initials: PJ
authors.lastname: Seifert
authors.forename: Patricia
authors.initials: P
authors.lastname: Somerville
authors.forename: Stamatia
authors.initials: S
authors.lastname: Destounis
mesh_terms: D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D016287:Computer Peripherals; D003626:Data Display; D005260:Female; D006801:Humans; D050866:Liquid Crystals; D008327:Mammography / Q000379:methods*; D015588:Observer Variation; D012815:Signal Processing, Computer-Assisted