title: Effect of monitors on approximal caries detection in digital radiographs--standard versus precalibrated DICOM part 14 displays: an in vitro study.
abstract: OBJECTIVE
  The aim of this study was to evaluate if different ways of adjusting brightness and contrast of monitors with different technical standards influence the diagnosis of carious lesions in digital radiographs.
  
  
  METHODS
  One hundred extracted teeth (premolars and molars) were radiographed. Seven observers evaluated images for approximal carious lesions on 3 monitors: a standard color monitor with brightness and contrast manually adjusted for viewing radiographs, a Digital Imaging and Communication in Medicine (DICOM) part 14 precalibrated color monitor, and a DICOM part 14 precalibrated monochromatic monitor. All evaluations were made in ambient light <50 lux. Receiver operating characteristic curves were plotted to evaluate results. The standard criterion was a histologic examination of sliced teeth. Kappa statistic evaluated intraobserver agreement.
  
  
  RESULTS
  No significant difference in accuracy of approximal carious lesion diagnosis was found between the monitors. Intraobserver agreement varied between fair and good.
  
  
  CONCLUSIONS
  No differences that could affect clinicians' abilities to detect carious lesions in digital radiographs existed between the standard monitor and the color and monochrome DICOM part 14 precalibrated monitors.
authors.affiliation: Department of Oral and Maxillofacial Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden. kristina.hellen-halme@mah.se
authors.forename: Kristina
authors.initials: K
authors.lastname: Hellén-Halme
authors.forename: Mats
authors.initials: M
authors.lastname: Nilsson
authors.forename: Arne
authors.initials: A
authors.lastname: Petersson
mesh_terms: D016288:Computer Terminals; D003731:Dental Caries / Q000000981:diagnostic imaging*; D006801:Humans; D008029:Lighting; D012372:ROC Curve; D019252:Radiography, Dental, Digital; D011873:Radiology Information Systems