Emergency CT brain: preliminary interpretation with a tablet device: image quality and diagnostic performance of the Apple iPad

Tablet devices have recently been used in radiological image interpretation because they have a display resolution comparable to desktop LCD monitors. We identified a need to examine tablet display performance prior to their use in preliminary interpretation of radiological images. We compared the s...

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Veröffentlicht in:Emergency radiology 2012-04, Vol.19 (2), p.127-133
Hauptverfasser: Mc Laughlin, Patrick, Neill, Siobhan O., Fanning, Noel, Mc Garrigle, Anne Marie, Connor, Owen J. O., Wyse, Gerry, Maher, Michael M.
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container_end_page 133
container_issue 2
container_start_page 127
container_title Emergency radiology
container_volume 19
creator Mc Laughlin, Patrick
Neill, Siobhan O.
Fanning, Noel
Mc Garrigle, Anne Marie
Connor, Owen J. O.
Wyse, Gerry
Maher, Michael M.
description Tablet devices have recently been used in radiological image interpretation because they have a display resolution comparable to desktop LCD monitors. We identified a need to examine tablet display performance prior to their use in preliminary interpretation of radiological images. We compared the spatial and contrast resolution of a commercially available tablet display with a diagnostic grade 2 megapixel monochrome LCD using a contrast detail phantom. We also recorded reporting discrepancies, using the ACR RADPEER system, between preliminary interpretation of 100 emergency CT brain examinations on the tablet display and formal review on a diagnostic LCD. The iPad display performed inferiorly to the diagnostic monochrome display without the ability to zoom. When the software zoom function was enabled on the tablet device, comparable contrast detail phantom scores of 163 vs 165 points were achieved. No reporting discrepancies were encountered during the interpretation of 43 normal examinations and five cases of acute intracranial hemorrhage. There were seven RADPEER2 (understandable) misses when using the iPad display and 12 with the diagnostic LCD. Use of software zoom in the tablet device improved its contrast detail phantom score. The tablet allowed satisfactory identification of acute CT brain findings, but additional research will be required to examine the cause of “understandable” reporting discrepancies that occur when using tablet devices.
doi_str_mv 10.1007/s10140-011-1011-2
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subjects Brain - diagnostic imaging
Computers, Handheld
Data Display
Emergencies
Emergency Medicine
Humans
Imaging
Medicine
Medicine & Public Health
Original Article
Phantoms, Imaging
Radiographic Image Interpretation, Computer-Assisted - instrumentation
Radiology
Teleradiology - instrumentation
Tomography, X-Ray Computed - methods
User-Computer Interface
title Emergency CT brain: preliminary interpretation with a tablet device: image quality and diagnostic performance of the Apple iPad
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