Medical grade vs off-the-shelf color displays: Influence on observer performance and visual search

Elizabeth A. Krupinski

Research output: Contribution to journalArticlepeer-review

35 Scopus citations


The goal of this study was to compare diagnostic accuracy of radiologists viewing clinical images on a top-of-the-line medical-grade vs a top-of-the-line commercial off-the-shelf (COTS) color display with the luminance values set to simulate a display that had been in use for 1 year. A set of 50 digital radiography chest images was selected for use in the study, half containing a solitary pulmonary nodule and half nodule-free. The images were displayed twice to each of six observers, once on each display. Eye position was recorded on a subset of the images. Overall, there was a statistically significant difference (F∈=∈4.1496, p∈=∈0.0471) between the medical-grade color display and the COTS color display in terms of receiver operating characteristic area under the curve values, with the medical-grade display yielding higher diagnostic accuracy. Total viewing time did not differ significantly, but eye position data revealed differences, suggesting better search and decision-making efficiency with the medical-grade display. Medical-grade color displays at 1 year old yield better diagnostic and search efficiency than COTS color displays and thus are recommended for primary reading if color displays are to be used.

Original languageEnglish (US)
Pages (from-to)363-368
Number of pages6
JournalJournal of Digital Imaging
Issue number4
StatePublished - Aug 2009
Externally publishedYes


  • Color displays
  • Eye tracking
  • Observer performance

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Computer Science Applications


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