The use of color LCDs in medical imaging is growing as more clinical specialties use digital images as a resource in diagnosis and treatment decisions. Telemedicine applications such as telepathology, teledermatology, and teleophthalmology rely heavily on color images. However, standard methods for calibrating, characterizing, and profiling color displays do not exist, resulting in inconsistent presentation. To address this, we developed a calibration, characterization, and profiling protocol for color-critical medical imaging applications. Physical characterization of displays calibrated with and without the protocol revealed high color reproduction accuracy with the protocol. The present study assessed the impact of this protocol on observer performance. A set of 250 breast biopsy virtual slide regions of interest (half malignant, half benign) were shown to six pathologists, once using the calibration protocol and once using the same display in its "native" off-the-shelf uncalibrated state. Diagnostic accuracy and time to render a decision were measured. In terms of ROC performance, Az (area under the curve) calibrated = 0.8570 and Az uncalibrated = 0.8488. No statistically significant difference (p = 0.4112) was observed. In terms of interpretation speed, mean calibrated = 4.895 s; mean uncalibrated = 6.304 s which is statistically significant (p = 0.0460). Early results suggest a slight advantage diagnostically for a properly calibrated and color-managed display and a significant potential advantage in terms of improved workflow. Future work should be conducted using different types of color images that may be more dependent on accurate color rendering and a wider range of LCDs with varying characteristics.
Abstract— A methodology and associated software modules for calibration, characterization, and profiling of color LCDs for color‐critical applications in medical imaging is described. Supporting analyses reveal very high color‐reproduction accuracy as determined by CIE DE2000 color differences for 21 0 test colors uniformly distributed in CIE Lab color space. The impact of the LCD tone‐reproduction curve on color‐reproduction accuracy is compared for two tone‐reproduction curves of special interest in medical imaging: the DICOM gray‐scale standard display function and the CIE L* standard lightness function. The initial results from a psychophysical investigation of the diagnostic performance of trained pathologists viewing “virtual” breast biopsy slides are reported and the diagnostic performance achieved with calibrated, color‐managed LCDs with uncalibrated LCDs without the benefits of color management is compared.
A methodology and associated software modules for calibration, characterization and profiling of color LCDs for color-critical applications such as medical imaging is described. Supporting analyses reveal very high color reproduction accuracy as determined by CIE DE2000 color differences for 210 test colors uniformly distributed in CIE Lab color space.
Our laboratory has investigated the efficacy of a suite of color calibration and monitor profiling packages which employ a variety of color measurement sensors. Each of the methods computes gamma correction tables for the red, green and blue color channels of a monitor that attempt to: a) match a desired luminance range and tone reproduction curve; and b) maintain a target neutral point across the range of grey values.All of the methods examined here produce International Color Consortium (ICC) profiles that describe the color rendering capabilities of the monitor after calibration. Color profiles incorporate a transfer matrix that establishes the relationship between RGB driving levels and the International Commission on Illumination (CIE) XYZ (tristimulus) values of the resulting on-screen color; the matrix is developed by displaying color patches of known RGB values on the monitor and measuring the tristimulus values with a sensor. The number and chromatic distribution of color patches varies across methods and is usually not under user control.In this work we examine the effect of employing differing calibration and profiling methods on rendition of color images. A series of color patches encoded in sRGB color space were presented on the monitor using color-management software that utilized the ICC profile produced by each method. The patches were displayed on the calibrated monitor and measured with a Minolta CS200 colorimeter. Differences in intended and achieved luminance and chromaticity were computed using the CIE DE2000 color-difference metric, in which a value of ΔE = 1 is generally considered to be approximately one just noticeable difference (JND) in color. We observed between one and 17 JND's for individual colors, depending on calibration method and target.As an extension of this fundamental work 1 , we further improved our calibration method by defining concrete calibration parameters for the display, using the NEC wide gamut puck, and making sure that those calibration parameters did conform, with the help of a state of the art Spectroradiometer, PR670. As a result of this addition of the PR670, and also an in-house developed method of profiling and characterization, it appears that there was much improvement in ∆E, the color difference.
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