Evaluation Of The Diagnostic Performance Of A Multimedia Medical Communications System.

JOHN G. ROBERTSON, M. Coristine, Morris Goldberg, Carolyn Beeton, G. Bélanger, Jo Wood Tombaugh, Nancy M. Hickey, Steven F. Millward, M. Davis, D. Whittingham · Proceedings of SPIE, the International Society for Optical Engineering/Proceedings of SPIE · 1989

The central concern of radiologists when evaluating Picture Archiving Communication System (PACS) is the diagnostic performance of digital images compared to the original analog versions of the same images. Considerable work has been done comparing the ROC curves of various types of digital systems to the corresponding analog systems for the detection of specific phantoms or diseases. Although the studies may notify the radiologists that for a specific lesion a digital system may perform as well as the analog system, it tells the radiologists very little about the impact on diagnostic performance of a digital system in the general practice of radiology. We describe in this paper an alternative method for evaluating the diagnostic performance of a digital system and a preliminary experiment we conducted to test the methodology.

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