Objective To examine impact of a quality assurance (QA) program for computer displays. Study design Five commercial off-the-shelf (COTS) displays (Dell Ultrasharp, 32-inch) were used in this study. The SMPTE test pattern was displayed on each monitor and three observers scored its pattern visibility. Screen luminance from select areas on the test pattern were measured with a Gossen light meter (MAVOLUX 5032B) to record maximum (Lmax), minimum (Lmin) and at 30%, 50% and 60% luminance. Next, display brightness and contrast were adjusted to enhance subjective perception of the SMPTE pattern. Screen luminance was measured as described above. Ambient illuminance was recorded at the center of the display. Results The ambient luminance was 0.05 cd/m2. The SMPTE pattern was adequately visualized on only 1 of the 5 displays. Overall, there was minimal variation in Lmin (0 to 0.3 cd/m2) and wide range in Lmax (59 to 339 cd/m2). The ambience ratio was 0.25 to 0.5 (recommended = 0.25). Display adjustment to optimally visualize the SMPTE contrast regions resulted in a decrease in the Lmax range (59 to 178 cd/m2, recommended maximum 250 cd/m2). Notably, brightness-contrast settings had to be customized for each display to optimally view the test pattern. Conclusions This study of high-end COTS displays used for radiologic diagnosis found that most displays required adjustment to optimally view the SMPTE test pattern. This underscores the need to establish a display QA program, as recommended by ADA/ANSI Standard 1094 and AAPM Report 270. Optimal visualization of the SMPTE test pattern required individualized display brightness and contrast controls that could not be simply applied to all monitors, emphasizing the need for periodic monitoring of individual displays. In ongoing studies, we are expanding our analyses to different display models and to ambient lighting settings that are more typical of chair-side settings. Statement of Ethical Review Ethical Review or exemption was not warranted for this study To examine impact of a quality assurance (QA) program for computer displays. Five commercial off-the-shelf (COTS) displays (Dell Ultrasharp, 32-inch) were used in this study. The SMPTE test pattern was displayed on each monitor and three observers scored its pattern visibility. Screen luminance from select areas on the test pattern were measured with a Gossen light meter (MAVOLUX 5032B) to record maximum (Lmax), minimum (Lmin) and at 30%, 50% and 60% luminance. Next, display brightness and contrast were adjusted to enhance subjective perception of the SMPTE pattern. Screen luminance was measured as described above. Ambient illuminance was recorded at the center of the display. The ambient luminance was 0.05 cd/m2. The SMPTE pattern was adequately visualized on only 1 of the 5 displays. Overall, there was minimal variation in Lmin (0 to 0.3 cd/m2) and wide range in Lmax (59 to 339 cd/m2). The ambience ratio was 0.25 to 0.5 (recommended = 0.25). Display adjustment to optimally visualize the SMPTE contrast regions resulted in a decrease in the Lmax range (59 to 178 cd/m2, recommended maximum 250 cd/m2). Notably, brightness-contrast settings had to be customized for each display to optimally view the test pattern. This study of high-end COTS displays used for radiologic diagnosis found that most displays required adjustment to optimally view the SMPTE test pattern. This underscores the need to establish a display QA program, as recommended by ADA/ANSI Standard 1094 and AAPM Report 270. Optimal visualization of the SMPTE test pattern required individualized display brightness and contrast controls that could not be simply applied to all monitors, emphasizing the need for periodic monitoring of individual displays. In ongoing studies, we are expanding our analyses to different display models and to ambient lighting settings that are more typical of chair-side settings.
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