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PACSnet Display Devices/Systems Evaluation Protocol
Bence-Jones Offices,Tele: 020 8725 2619
(Primeter Road) Fax: 020 8725 3293
St. George'sHospital
London
SW17 6QT Version 1.02

0. Introduction and Explanation of why testing is important.

This protocol is designed to be used by PACSnet in its evaluation of image display devices used for the display of medical images within a PACS. It covers both CRT and LCD displays.

The protocol does not cover workstation functionality, network connections or other features of a PACS.

1. Monitor description.

This section describes the monitor in terms of its physical attributes (size, weight, etc), its construction, and its described display characteristics, all based on information supplied by the manufacturer.

2. Site-specific installation information.

Details of the ambient conditions during testing, e.g. of the reporting room, manufacturer’s test facility, etc. It may also include information on warranties, service contracts, etc.

3. Test Results.

This section lists the results of various tests and measurement on the monitor. The tests are described below. Note that before performing any of the tests, the screen should be cleaned and the monitor should be allowed to warm up for 30 minutes (without screen-saver) before testing commences, and should be cleaned before testing.

Veiling glare

This is caused by luminance energy reflected within the glass and phosphor structure from one location to another, thus reducing the contrast modulation between dark and light pixels.

No existing protocol found. Suggest a method where screen is displaying a uniform grey level (peak white?) apart from a central circle of black. Luminance at the centre of this black circle can be measured, and measured again when the surrounding white area is reduced to black.

PACS Evaluation Protocols: Evaluation of Display Monitors

0. Introduction.

This protocol is designed to be used by PACSnet in its evaluation of image display devices used for the display of medical images within a PACS. It covers both CRT and LCD displays.

The protocol does not cover workstation functionality, network connections or other features of a PACS.

1. General monitor description and manufacturer’s specification

Physical size of monitor, footprint, any clearances required

Weight

Removable stand; adjustability of display height and angle (tilt, swivel), other mounting options

USB hub

Input signal

Analogue or digital

Signal cable

VESA DDC/Ci bi-directional control; sRGB support; VESA VCP support

Display Data Channel Command Interface Standard ()

Dynamic or static?

Colour or black & white display

Backlight (for LCD)

Required specification of base unit, including video card

Any minimum specifications for CPU, memory, hard disk space, OS, etc.

Power supply requirements – voltage & frequency

Quote manufacturer’s figures.

Power consumption

Quote manufacturer’s figures.

Heat and noise output

Quote manufacturer’s figures.

Controls available for user adjustment

e.g. brightness, contrast, geometry. Ability to disable user adjustment facilities. On-screen manager.

Controls available for engineer adjustment

Intended use

review, diagnosis, text-only, home, etc

First year sold, first year sold in UK

Territories sold to

Currently and ever.

Regulatory Approvals

CE Mark (ECM Directive, Medical Devices Directive), etc

Warranty and/or maintenance contracts available

Technical support

Response times, on-site engineer

Charges for spare parts

Time to supply spare parts

Self-calibration facilities

Bandwidth

Refresh rate

Scan rates

Horizontal synch (range)

Vertical synch (range)

Display Type

Shadow mask, aperture grille

Phosphor used for screen

Curvature of display surface

Portrait or landscape

Screen size – quoted, measured

Active area – quoted, measured

Dot pitch

Dot pitch, horizontal dot pitch, vertical dot pitch

Deflection angle

Bulb transmission

Front panel transmission

Maximum input video bandwidth

Maximum resolution

Recommended resolution

Test images supplied

Screen cleaning recommendations

Response time

Dot clock

Optimum intended viewing angle (for LCD displays)

Aperture ratio

2. Site-specific Installation Information

Positioning of monitors within rooms

User space

Reflections, lighting, etc

Room lighting: Cornell: “monitor works best in a low-light environment. However, a low-light environment does not equate to a dark room. Viewed in the dark, an on-screen image would appear deficient in contrast.”

QA/QC programme in place; tools used.

Monitor cleanliness; tidiness of installation (cables, etc)

Maintenance contractfor this installation

DICOM GSDF facility

3. Test Results

AAPM TG18 test results.

DICOM part 14

Veiling glare(aka “flare” or “surrounding field effect”)

Noise in image

Instability

Convergence

Tone scale (e.g. Barten, default)

Resolution

Flat field uniformity, colour purity

Black level, peak white level – levels will depend on the area of the screen illuminated

Artefacts

Weak internal and external reflections

Focussing – test using only one primary colour (if colour monitor)

Contrast

Brightness

Spatial resolution

Aliasing

Ringing/overshoot

streaking

Average picture level/grey-level shift

Screen regulation

Ambient light sensors

Radiation levels, emissions certification

Power-saving features

Contrast ratio

Viewing angle

Screen reflection

Number of colours displayable (colour depth)

Gamma

Flicker – view an all-white screen using peripheral vision. Important in medical – monitors sit side-by-side.

Geometric distortion: pincushion, barrel, trapezoidal (“keystone”), orthogonal, tilt, hook (“flagging”), nonlinearity, line pairing, ringing (all from display measurement book).

Measurement of warm-up characteristics (“warm-up”) and luminance drift (“aging”)

Luminance stability (i.e. changes as greater or lesser areas of screen are white)

Number of defective pixels (LCD)

Phosphor artefacts (CRT)

Aspect ratio

Jitter

Phosphor persistence (decay)

SMPTE test image: constant increase in perceptual brightness (if using workstation software)

Test protocol.

Let monitor warm up (30 minutes). Set user-accessible adjustments to the settings used in the initial tests.

Equipment needed.

Photometer

“a time constant of approx 100ms corresponds to that of the human eye”

Allow to warm up (1-2 minutes usually sufficient) and to stabilise temperature/drying of condensation if necessary (30-60 mins).

Illuminance photometer to measure ambient light levels.

Luminance probe

“A luminance meter of the reflex-viewer type with an accuracy of +/- 10% shall be used to check the consistency of the luminance of the display. The measuring range shall be between 0.1 cd/sq m and 500 cd/sq m. The angle of measurement at the aperture of the meter should be 1 deg and shall not exceed 5 deg.” (BSI 1994)

(to measure screen luminance)

Cloth tape measure (to measure distances off curved screens and to help with geometry tests))

Straight edge/ruler (to measure distances off screens, and to help with convergence tests and geometry tests)

Darkroom with adjustable background lighting (to minimise effect of background illumination and reflections)

Oscilloscope (to measure signals from video card, and flicker on screen

Detector suitable for measuring flicker

Test images

Dividers (to help with distance measurements off screen and with geometry tests)

Convergence gauge

Tests to be performed at the manufacturer’s recommended resolution, as well as at higher and lower resolutions.

Test tools:

Display Mate:

Image Smiths

Light source (for measurement of reflectance)

Microscope

Cleaning materials: cloth, etc

Rule

Tape measure

Film with printed grid

Magnifying glass

Berlin tests:

Background luminance level and luminance range

Luminance distribution

Spatial and low contrast resolution

Image geometry and motion

Monitor flickering

Artefacts

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