Evidence map›Paper›PMID 22546982›Full record

ArticleJournal of digital imaging2012

Observer performance using virtual pathology slides: impact of LCD color reproduction accuracy.

Elizabeth A Krupinski, Louis D Silverstein, Syed F Hashmi, Anna R Graham, Ronald S Weinstein, Hans Roehrig

Abstract read
In one paragraph

Article in Journal of digital imaging, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Considerations for digital pathology displays.Journal of pathology informatics · 2026
    Review
  3. Article
  4. The evolving role of DICOM in digital pathology.Journal of pathology informatics · 2026
    Review
  5. Article
  6. Digital transformation of pathology - the European Society of Pathology expert opinion paper.Virchows Archiv : an international journal of pathology · 2025
    Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. The Empirical Foundations of Telepathology: Evidence of Feasibility and Intermediate Effects.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2017
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Color accuracy and reproducibility in whole slide imaging scanners.Journal of medical imaging (Bellingham, Wash.) · 2014
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Elizabeth A KrupinskiDepartment of Medical Imaging, University of Arizona, Tucson, AZ 85724, USA. krupinski@radiology.arizona.edu
Louis D Silverstein
Syed F Hashmi
Anna R Graham
Ronald S Weinstein
Hans Roehrig

Funding

Development of a calibration protocol for medical color displaysR01EB007311 · NIBIB · UNIVERSITY OF ARIZONA · PI ROEHRIG, HANS · 2009 to 2010
$654k
NIBIB NIH HHS 1R01EB007311-01A2NIBIB NIH HHS R01 EB007311
6 · The paper itself

Abstract

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.

Indexed as

ColorBiopsyBreast DiseasesCalibrationData DisplayFemaleHumansROC CurveTelepathologyUser-Computer Interface

Identifiers

PMID22546982
PMCPMC3491161

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.