
13
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Integrating Mac Systems into
a Medical IT Infrastructure
To conduct conformity tests of the 30-inch Apple Cinema Displays, we used a subset
of the given test criteria, according to the intended use. Table 1 shows the minimum
required values of dierent display characteristics for Germany’s Category A and B
applications.
Table 1: Conformity test standards for 30-inch Apple Cinema Displays (as applied to German
medical imaging application categories)
Application Category Maximum
Luminance
(cd/m
2
)
Maximum
Contrast
Matrix
1
Visible
Screen Size
(cm)
Inhomogeneity
2
A
Digital radiographic images,
e.g., X-rays
> 200 > 100 ≥ 2000 x ≥
2000
≥ 52 ± 15%
B
All other types of images,
e.g., angiographic or CT data
> 120 > 40 ≥ 1000 x ≥
1000
≥ 43 ± 20%
1
Regulations allow lower matrix sizes for Category A if a 1:1 zooming option is used.
2
Inhomogeneity is dened as the amount that luminance deviates from the center of the SMPTE test pattern to its corners on
50 percent gray level.
Grayscale Calibration
For a radiological workstation, grayscale calibration is critical to achieve the best
possible display quality. Calibration is necessary because the sensitivity of the human
visual system to brightness dierences varies from dark to bright levels. Grayscale
calibration addresses this by adjusting the resulting brightness of monitor pixels
according to the pixel values of the radiological image. Primarily, two dierent standard
display functions exist; they are provided by the DICOM standard
19
and the Commision
Internationale de l’Eclairage (CIE).
20
Though not required by law, it is also desirable
to equalize the color of gray to a homogenous, noncolored gray display result.
Gray level representation (ACD 30˝ native)
Gray level (%)
400,00
350,00
Luminance (cd/m
2
)
300,00
250,00
200,00
150,00
100,00
50,00
0,00
100 20 30 40 50
70 80 90 10060
Measured
Required (GSDF)
Figure 6: Gray level representation of the noncalibrated 30-inch Apple Cinema Display compared
with the required (and far less linear) GSDF curve.
Calibration with a LUT. To calibrate the Apple Cinema Displays, we had to apply an
individual correcting lookup table (LUT) to the viewing system. This allowed us to
match the display’s actual grayscale presentation with an ideal Grayscale Standard
Display Function (GSDF). On the luminance chart shown in Figure 6, GSDF is represent-
ed as the blue curve. This compares with the measured grayscale performance of the
Apple Cinema Displays, represented by the much more linear red curve. The goal
of calibration to is match the measured results with the required GSDF.
Display quality assurance in Germany
Display quality assurance regulations vary by
country. In Germany, for instance, a set of
mandated standards, including the German
DIN V 6868-57 directive, denes both the
application categories of display devices and
the corresponding limits such devices must meet.
For imaging work, it establishes two categories:
Category A covers digital radiographic images
such as chest X-rays.
Category B covers all other types of images such
as CT or angiographic data.
For reporting monitors used with nonradiological
data such as MRI or ultrasound, no special regu-
lations exist in Germany. But quality assurance
regularly includes the viewing of those data types
as Category B applications
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