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Tom Schulte
Figure 1: Above approximately 20 cd/m2 (in yellow), the contrast sensitivity of the Human Visual System
is almost purely logarithmic (linear plot with the log luminance scale). Below 20 cd/m 2 (in blue), the HVS
has decreasing contrast sensitivity.
However, at luminance levels below about 20 cd/m2, the contrast sensitivity of the HVS diverges from its
near-logarithmic response, with decreasing contrast sensitivity at the lower luminance levels (Figure 1).
Thus, the contrast between darker areas of scanned images must be increased to achieve perceptual
linearity between perceived image brightness and scanned object thi ckness/density, as presented on
electronic monitors. (Medical films on traditional light boxes produce luminance levels that are mostly
above 20 cd/m2 and don’t require this correction.)
Therefore, for accurate rendering of scanned radiology images, a monitor’s luminance response function
should be approximately logarithmic at higher image luminance levels, with additional compensation for
the reduced HVS contrast sensitivity at lower luminance levels.
The DICOM GSDF is the standard luminance response model for viewing grayscale medical images and is
designed to reproduce approximately the same experience on digital displays that we would have when
viewing radiology film. By standardizing and mapping displays to the contrast sensitivity of the human
eye, DICOM calibration insures that a given difference in gray levels appears the same from one display
to the next. This is consistent presentation of images.
Figure 3: Measured luminance response of typical uncalibrated monitor, compared to DICOM GSDF
standard response.
Note that the DICOM Standard defines the GSDF luminance response model for radiology monitors, but
doesn’t specify any test procedures or acceptance criteria. AAPM and ACR fulfil those needs.
Figure 4: Ambient light, when added to a display’s native (uncalibrated) luminance response, causes the
darkest image levels to be compressed, blending them together.
• Perform luminance response visual tests (review TG18-QC and/or TG18-CT patterns).
Figure 5: An outline of the Radiology Imaging workflow appears when you open the left hand CalMED
panel. Sections 1 and 2 of the workflow, Initial Setup and Workstation Analysis are used to test whether a
display conforms to industry standards. Sections 3 and 4, Display Optimization and Workstation
Calibration, are used to calibrate a display for conformance.
The workflow first guides us through measuring the ambient luminance, setting our minimum luminance
target for the display, and then testing the display for conformance to the standard acceptance criteria.
If the test shows the display to be in conformance, we can save, view, and/or pri nt a conformance
report for the display.
If the conformance test shows that the display is not in conformance, we can then proceed to the
additional workflow steps to optimize any controls on the display and then calibrate the workstation.
This would be followed by a repeat of the conformance test, to validate and document the display’s
conformance to the standard acceptance criteria.
For a detailed walkthrough of the CalMED Radiology Imaging workflow, see the paper Medical Display
Calibration Walkthrough, available for download at:
http://www.spectracal.com/Documents/White%20Papers/MedicalDisplayCalibrationWalkthrough.pdf
Figure 6: An outline of the Medical Video workflow appears when you open the left hand CalMED panel.
Sections 1 and 2 of the workflow, Initial Setup and Workstation Analysis are used to test whether a
display conforms to industry standards. Sections 3 and 4, Display Optimization and Workstation
Calibration, are used to calibrate a display for conformance.
The workflow first guides us through testing the medical video display for conformance to the sRGB
standard. If the test shows the display to be in conformance, we can save, view, and/or print a
conformance report for the display.
If the conformance test shows that the display is not in conformance, we can then proceed to the
additional workflow steps to optimize any controls on the display and then calibrate the workstation.
This would be followed by a repeat of the conformance test, to validate and document the display’s
conformance to the sRGB standard.
For a detailed walkthrough of the CalMED Medical Video workflow, see the paper Medical Display
Calibration Walkthrough, available for download at:
http://www.spectracal.com/Documents/White%20Papers/MedicalDisplayCalibrationWalkthrough.pdf
About SpectraCal:
SpectraCal specializes in the tools and training necessary to achieve images
representative of the original subjects for environments from low to high
ambient light while achieving the dynamic range, contrast, and colorimetry
necessary for the image to have the proper presentation to the viewer.
SpectraCal CalMED software was developed to support medical personnel in
the step by step process of workstation calibration. The foundation of
medical workstation calibration is to understand the elements in a display
that require adjustment and how each element inter-relates to the others.
From its inception, CalMED has earned rave reviews and has become the
preeminent medical workstation calibration software on the market,
compatible with virtually all color meters available today. As the medical
industry and display technology evolves, CalMED continues to provide the
first choice for medical workstation calibration solutions.
More Information:
For more information on CalMED medical workstation calibration:
Visit: http://calman.spectracal.com/calmed.html ,
Email: info@spectracal.com , or
Phone: +1 206 420 7514.