Effects of monitor luminance change on observer detection performance

To confirm that the dimming luminance change in the CRT monitor will have a detrimental effect on diagnostic performance, we performed the four-alternative forced choice experiments on the CRT monitor with the 11 luminance conditions simulating CRT degraded by long-term usage. Six radiologists and one pulmonary physician performed a detection task for 11,000 test areas on 110 test images. The 11 monitor conditions significantly affected the correct detection rates of simulated nodules in the four-alternative forced choice experiments. The gradual deterioration in CRT monitor luminance will have certainly a detrimental effect on detection performance.