Purpose: The clinical usefulness of an advanced image-processing syste
m called ''dynamic range control processing'' was investigated, with w
hich selected parts of the dynamic range of digital chest images could
be controlled. Material and Methods: A comparative study of 3 differe
nt post-processed formats of storage phosphor (SR) images was performe
d in 35 patients with abnormalities in the chest. The 3 formats were S
R images with standard mode (SR-standard), SR images with strong edge-
enhancement (SR-enhanced), and dynamic range controlled SR images (SR-
controlled). Results: For lung abnormalities, there was no difference
among the 3 SR image formats. For normal mediastinal structures and lu
ng abnormalities covered by the heart or diaphragm, SR-controlled and
SR-enhanced images were significantly superior to SR-standard images,
while no difference was found between SR-controlled and SR-enhanced im
ages except for the trachea and bony structures. Conclusion: Dynamic r
ange control processing appears to be a useful method for displaying S
R chest images with an extremely wide dynamic range.