Dry printing of medical images, without photochemicals, may be based o
n the principle of thermal dye diffusion. The Drystar (Agfa Gevaert, M
ortsel, Belgium) system was evaluated in colour-coded Doppler examinat
ions of the carotid arteries. A total of 25 consecutive patients were
examined for the colour test and 37 patients for the black-and-white t
est. Colour and black-and-white data were available on the same view.
The performances of the Drystar were tested against laser films, matri
x films and two types of glossy paper using the following criteria: gr
ey scale, colour scale, quality of reproduction of vascular colouring,
registration, endothelial layer, intraluminal echogenicity, spectral
resolution, and artefacts. The overall handiness of the document was g
raded. A significant difference (p = 0.00005) was noted in favour of t
he Drystar concerning registration, grey scale, spectral resolution an
d vascular colouring. The global score for handiness of the colour fil
m was 96%. Radiologists preferred the colour hard copy as compared wit
h glossy paper prints. As in the black-and-white test, blue-base and c
lear-base films obtained with the Drystar were rated inferior to laser
films, a double line print mode was included in the printer, giving a
density of 2.3 OD.