White Paper. Missing Pixels in Medical Grayscale Flat Panel Displays. Geert Carrein Director Product Management. W hat s inside?

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White Paper Missing Pixels in Medical Grayscale Flat Panel Displays W hat s inside? What are missing pixels? International Standards to characterize LCD quality Missing Pixels, overview for different LCD displays Geert Carrein Director Product Management Barco Medical Imaging Division geert.carrein@barco.com Barco Pres. Kennedypark 35 B 8500 Kortrijk, Belgium www.barco.com

A BSTRACT Without any doubt, the transition to the current state of the art medical grayscale displays brought a major improvement in image quality compared to CRT technology. However, LCD also brought some new issues such as missing or stuck pixels. This paper will explain the missing pixel situation with current LCD technology. Copyright 2007 BARCO n.v., Kortrijk, Belgium All rights reserved. No part of this publication may be reproduced in any form or by any means without written permission from Barco. Page 2 of 10

TABLE OF CONTENTS 1. INTRODUCTION... 4 2. LCD TECHNOLOGY... 4 2.1. DEFINITION OF A DEAD OR STUCK PIXEL... 5 2.2 DEAD PIXEL DEFECT RATE... 6 3. CONCLUSION... 10 Page 3 of 10

1. I NTRODUCTI ON In recent years, we have witnessed a major shift from the traditional CRT display technology toward LCD technology. Starting from low resolution and low quality displays, LCD technology has matured and taken a substantial share in the consumer and professional display markets. The continuous technological innovation has even resulted in affordable state of the art highresolution displays that provide the quality required for high end applications such as Medical Imaging. Although LCD displays offer a number of substantial advantages over CRT displays (such as increased sharpness, high brightness, small physical size, and less power consumption) there are still a number of issues where the CRT outperforms the LCD display. One of these issues is the dead or stuck pixel. Even current state of the art LCD manufacturing processes cannot guarantee that a panel is completely free of panel defects. Although the manufacturers continuously seek to improve the process, the maximum allowed number of pixel defects on a panel actually defines the yield, hence the cost of the panel. To keep flat panel costs affordable, we have to strike a balance between image quality (partially reflected by the number of dead pixels) and cost. For medical applications, missing pixels have become more and more of a concern for the radiologist, even when current state of the art medical applications offer features (such as zoom and panning), which can easily identify a dead or stuck pixel. 2. LCD TECHNOLOGY The image generation in an LCD display is quite different compared to the way an image is generated on a CRT. A flat panel display has a backlight, composed of a number of tiny fluorescent lamps, which are all permanently lit when powered on. In front of this backlight is the liquid crystal panel. One can think of this panel being composed of small cells (pixels) organized in a perfect matrix structure, having a number of rows and columns. The number of rows and columns defines the resolution of the flat panel display. For example: A flat panel with a resolution of 1280 * 1024 will contain 1280 cells in the horizontal direction and 1024 such rows in vertical direction. Each individual cell acts as a small dimmable light switch. If you turn the switch of each cell completely on, the light of the backlight will pass through that cell and a WHITE dot will appear on the screen. If the switch is completely off, no light can pass through the cell and one sees the cell as BLACK. By dimming the switch a proper amount, one can obtain any (gray) value between black and white. Page 4 of 10

By splitting each cell into sub cells (sub pixels), and covering each sub pixel with a certain colored (red, green, blue) filter, one can build a color display. Due to the fact that a color filter will dim the light substantially, color displays will reduce the potential brightness (luminance) of a medical display by about one third. To manufacture a medical grayscale display one has to remove the color filters, hence obtaining a monochrome pixel. As there are no color filters, each pixel is much brighter than its color counterpart. LCD Monochrome Pixel LCD Color Pix el Ligh t LCD Panel Backlig ht 2.1. Definition of a dead or stuck pixel As presented in (2), the intensity of the individual pixels on a flat panel display is formed by switching individual cells on, off or somewhere in between. This is achieved by placing an individual transistor to control each LCD cell. In the event that sub pixels are present, there are individual transistors for each sub pixel. During the manufacturing process of the display there is a small chance that this transistor is defective, resulting in a continuous open or closed switch. The result is that this pixel is either always lit or dark (stuck or dead). Given a certain chance to create a defective transistor, it is clear that the more pixels a panel contains, the larger the number of dead or stuck pixels will be. Page 5 of 10

In a dark environment, lit pixels can be readily observed as they look like stars in the night sky. Dead, dark pixels on a white background are less easy to observe as the eye receives too much light from the surrounding pixels. Some LCD manufacturers, using advanced manufacturing processes, can take advantage of this property of the human eye as they can destroy a transistor by targeting it with a laser beam. However, this will just turn bright lit pixels into continuously dark pixels. In spite of the current state of the art technology, it is impossible to manufacture LCD panels without defective transistors. Given a certain number of stuck pixels per display, lowering the number of allowed missing pixels will result in more panels being classified as scrap and the cost of the panel will increase. 2.2 Dead pixel defect rate Continuously lit and dark pixels are a fairly common problem during the LCD manufacturing process and therefore manufacturers of LCD panels have defined some limits for pixel defects based on customer feedback and cost trade off. The picture below illustrates some of the most common pixel defects that can occur on both color and grayscale medical displays. Page 6 of 10

Missing (Sub) Pixels on Greyscale and Color LCD Displays Regular Color or Greyscale Pixel Permanently Lit Color or Greyscale Pixel Permanent Dark Pixel L ig h t LC C D PanP a n el e l B a c k lig h t Permanently Lit Subpixel Page 7 of 10

Suppose that the illustration contains a state of the art 5 MegaPixel display. This 5 megapixel flat panel with a resolution of 2048 * 2560 contains 15.728.640 sub pixels (2048 * 2560 * 3). Typically about 15 30 sub pixels will fail, giving a defect rate of 0.000095 % to 0.000190 %. As this specification can vary widely among panel manufacturers and among panels of a specific batch, the International Standard Organization has made an attempt to define a standard for missing pixel defects. This standard is outlined in detail in the ISO 13406 2 specification. In practice this standard defines 4 different classes of LCD displays where the maximum allowed number of pixel defects per million pixels characterizes each class. (See detailed overview in the table below) Class I LCD displays are considered to be perfect as they allow no pixel or sub pixel defects. However, even with the current state of the art technology this level of display quality is impossible to achieve in a mass production process. For Class I displays, the overall yield of such a manufacturing process approaches 0 percent, resulting in unaffordable display prices. Class II displays, which allows for 2 pixel or 5 sub pixel defects per million, has been an extremely difficult standard for manufacturers to achieve in mass production, but a few manufacturers have achieved this goal. P ixel Defects per million pixels Defect Type 1 Defect Type 2 Defect Type 3 (Continuously Lit P ixel) (Continuously Dark P ixel) (Sub pixel defect) Class (Lit or Dark) I 0 0 0 II 2 2 5 I II 5 15 50 I V 50 150 500 From this table it is obvious that the more pixels a panel has, the more pixel defects it will show. Page 8 of 10

The Table below lists the maximum number of tolerated defects for each quality class on some of the more popular resolutions of medical displays. P anel Type Defect Type 1 Defect Type 2 Defect Type 3 Display Horizontal Vertical Class Resolution Resolution 1 M P 0 0 0 Class I 1024 1280 3 3 7 Class I I 1024 1280 7 20 66 Class I I I 1024 1280 66 197 655 Class I V 1024 1280 2 M P 0 0 0 Class I 1200 1600 4 4 10 Class I I 1200 1600 10 29 96 Class I I I 1200 1600 96 288 960 Class I V 1200 1600 3 M P 0 0 0 Class I 1536 2048 6 6 16 Class I I 1536 2048 16 47 157 Class I I I 1536 2048 157 472 1573 Class I V 1536 2048 5 M P 0 0 0 Class I 2048 2560 10 10 26 Class I I 2048 2560 26 79 262 Class I I I 2048 2560 262 786 2621 Class I V 2048 2560 Page 9 of 10

3. CONCLUSI ON Until panel yields increase, basic component costs come down or new LCD manufacturing processes are developed to eliminate defective pixels, these defects we see today will continue to be present. Consequently, replacing one display with another one will not result in an improved situation. Many users will never notice most LCD sub pixel defects. For those applications where tiny image details could be confused with defective pixels, roaming of the image will immediately clarify if a detail is a pixel defect or a true part of the image. One should not forget that, despite the occasional lit pixel or dark pixel, LCD technology continues to offer significant benefits over CRT based displays. CRT displays have other issues such as inferior MTF characteristics, lower brightness, more susceptibility to ambient light, geometric distortion, convergence problems (color), higher power consumption and larger size. Page 10 of 10