[en] Trials have compared image quality using receiver operating characteristic (ROC) curves for different digitization resolution, particularly on hard copy. Resolution required for such systems is critical. Monitor quality significantly affects results of such studies. Several ''high-quality'' monitors were tested for gray level uniformity, flicker, resolution, stationarity (including distortion), jitter, and stability with time. An ROC study has demonstrated that such errors, on one commercially available system, were large enough to degrade image display at both 1k x 1k and 2k x 2k matrix sizes. Flicker was very disturbing with difficult images. Greater attention to these factors is required in designing (and evaluating) picture archiving and communication system work stations