论文信息 - Can x rays be accurately interpreted using a low cost telemedicine system?

Can x rays be accurately interpreted using a low cost telemedicine system?

OBJECTIVE: To assess whether the quality of x ray films transmitted via a low cost (low resolution) telemedicine link was satisfactory for clinical diagnosis. METHODS: A retrospective study of a set of consecutive accident and emergency (A&E) radiographs. An A&E registrar viewed these directly on a standard x ray viewing box and via a telemedicine link. RESULTS: There were 81 abnormalities out of 234 x ray films. Three abnormalities were missed both on the x ray viewing box and telemedicine link, one of which was significant. There were five additional abnormalities missed on the telemedicine link but detected on the x ray viewing box, of which two were significant. One normal x ray film was interpreted as abnormal on the telemedicine link. There were no false positives on direct viewing. CONCLUSION: Transference of plain radiographs using a low cost/low resolution telemedicine link by A&E doctors is adequate for clinical interpretation.

M Loane | S O'Reilly | R Spedding | C Dearden

[1] L. Fajardo,et al. Diagnostic Performance of Teleradiology in Cervical Spine Fracture Detection , 1992, Investigative radiology.

[2] S J Dwyer,et al. Nondisplaced fractures: spatial resolution requirements for detection with digital skeletal imaging. , 1990, Radiology.

[3] R. Wootton,et al. An Evaluation of Telemedical Support for a Minor Treatment Centre , 1996, Journal of telemedicine and telecare.

[4] D C Chen,et al. Interpretation of Bone Scans Using a Video Display: A Necessary Step Toward a Filmless Nuclear Medicine Department , 1990, Clinical nuclear medicine.

[5] D Magid,et al. Subtle orthopedic fractures: teleradiology workstation versus film interpretation. , 1993, Radiology.

[6] L L Fajardo,et al. Efficacy of digital radiography for the detection of pneumothorax: comparison with conventional chest radiography. , 1992, AJR. American journal of roentgenology.

[7] D A Bluemke,et al. Interpretation of emergency department radiographs by radiologists and emergency medicine physicians: teleradiology workstation versus radiograph readings. , 1995, Radiology.

[8] N. Kagetsu,et al. Off-hours interpretation of radiologic images of patients admitted to the emergency department: efficacy of teleradiology. , 1995, AJR. American journal of roentgenology.

[9] K S Berbaum,et al. Impact of clinical history on radiographic detection of fractures: a comparison of radiologists and orthopedists. , 1989, AJR. American journal of roentgenology.