Literature DB >> 9785157

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

S O'Reilly1, R Spedding, C Dearden, M Loane.   

Abstract

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.

Entities:  

Mesh:

Year:  1998        PMID: 9785157      PMCID: PMC1343170          DOI: 10.1136/emj.15.5.312

Source DB:  PubMed          Journal:  J Accid Emerg Med        ISSN: 1351-0622


  9 in total

1.  Impact of clinical history on radiographic detection of fractures: a comparison of radiologists and orthopedists.

Authors:  K S Berbaum; E A Franken; G Y el-Khoury
Journal:  AJR Am J Roentgenol       Date:  1989-12       Impact factor: 3.959

2.  Efficacy of digital radiography for the detection of pneumothorax: comparison with conventional chest radiography.

Authors:  E A Elam; K Rehm; B J Hillman; K Maloney; L L Fajardo; K McNeill
Journal:  AJR Am J Roentgenol       Date:  1992-03       Impact factor: 3.959

3.  An evaluation of telemedical support for a minor treatment centre.

Authors:  A Darkins; C H Dearden; L G Rocke; J B Martin; L Sibson; R Wootton
Journal:  J Telemed Telecare       Date:  1996       Impact factor: 6.184

4.  Interpretation of bone scans using a video display. A necessary step toward a filmless nuclear medicine department.

Authors:  N B Arnstein; D C Chen; M E Siegel
Journal:  Clin Nucl Med       Date:  1990-06       Impact factor: 7.794

5.  Interpretation of emergency department radiographs by radiologists and emergency medicine physicians: teleradiology workstation versus radiograph readings.

Authors:  W W Scott; D A Bluemke; W K Mysko; G E Weller; G D Kelen; R L Reichle; J C Weller; J N Gitlin
Journal:  Radiology       Date:  1995-04       Impact factor: 11.105

6.  Subtle orthopedic fractures: teleradiology workstation versus film interpretation.

Authors:  W W Scott; J E Rosenbaum; S J Ackerman; R L Reichle; D Magid; J C Weller; J N Gitlin
Journal:  Radiology       Date:  1993-06       Impact factor: 11.105

7.  Off-hours interpretation of radiologic images of patients admitted to the emergency department: efficacy of teleradiology.

Authors:  D R DeCorato; N J Kagetsu; R C Ablow
Journal:  AJR Am J Roentgenol       Date:  1995-11       Impact factor: 3.959

8.  Diagnostic performance of teleradiology in cervical spine fracture detection.

Authors:  M T Yoshino; R Carmody; L L Fajardo; J Seeger; K Jones
Journal:  Invest Radiol       Date:  1992-01       Impact factor: 6.016

9.  Nondisplaced fractures: spatial resolution requirements for detection with digital skeletal imaging.

Authors:  M D Murphey; J M Bramble; L T Cook; N L Martin; S J Dwyer
Journal:  Radiology       Date:  1990-03       Impact factor: 11.105

  9 in total
  2 in total

Review 1.  Telemedicine in wound healing.

Authors:  Sophie M Jones; Paul E Banwell; Peter G Shakespeare
Journal:  Int Wound J       Date:  2004-12       Impact factor: 3.315

2.  Assessment of telemedicine in surgical education and patient care.

Authors:  N Demartines; D Mutter; M Vix; J Leroy; D Glatz; F Rösel; F Harder; J Marescaux
Journal:  Ann Surg       Date:  2000-02       Impact factor: 12.969

  2 in total

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