Interpretation of Roentgenograms<i>Via</i>Interactive Television

Andrus, W. Scott; Dreyfuss, Jack R.; Jaffer, Faraz; Bird, Kenneth T.

doi:10.1148/116.1.25

Cited by 27 publications

(2 citation statements)

References 7 publications

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“…The founders of this telemedicine network, Timothy Kenneth Bird (1918-13/02/1991) and W. Scott Andrus (10/08/1938-19/05/2013), introduced the term "teleradiology" in 1972 (Andrus and Bird 1972b), and later conducted a scientific assessment of the reliability and diagnostic value of remote interpretation of radiographs via video conferencing (for the first time ever, the values of sensitivity and specificity of telemedicine diagnostics on an array of 198 radiological images of the chest, musculoskeletal and genitourinary systems were obtained using the analysis of characteristic curves) (Andrus and Bird 1972a;Andrus et al 1975a;Andrus et al 1975b;Murphy et al 1970).…”

Section: Television and Radiologymentioning

confidence: 99%

The use of telemedicine in radiodiagnosis in the 1920–1980s

Морозов¹,

Владзимирский²

2019

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In 2017, amendments to the Federal legislation on health care were adopted, which confirmed the possibility of using telemedicine technologies within the health care system of the Russian Federation. Telemedicine has been successfully used for about 150 years. Since the advent of the first electronic telecommunications, the possibilities for their medical use have been sought. This article systematises information about the history of the use of telecommunications for remote interaction in radiology and presents the way from experiments on facsimile transfer of radiographic images (the 1920-1930s) to the establishment of the teleradiology concept as a tool for solving diagnostic and organisational/managerial problems of radiology (the late 1970s). The first experiments on the remote transmission of photographic copies of X-ray images by telegraph were conducted in the mid-1920s. The first interhospital network for the exchange of medical images was launched in Canada in 1957-a successful exchange of fluoroscopic images to improve diagnostics took place in Montreal between two hospitals. In the 1940-1960s, under J. Gershon-Cohen's supervision, several teleradiological networks ensuring the transmission of photographic copies of X-ray images for remote interpretation were launched in the United States. For the first time ever, methodological foundations of teleradiology were formulated as a tool for organising and managing public health care. The term "teleradiology" was introduced by W.S. Andrus and T.K. Bird in 1972. The same researchers carried out the first scientific assessment of the diagnostic accuracy of remote interpretation of the results of radiographic examinations. In the late 1960-1970s, television systems (cable, slow-scan, etc.) were used to broadcast medical images, and their complexity and high cost were hampering the advancement of teleradiology. However, by the early 1980s, it was convincingly shown that teleradiology significantly expanded the capabilities of health care systems, sped up diagnosis and optimised hospital resources and staff time.

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Section: Television and Radiologymentioning

confidence: 99%

The use of telemedicine in radiodiagnosis in the 1920–1980s

Морозов¹,

Владзимирский²

2019

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“…By the middle of the 1970s the technique was being applied to a wider variety of images, including skeletal radiographs, and transmission distances had increased to more than 20 miles. 17 …”

Section: Early Teleradiologymentioning

confidence: 99%

A review of telemedicine in accident and emergency: the story so far

Benger¹

2000

Emergency Medicine Journal

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Recent developments in information and communications technology have the potential to revolutionise health care. This has been recognised at government level, and plays a significant part in the new information strategy for the NHS "Information For Health". Telemedicine (literally, medicine at a distance) is one of the most successful techniques in this rapidly expanding field, and in preliminary studies has proved to be both successful and popular with patients and health care professionals. In the UK telemedicine has been mainly applied to two major areas of accident and emergency (A&E) practice. These are the transmission of computed tomography scans for urgent neurosurgical opinion and the ongoing support of minor injuries units. The latter also involves transmission and interpretation of radiographs, usually peripheral limb films.Telemedicine is not a medical subspecialty in itself, but a facilitator of all medical and surgical specialties. While recent modernisation initiatives have permitted A&E departments to purchase a range of telemedical equipment, overall progress is hampered by a lack of large or scientifically rigorous studies, and a complete absence of data on the economic implications of this new technique. This review introduces A&E telemedicine in terms that avoid jargon and complex technical details. After a brief consideration of the origins of the subject, attention is given to recent publications relating to minor injuries support and A&E teleradiology. The technical and clinical feasibility of A&E telemedicine are demonstrated, and a case is made for the transmission and interpretation of minor injuries radiographs using a relatively simple and inexpensive system, supported by timely radiological reporting. After a brief study of various legal and ethical issues, the likely developments of the future are discussed. (J Accid Emerg Med 2000;17:157-164)

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