Referring Physicians' Attitudes Toward International Interpretation of Teleradiology Images

Lester, Neil; Durazzo, Tyler S.; Kaye, Andrew L.; Ahl, Marilyn; Forman, Howard P.

doi:10.2214/ajr.05.1303

Cited by 12 publications

(6 citation statements)

References 6 publications

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“…The various teleradiology applications that are used within Europe have many different technical characteristics. In Germany, a large teleradiology network has been created based upon DICOM-email as the accepted standard [15, 35]. Other more recently developed teleradiology platforms are conceived as web-based management systems.…”

Section: Discussionmentioning

confidence: 99%

European Teleradiology now and in the future: results of an online survey

Ranschaert

Binkhuysen²

2012

Insights Imaging

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ObjectivesTo obtain an overview of teleradiology usage within Europe, to evaluate the current opinion and future vision about this technique.MethodsA web-based survey targeted at active radiologists throughout Europe.ResultsA total of 368 radiology professionals participated in the survey. Among them 65 % currently use teleradiology. The main usages are in-house image distribution (71 %) and on-call readings from home (44 %). The major advantages are improved collaboration with other radiologists (46 %) and efficient distribution of workload (38 %). Outsourcing is performed by 35 % of the participants, among them 68 % use commercial services. The major advantages of outsourcing are availability of second opinions (82 %) and additional capacity for on-call services (71 %). The major disadvantages are insufficient integration of patient history and priors (69 %), and limited communication with clinicians (68 %). The majority expressed a positive opinion regarding the future of teleradiology (80 %) predicting a growing importance (46 %). Opportunities ought to be found in emergency reading services, flexible support of small practices and in collaborative platforms.ConclusionsA wide usage of teleradiology throughout Europe is perceived; however usage of commercial services is relatively limited. Regarding cross-border services, there is a great demand for a focused Pan-European legislation, an adapted price regulation and a quality assurance framework.Main Messages• A wide variety of teleradiology applications exist in Europe• Implementation mainly occurs in countries with a high concentration of networked PACS• Usage of commercial teleradiology services in Europe is relatively limited• Language is an unsolved issue and limiting factor for further deployment of services• There is a demand for a Pan-European legislation, price regulation and quality assurance framework

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Section: Discussionmentioning

confidence: 99%

European Teleradiology now and in the future: results of an online survey

Ranschaert

Binkhuysen²

2012

Insights Imaging

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“…In light of the recent COVID-19 pandemic, teleradiology provides a solution for imagebased consultations between different parts of the world, simplifying the communication and discussion between consultants. There is also an opportunity to retain capacity, providing local neuroradiologists and neurosurgeons the possibility to work with consultations from home, thus limiting the need for outsourcing [23].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Novel Teleradiology Technology for Image-Based Distant Consultations: Applications in Neurosurgery

Cewe

Burström

Drnasin³

et al. 2021

Diagnostics

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In emergency settings, fast access to medical imaging for diagnostic is pivotal for clinical decision making. Hence, a need has emerged for solutions that allow rapid access to images on small mobile devices (SMD) without local data storage. Our objective was to evaluate access times to full quality anonymized DICOM datasets, comparing standard access through an authorized hospital computer (AHC) to a zero-footprint teleradiology technology (ZTT) used on a personal computer (PC) or SMD using national and international networks at a regional neurosurgical center. Image datasets were sent to a senior neurosurgeon, outside the hospital network using either an AHC and a VPN connection or a ZTT (Image Over Globe (IOG)), on a PC or an SMD. Time to access DICOM images was measured using both solutions. The mean time using AHC and VPN was 250 ± 10 s (median 249 s (233–274)) while the same procedure using IOG took 50 ± 8 s (median 49 s (42–60)) on a PC and 47 ± 20 s (median 39 (33–88)) on a SMD. Similarly, an international consultation was performed requiring 23 ± 5 s (median 21 (16–33)) and 27 ± 1 s (median 27 (25–29)) for PC and SMD respectively. IOG is a secure, rapid and easy to use telemedicine technology facilitating efficient clinical decision making and remote consultations.

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“…In order for the international teleradiology model to work, acceptance and approval will be required, not only from the radiology community, but also from referring physicians and their patients 15 . Key factors when considering international teleradiology are shown in Box 3.…”

Section: Rising To the International Challengementioning

confidence: 99%

“…Teleradiology in Australia -ranging from the simple transmission of images from one part of a hospital to another, to the delivery of full-service offsite image reading and reporting -is one of the 1 Issues commonly raised in arguments against the adoption of teleradiology 2,9,11,[13][14][15] • Patient consent most widely used technologies for day-to-day service delivery, management of patients, and mentoring of rural and remote doctors and nurses through interaction with specialist colleagues. 18 Some facts about teleradiology use in Australia are shown in Box 2.…”

Section: The Australian Situationmentioning

confidence: 99%

The changing face of radiology: from local practice to global network

Adler¹,

Yu²,

Datta

2009

Medical Journal of Australia

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Rapid advances in communications and computing technology have opened up new opportunities for clinical teleradiology. The quality of teleradiology reporting, when carried out properly, is on par with onsite reporting, and offers the potential for increased accuracy and improved patient outcomes. Local and international industry organisations and professional bodies are creating standards, policies and protocols for every aspect of teleradiology in response to concerns about the use of this technology. The key factor for the long‐term success of teleradiology has been identified as a commitment to ensuring duty of care to patients (encompassing high‐quality service and patient safety) is the first priority. Evidence indicates that increased use of teleradiology will be a step forward if managed well, but requires a commitment to excellence, patience and perseverance.

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Referring Physicians' Attitudes Toward International Interpretation of Teleradiology Images

Abstract: Referring physicians prefer local interpretation of radiologic images to international interpretation when all things are equal. However, the timeliness of image interpretation and the cost to the patient are important factors in this decision.

Cited by 12 publications

References 6 publications

European Teleradiology now and in the future: results of an online survey

European Teleradiology now and in the future: results of an online survey

Evaluation of a Novel Teleradiology Technology for Image-Based Distant Consultations: Applications in Neurosurgery

The changing face of radiology: from local practice to global network

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