Teleradiology in Europe

Caramella, Davide; Reponen, Jarmo; Fabbrini, Fabrizio; Bartolozzi, Carlo

doi:10.1016/s0720-048x(99)00104-7

Cited by 24 publications

(7 citation statements)

References 22 publications

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“…Teleradiology is a highly evaluated and widely used method despite its high costs and technical complexity [1], [2]. In the surgical field, no additional benefits from teleradiology have resulted due to existing financial, technical and legal obstacles (Tables 1, 2).…”

Section: Introductionmentioning

confidence: 99%

Image and Diagnosis Quality of X-Ray Image Transmission via Cell Phone Camera: A Project Study Evaluating Quality and Reliability

et al. 2012

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IntroductionDevelopments in telemedicine have not produced any relevant benefits for orthopedics and trauma surgery to date. For the present project study, several parameters were examined during assessment of x-ray images, which had been photographed and transmitted via cell phone.Materials and MethodsA total of 100 x-ray images of various body regions were photographed with a Nokia cell phone and transmitted via email or MMS. Next, the transmitted photographs were reviewed on a laptop computer by five medical specialists and assessed regarding quality and diagnosis.ResultsDue to their poor quality, the transmitted MMS images could not be evaluated and this path of transmission was therefore excluded. Mean size of transmitted x-ray email images was 394 kB (range: 265–590 kB, SD ±59), average transmission time was 3.29 min ±8 (CI 95%: 1.7–4.9). Applying a score from 1–10 (very poor - excellent), mean image quality was 5.8. In 83.2±4% (mean value ± SD) of cases (median 82; 80–89%), there was agreement between final diagnosis and assessment by the five medical experts who had received the images. However, there was a markedly low concurrence ratio in the thoracic area and in pediatric injuries.DiscussionWhile the rate of accurate diagnosis and indication for surgery was high with a concurrence ratio of 83%, considerable differences existed between the assessed regions, with lowest values for thoracic images. Teleradiology is a cost-effective, rapid method which can be applied wherever wireless cell phone reception is available. In our opinion, this method is in principle suitable for clinical use, enabling the physician on duty to agree on appropriate measures with colleagues located elsewhere via x-ray image transmission on a cell phone.

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Section: Introductionmentioning

confidence: 99%

Image and Diagnosis Quality of X-Ray Image Transmission via Cell Phone Camera: A Project Study Evaluating Quality and Reliability

et al. 2012

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“…In addition, some legal issues, mainly regarding liability, and issues related to patient privacy and patient safety, as yet remain unsolved. 7,[15][16][17] On the other hand, the major problems in Turkish models are similar to those in European models. Primary-reading teleradiology in Turkey have many serious problems such as unregistered, unlicensed, lowquality ghost reporting.…”

Section: 7-9mentioning

confidence: 81%

The Use of Teleradiology in Turkey: Current Situation and Attitudes of Radiologists

Petik¹,

Şirik²,

Çolak³

et al. 2015

Turkiye Klinikleri J Med Sci

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : In this study, we aimed to evaluate the teleradiology use in the daily practices of the radiologists and the attitudes regarding the use of teleradiology in Turkey. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The descriptive cross-sectional study was based on a 27-item questionnaire which was administered online and through in-person structured interviews. The questionnaires that were duly filled and returned within one year were included in the study. R Re es su ul lt ts s: : A total of 226 radiologists participated in the study. Of these, 67 (29.6%) were working at university hospitals, 45 (19.9%) at training and research hospitals, 59 (26.1%) at state hospitals, 55 (24.3%) at private hospitals. Level of teleradiology knowledge was revealed as very little in 2.2%, little in 14.2%, moderate in 43.4%, considerable in 26.1%, and expert in 14.2%. The most common format for transmission of teleradiology data was Digital Imaging and Communications in Medicine (DICOM) 3.0 (63.3%). The most common disadvantage of teleradiology was revealed as insufficient integration of clinical history (62.8%). The majority expressed a positive opinion regarding the spread of teleradiology in Turkey (73%). C Co on nc cl lu us si io on n: : A wide usage of teleradiology throughout Turkey was revealed although most of the radiologists have limited information regarding the use of teleradiology. The participants have a positive attitude towards the spread of teleradiology.K Ke ey y W Wo or rd ds s: : Radiology information systems; teleradiology; telemedicine Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmada, ülkemizde radyologların günlük pratiklerinde teleradyoloji kullanım sıklığını, teleradyoloji kullanımına ait ayrıntıları ve teleradyolojiye ait tutumlarını değerlen-dirmeyi amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Tanımlayıcı kesitsel olarak planlanan bu çalışmada, 27 sorudan oluşan anketin bir kısmı elektronik posta ile bir kısmı ise elden dağıtılan anketlerin doldurulması ile elde edildi. Bir yıllık bir süre içerisinde tam ve hatasız doldurularak geri gön-derilen anketler çalışmaya dâhil edildi. B Bu ul lg gu ul la ar r: : İki yüz yirmi altı anketin değerlendirmeye alındığı çalışmada, katılımcı radyologların %29,6 (67)'sının üniversite, %19,9 (45)'unun eğitim ve araştırma hastanesinde, %26,1 (59)'inin devlet hastanesinde, %24,3 (55)'ünün özel hastanelerde çalıştığı gözlendi. Öte yandan katılımcıların %2,2'sinin teleradyoloji hakkında hiç, %14,2'sinin az, %43,4'ünün orta, %26,1'inin fazla, %14,2'sinin çok fazla düzeyde bilgi sahibi olduğu saptandı. En sık %63,3 kullanılan teleradyolojik yöntemin radyologlara elektronik posta vb. yollarla DICOM 3.0 (Digital Imaging and Communications in Medicine) kullanılarak hasta görüntüleri göndermek (depola ve gönder) şeklinde yapıldığı öğrenildi. Teleradyolojinin en sık dezavantajının klinik bilgi yetersizliği olduğu ortaya konuldu (62,8%). Teleradyolojinin ülke-mizde standartlara uygun bir şekilde yaygınla...

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“…Approximately 8 h after presentation, the patient was found dead during a nursing round. It was not [1][2][3]. Il termine, di per sé "autolimitante" [4], va riferito ad una metodologia innovativa -ed in rapida diffusionederivante dall'applicazione dei sistemi di telecomunicazione alle richieste sanitarie, con ottimizzazione delle attività gestionali riguardo al complesso dei dati e delle informazioni clinico-sanitarie [5].…”

Section: Methodsunclassified