The iPad Tablet Computer for Mobile On-Call Radiology Diagnosis? Auditing Discrepancy in CT and MRI Reporting

John, Sindhu; Poh, Angeline Choo Choo; Lim, C. C. Tchoyoson; Chan, Elizabeth Hui-Ying; Chong, Le Roy

doi:10.1007/s10278-012-9485-3

Cited by 71 publications

(55 citation statements)

References 16 publications

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“…A recent study also suggested the potential of the first generation iPad as an excellent teleradiologic device for CT and MR which used a mobile OsiriX® for DICOM image displaying software; however, the iPad were not connected to the PACS network due to security issues. Instead, they transferred the DICOM images of the studies from the PACS server to a portable hard disk and subsequently wirelessly transmitted to the iPads via a Macbook laptop (Apple Inc., Cupertino, CA, USA), not having investigated full teleradiology [28].…”

Section: Discussionmentioning

confidence: 99%

An Assessment of the iPad 2 as a CT Teleradiology Tool Using Brain CT with Subtle Intracranial Hemorrhage Under Conventional Illumination

Park¹,

Lee²,

Kang³

2013

J Digit Imaging

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We examined the potential of the iPad 2 as a teleradiologic tool for evaluating brain computed tomography (CT) with subtle hemorrhage in the conventional lighting conditions which are common situations in the remote CT reading. The comparison of the clinician's performance was undertaken through detecting hemorrhage by the iPad 2 and the clinical liquid crystal display (LCD) monitor. We selected 100 brain CT exams performed for head trauma or headache. Fifty had subtle radiological signs of intracranial hemorrhage (ICH), while the other 50 showed no significant abnormality. Five emergency medicine physicians reviewed these brain CT scans using the iPad 2 and the LCD monitor, scoring the probability of ICH on each exam on a five-point scale. Result showed high sensitivities and specificities in both devices. We generated receiver operating characteristic curves and calculated the average area under the curve of the iPad 2 and the LCD (0.935 and 0.900). Using the iPad 2 and reliable internet connectivity, clinicians can provide remote evaluation of brain CT with subtle hemorrhage under suboptimal viewing condition. Considering the distinct advantages of the iPad 2, the popular out-of-hospital use of mobile CT teleradiology would be anticipated soon.

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Section: Discussionmentioning

confidence: 99%

An Assessment of the iPad 2 as a CT Teleradiology Tool Using Brain CT with Subtle Intracranial Hemorrhage Under Conventional Illumination

Park¹,

Lee²,

Kang³

2013

J Digit Imaging

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“…The authors concluded, ''The results of the present study support the use of an outsourced after-hours teleradiology reporting service ..'' From Singapore, the performance of an iPad tablet computer was compared with PACS workstation in terms of diagnostic discrepancies in CT and MRI reporting in emergency. 129 Three radiologists reviewed 264 readings (79 CT and 9 MRI studies). The results indicated 3.4% (15 of 264) having major discrepancies and 5.6% (5 of 264) having minor discrepancies.…”

Section: Teleradiology Evidencementioning

confidence: 99%

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Bashshur

Krupiński

Thrall

et al. 2016

Telemedicine and e-Health

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Introduction: Radiology was founded on a technological discovery by Wilhelm Roentgen in 1895. Teleradiology also had its roots in technology dating back to 1947 with the successful transmission of radiographic images through telephone lines. Diagnostic radiology has become the eye of medicine in terms of diagnosing and treating injury and disease. This article documents the empirical foundations of teleradiology. Methods: A selective review of the credible literature during the past decade (2005-2015) was conducted, using robust research design and adequate sample size as criteria for inclusion. Findings: The evidence regarding feasibility of teleradiology and related information technology applications has been well documented for several decades. The majority of studies focused on intermediate outcomes, as indicated by comparability between teleradiology and conventional radiology. A consistent trend of concordance between the two modalities was observed in terms of diagnostic accuracy and reliability. Additional benefits include reductions in patient transfer, rehospitalization, and length of stay.

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“…One reason for the broad acceptance of TC lies with their compact design and portability thus making TC interesting for medical or research applications too [2][3][4][5][6][7][8][9][10]. Another, if not even more important feature, is their intuitive interface with direct on-screen interaction.…”

Section: Introductionmentioning

confidence: 99%

iPad-Based Patient Briefing for Radiological Examinations—a Clinical Trial

et al. 2014

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To analyze if an iPad-based patient briefing can serve as a digital alternative to conventional documentations prior to radiological examinations. One hundred one patients referred for routine MRI were randomized into two groups, who underwent iPad-based and classic written briefing in opposite order. For each briefing completion time, completeness and correctness were noted. Patient's knowledge about the content of either briefing modality was subsequently tested. The influence of patient-related factors on the performance of the electronic briefing (EB) was analyzed. Finally, the patient's subjective impression of the EB was assessed. The mean durations were 4.4±2.2 min for EB and 1.7±1.3 min for the classic briefing (p<0.01). All iPad briefings were returned entirely filled out, whereas 11 % of the classic forms were returned with missing data. No significant differences in memorization of the briefing's information were objectified. There was a positive correlation between the duration of EB and age (r=0.53; p<0.01), whereas a negative correlation was found between computer skills and patient's age (r=−0.55; p<0.01) or duration of EB (r=−0.62; p<0.01). More than half of the study patients would prefer EB in the future; another 29 % had no preference at all. Patient briefing on iPads transfers the information for the patients equally well compared to the classic written approach. Although iPad briefing took patients longer to perform, the majority would prefer it to written consent briefings in the future. Nevertheless, measures have to be undertaken to improve the overall acceptance and performance.

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The iPad Tablet Computer for Mobile On-Call Radiology Diagnosis? Auditing Discrepancy in CT and MRI Reporting

Cited by 71 publications

References 16 publications

An Assessment of the iPad 2 as a CT Teleradiology Tool Using Brain CT with Subtle Intracranial Hemorrhage Under Conventional Illumination

An Assessment of the iPad 2 as a CT Teleradiology Tool Using Brain CT with Subtle Intracranial Hemorrhage Under Conventional Illumination

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

iPad-Based Patient Briefing for Radiological Examinations—a Clinical Trial

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