Document Detail

Teleradiology for remote diagnosis: a prospective multi-year evaluation.
MedLine Citation:
PMID:  9165418     Owner:  NLM     Status:  MEDLINE    
Teleradiology has been used for nearly 3 years at our institution to provide urgent radiologic interpretations for two outpatient clinics and an affiliated hospital. The purpose of this study was to evaluate the clinical reliability of the existing system. Teleradiology images were interpreted using 1600 x 1200 pixel display stations. The original films from the same cases were subsequently interpreted, usually by another radiologist. The initial and final interpretations were compared. Discrepancies were rated and adjudicated by another senior radiologist. These data were compared to peer review interobserver discrepancy rates. Among the 2688 teleradiology examinations evaluated, there were major discrepancies in 31 (1.5%). In three instances teleradiology rather than film interpretation was considered correct. Abnormalities missed on teleradiology were apparent in all but two at adjudication. Among the 628 peer-review cases, there were 6 (0.96%) major discrepancies. Major teleradiology discrepancy rates are statistically similar to film-based peer review discrepancy rates. Teleradiology is suitable for providing radiologic services to remote medical facilities.
M E Gale; M E Vincent; A H Robbins
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of digital imaging     Volume:  10     ISSN:  0897-1889     ISO Abbreviation:  J Digit Imaging     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-07-21     Completed Date:  1997-07-21     Revised Date:  2013-03-14    
Medline Journal Info:
Nlm Unique ID:  9100529     Medline TA:  J Digit Imaging     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  47-50     Citation Subset:  IM    
Department of Radiology, Department of Veterans Affairs Medical Center, Boston, MA 02130, USA.
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MeSH Terms
Evaluation Studies as Topic
Observer Variation
Outpatient Clinics, Hospital
Peer Review, Health Care
Remote Consultation*

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