Subspecialty radiology consultation by interactive telemedicine.

Abstract:

:This investigation tested the hypothesis that interactive, low-resolution telemedicine is an effective method for radiologists' consultations. The case material consisted of radiographs and digital images from patients with 14 paediatric diseases readily diagnosed by imaging, and 10 matched controls. The original images were first evaluated by a general radiologist, who entered a diagnosis. He or she then discussed the case with a paediatric radiologist who had access to the same images via low-resolution interactive video. Following the consultation the general radiologist could change diagnosis. The experimental subjects were three teams of general and paediatric radiologists. Observer-performance and case-comparison methods were used for analysis. The results showed that the general radiologists' diagnostic accuracy improved after telemedicine consultation with the subspecialist, the area under the ROC curve improving from 0.648 to 0.709. The interactive consultation was judged valuable by all participants. We conclude that low-resolution interactive telemedicine is of value for consultation between generalists and subspecialists in radiology.

journal_name

J Telemed Telecare

authors

Franken EA Jr,Berbaum KS

doi

10.1258/1357633961929141

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

35-41

issue

1

eissn

1357-633X

issn

1758-1109

journal_volume

2

pub_type

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