Chest teleradiology in a teaching hospital emergency practice

AJR. American Journal of Roentgenology
R J SteckelH Morrison

Abstract

New standards for hospital accreditation and health care reimbursement may require that faculty subspecialists be more available after regular working hours to supervise residents in academic radiology departments. We designed a receiver operating characteristic study to determine whether a thoracic radiologist who evaluated computed radiography (CR) images of the chest at a home-based teleradiology workstation could add significant value to a junior resident's interpretations of films within the hospital for acutely ill patients. Using a hybrid cassette, we obtained analog chest films and CR images simultaneously for each of 252 acutely ill patients in the emergency department and in an intensive care unit. Interpretations of the analog films by three first-year residents were analyzed for 11 parameters deemed critical for patient management. Likewise, CR images of the same chest studies were viewed on a home teleradiology workstation by a faculty thoracic radiologist who analyzed the images for these 11 interpretive parameters. All interpretations by radiology residents and by the home-based thoracic radiologist were then compared with the interpretations of a consensus panel consisting of another thoracic radiologist and a f...Continue Reading

Citations

Apr 11, 2001·Journal of the American College of Surgeons·B BoulangerF Sands
Feb 24, 2001·Academic Radiology·M E MullinsR A Novelline
Apr 14, 2012·European Journal of Radiology·Julia Fruehwald-PallamarThomas H Helbich
Jul 28, 2004·The American Journal of Medicine·Chaim M Bell, Donald A Redelmeier
May 22, 2002·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Sapal Tachakra
Dec 17, 2004·Australasian Radiology·M Tie, B Koczwara

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