Personal computer teleradiology interhospital image transmission to facilitate tertiary pediatric telephone consultation and patient transfer: soft-tissue lateral neck and elbow radiographs.
Although teleradiology systems are available commercially, they are expensive ($30,000), and different makes are incompatible with each other, making them unusable for interhospital image transfers. Standard components were added to a personal computer (PC) to build a functional teleradiology unit capable of interhospital image transmission at a low cost ($600 upgrade). This PC teleradiology system was studied to assess its accuracy in the interpretation of soft-tissue lateral neck x-rays with epiglottitis or retropharyngeal abscesses and elbow x-rays with joint effusions, fractures, or both. A radiologist and a pediatric emergency physician were asked to read the PC teleradiology images. Both physicians read 13 of 13 soft-tissue lateral neck x-rays and 15 of 15 elbow x-rays correctly. This study supports the premise that PC teleradiology can be used to facilitate telephone consultation and patient transfers between tertiary pediatric emergency centers by transmitting pertinent radiographic information over a phone line. Although verbal communication can often suffice in a telephone consultation or transfer, there are many instances when visualizing a radiographic image such as an x-ray or computed tomography scan can provide important information that cannot be optimally described verbally. Rural hospitals can form interhospital image transmission links with tertiary center resources. Tertiary centers may elect to organize interhospital image transmission and referral networks with their rural hospital sources.
Emergency Services, University of Hawaii John A. Burns School of Medicine, Honolulu.
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Yamamoto
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Inaba
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DiMauro
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004550:Elbow / Q000000981:diagnostic imaging* / Q000503:physiopathology; D004825:Epiglottis / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006780:Hospitals, Rural; D006801:Humans; D007231:Infant, Newborn; D007373:Interinstitutional Relations; D007592:Joint Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000503:physiopathology; D008838:Microcomputers / Q000706:statistics & numerical data*; D009333:Neck / Q000000981:diagnostic imaging*; D010360:Patient Transfer; D010372:Pediatrics; D010608:Pharyngeal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000503:physiopathology; D011859:Radiography; D012017:Referral and Consultation; D016636:Telefacsimile / Q000706:statistics & numerical data*; D017216:Telemedicine / Q000191:economics / Q000706:statistics & numerical data*; D013689:Telephone