title: Teleradiology in rural imaging centres.
abstract: An economic analysis of a private commercial magnetic resonance (MR) imaging service was carried out. At an expected case-load of 2000 per year, a mid-field MR unit was predicted to cost $470 per case using teleradiology and $544 per case using film and a courier service. Routine and emergency MR services were provided to two communities in Maryland. In a two-year study period, 8083 teleradiology examinations were performed. Digital images were acquired and transmitted without data compression via ISDN at 128 kbit/s to a central diagnostic workstation for interpretation by a team of radiologists. The average transmission time for a typical case of 50 images was 6-8 min. Preliminary interpretations were normally available within 2 h and the final transcribed reports were usually faxed to the physicians' offices within 24 h. The results of a survey indicated that the system was well received by both referring physicians and patients. Costs per case in practice were similar to those predicted.
authors.affiliation: Med-Tel International Corporation, McLean, VA 22102, USA.
authors.forename: M C
authors.initials: MC
authors.lastname: Davis
mesh_terms: D005240:Feasibility Studies; D017048:Health Care Costs; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000191:economics*; D019035:Rural Health Services / Q000191:economics*; D019112:Teleradiology / Q000191:economics*; D014768:Virginia