title: A simple telemedicine system using a digital camera.
abstract: Radiographs on a viewing box were photographed at a remote hospital in South Africa using a digital camera with a resolution of 1024 x 768 pixels at 24-bit colour depth. The resultant images were stored in JPEG format and transmitted as email attachments to be read on a PC monitor by radiologists in Durban and Cape Town. Twenty-seven images were received, of which 23 were of diagnostic quality (85%). The mean file size was 120 kByte. For quality control purposes, 100 chest radiographs were photographed at a base hospital and read by a radiologist blinded to the diagnosis. In this study 96 images were of diagnostic quality (96%) and the correct diagnosis was made in 90 cases (94%). Incorrect readings were made in six cases (6%): small pulmonary nodules (less than 1 cm in diameter) were missed in five cases and in one case early apical tuberculosis was missed. Digital camera technology permits simple, inexpensive telemedicine. Limited spatial resolution is a concern when reading chest images with small pulmonary nodules and infiltrates.
authors.affiliation: Department of Radiology, University of Natal, South Africa. corr@med.und.ac.za
authors.forename: P
authors.initials: P
authors.lastname: Corr
authors.forename: I
authors.initials: I
authors.lastname: Couper
authors.forename: S J
authors.initials: SJ
authors.lastname: Beningfield
authors.forename: M
authors.initials: M
authors.lastname: Mars
mesh_terms: D006801:Humans; D010865:Pilot Projects; D011859:Radiography; D019035:Rural Health Services; D013019:South Africa; D019112:Teleradiology / Q000295:instrumentation* / Q000592:standards; D013898:Thoracic Injuries / Q000000981:diagnostic imaging