Diagnostic accuracy of chest X-rays acquired using a digital camera for low-cost teleradiology.
Store-and-forward telemedicine, using e-mail to send clinical data and digital images, offers a low-cost alternative for physicians in developing countries to obtain second opinions from specialists. To explore the potential usefulness of this technique, 91 chest X-ray images were photographed using a digital camera and a view box. Four independent readers (three radiologists and one pulmonologist) read two types of digital (JPEG and JPEG2000) and original film images and indicated their confidence in the presence of eight features known to be radiological indicators of tuberculosis (TB). The results were compared to a "gold standard" established by two different radiologists, and assessed using receiver operating characteristic (ROC) curve analysis. There was no statistical difference in the overall performance between the readings from the original films and both types of digital images. The size of JPEG2000 images was approximately 120KB, making this technique feasible for slow internet connections. Our preliminary results show the potential usefulness of this technique particularly for tuberculosis and lung disease, but further studies are required to refine its potential.
Szot
Agnieszka
A
Department of Radiology, Brigham and Women's Hospital, Boston MA, USA.
Jacobson
Francine L
FL
Munn
Samson
S
Jazayeri
Darius
D
Nardell
Edward
E
Harrison
David
D
Drosten
Ralph
R
Ohno-Machado
Lucila
L
Smeaton
Laura M
LM
Fraser
Hamish S F
HS
D044962:Data Compression; D003906:Developing Countries; D034742:Electronic Mail; D006801:Humans; D010781:Photography / Q000295:instrumentation* / Q000379:methods; D011786:Quality Control; D012372:ROC Curve; D011856:Radiographic Image Enhancement / Q000295:instrumentation* / Q000379:methods; D013902:Radiography, Thoracic; D011873:Radiology Information Systems / Q000592:standards*; D019114:Remote Consultation / Q000295:instrumentation*; D015203:Reproducibility of Results; D019112:Teleradiology / Q000295:instrumentation*; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging*