title: Telemedicine systems in organ transplantation: a feasibility and reliability study of the integrated teleradiological and tele-pathological evaluation of the cardiac graft.
abstract: Aim. Feasibility and reliability of the integrated Tele-Radiological (TRE) and Tele-Pathological (TPE) evaluation of the Cardiac Graft (CG) on Telemedicine Systems.
  
  
  METHODS
  Sensitivity-specificity analysis by a simulation of TRE of CG on 15 MR thoracic images by two radiologists and of TPE by 20 specialists based on total 100 human CG digital images, assessing injuries/trauma and lesions.
  
  
  RESULTS
  Integration of TRE and TPE of CG for remote diagnosis showed an accuracy for: injuries/trauma/hematoma=90.9-100%, and non-neoplastic lesions=94.3%.
  
  
  CONCLUSIONS
  Integration of TRE and TPE of CG is feasible and reliable for Heart Pre-Grafting and Pre-Transplant decision support and planning.
authors.affiliation: Surgical Laboratory C.TOUNTAS, Aretaieion University Hospital of Athens, National and Kapodistrian University of Athens (NKUA).
authors.forename: Constantinos S
authors.initials: CS
authors.lastname: Mammas
authors.affiliation: Surgical Laboratory C.TOUNTAS, Aretaieion University Hospital of Athens, National and Kapodistrian University of Athens (NKUA).
authors.forename: Spyros
authors.initials: S
authors.lastname: Geropoulos
authors.affiliation: Department of Pathology, School of Medicine, (NKUA).
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Kavantzas
authors.affiliation: Aretaieion University Hospital of Athens, Department of Radiology.
authors.forename: Achilles
authors.initials: A
authors.lastname: Chanjiioannou
authors.affiliation: Aretaieion University Hospital of Athens, Department of Radiology.
authors.forename: Constantinos
authors.initials: C
authors.lastname: Doteiras
authors.affiliation: Surgical Laboratory C.TOUNTAS, Aretaieion University Hospital of Athens, National and Kapodistrian University of Athens (NKUA).
authors.forename: George
authors.initials: G
authors.lastname: Saatsakis
authors.affiliation: Laboratory of Clinical Applications, Faculty of Nursing (NKUA).
authors.forename: Chryssa
authors.initials: C
authors.lastname: Lemonidou
authors.affiliation: Department of Pathology, School of Medicine, (NKUA).
authors.forename: Eustratios
authors.initials: E
authors.lastname: Patsouris
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000379:methods / Q000458:organization & administration*; D005240:Feasibility Studies; D006084:Graft Rejection / Q000000981:diagnostic imaging / Q000209:etiology / Q000517:prevention & control*; D006115:Greece; D016027:Heart Transplantation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D018511:Systems Integration; D019113:Telepathology / Q000458:organization & administration*; D019112:Teleradiology / Q000458:organization & administration*; D020858:Tissue and Organ Harvesting / Q000009:adverse effects / Q000379:methods*