急诊实时远程放射会诊系统的评价

U. Gulacti, Kasım Turgut, İ. Aydın, Erdal Yavuz, Ebru Arslan, F. Aksoy, Mustafa Gurbuz, Burak Erten, O. Ozcan
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引用次数: 0

摘要

远程放射学包括将所有放射图像传输给远程放射科医生,以确保准确诊断。虽然有各种各样的远程放射学系统,但目前还没有一个被完全接受的实时交互式远程放射学系统。在本研究中,我们分析了在急诊科建立的“包括实时和即时通讯程序(Skype®)的远程放射会诊系统”。回顾性评估2018年1月至2018年6月期间,某医学院培训与研究医院急诊科(ED)实施的远程放射学系统所要求的会诊。该研究共纳入了18284例远程咨询。需要远程会诊的患者平均年龄为40.6±24.8岁(范围:0 ~ 109岁),男性10069例(55.1%)。咨询了17079例(93.4%)CT。CT以颅脑CT(7113, 41.6%)和上下腹CT(5436, 31.8%)居多。核磁共振(mri) 1205例(6.6%)。多数mri为弥散性mri (n = 975, 80.9%)。影像学平均评价时间66.3分钟。在所有咨询中,有7238例(39.6%)的问题或需求是通过放射科医生或急诊医生的互动沟通报告的。它们是:希望加快延迟报告(33.0%,n = 2388),与放射图像相关的问题(32.0%,n = 2316);要求卫生系统技术人员纠正延误问题(11.6%,n = 839)、报告不完整(6.6%,n = 477)、要求加快危重患者报告(6.4%,n = 463)、要求重新评估放射图像(5.2%,n = 376)、要求放射医生提供更多临床信息(2.0%,n = 144)、要求放射医生纠正报告中的陈述或要求披露结果(1.1%,n = 78)、其他原因(2.0%,n = 839)。N = 144)。所有这些问题都通过实时访谈得到了回答和解决。结论:在没有7/24放射科医生的卫生机构中,远程放射系统具有重要意义。本研究显示,在急诊科建立一个结合讯息服务的远程放射会诊系统,可即时解决出现的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the Real-time Teleradiology Consultation System in the Emergency Department
Teleradiology involves the transmission of all radiological images to a radiologist in a remote location to ensure an accurate diagnosis. Although various teleradiology systems exist, there is not a fully accepted real-time interactive teleradiology system yet. In this study, we analyzed “the teleradiology consultation system which includes a real-time and instant messaging program (Skype®)” established in an emergency department. The consultations requested from the teleradiology system implemented in the emergency department (ED) of a Medical Faculty Training and Research Hospital were evaluated between January 2018 and June 2018 retrospectively. A total of 18,284 teleconsultations were included in the study. The mean age of the patients who required teleconsultation was 40.6 ± 24.8 years (range: 0–109 years) and 10,069 (55.1%) were male. And 17,079 (93.4%) computed tomography (CT) was consulted. The majority of CT scans were cranial CT (n = 7113, 41.6%) and upper-lower abdominal CT (n = 5436, 31.8%). And 1205 magnetic resonance imaging (MRIs) (6.6%) were consulted. The majority of MRIs were diffusion MRIs (n = 975, 80.9%). The mean evaluation time of radiological imaging was 66.3 minutes. In 7238 (39.6%) of all consultations, a problem or a demand was reported via interactive communication by radiologists or emergency physicians. They are as follows; the desire to speed up delayed reports (33.0%, n = 2388), problems related to radiological images (32.0%, n = 2316); demand for correction of delay problems from health system technicians (11.6%, n = 839), incomplete reporting (6.6%, n = 477), demand for the acceleration of reports of critical patients (6.4%, n = 463), request for re-evaluation of radiological images (5.2%, n = 376), the demand for additional clinical information of the radiology doctor (2.0%, n = 144), asking radiology doctor the statements in the report or to request for disclosure of findings (1.1%, n = 78), the other reasons (2.0%, n = 144). All of these problems were answered with real-time interviews and solved. Conclusion: The teleradiology system is important in health institutions where there is no 7/24 radiologist. This study showed that the establishment of a teleradiology consultation system integrated with a messaging service in the ED might provide real-time and immediate resolution of the occurring problems.
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