A multisite telemammography system for remote management of screening mammography: an assessment of technical, operational, and clinical issues.
OBJECTIVE: This paper describes a high-quality, multisite telemammography system to enable 'almost real-time' remote patient management while the patient remains in the clinic. One goal is to reduce the number of women who would physically need to return to the clinic for additional imaging procedur...
| Publicado en: | Journal of Digital Imaging Vol. 19; no. 3; pp. 216 - 226 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Sep2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106184722&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106184722 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08971889 DOQ jtl: Journal of Digital Imaging issn: 08971889 maglogo: N pubinfo: dt: Sep2006 vid: 19 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 106184722 2009522340 10.1007/s10278-006-0585-9 NLM16710798 106184722 ppf: 216 ppct: 10 formats: fmt: @attributes: type: P tig: atl: A multisite telemammography system for remote management of screening mammography: an assessment of technical, operational, and clinical issues. aug: au: Leader JK Hakim CM Ganott MA Chough DM Wallace LP Clearfield RJ Perrin RL Drescher JM Maitz GS Sumkin JH Gur D affil: Imaging Research Division, Department of Radiology, University of Pittsburgh, 300 Halket Street, Suite 4200, Pittsburgh, PA, 15213, USA. leaderjk@upmc.edu sug: subj: Breast Neoplasms Radiography Health Screening Mammography Teleradiology Ambulatory Care Facilities Breast Neoplasms Epidemiology Computer Communication Networks Computer Simulation Computers and Computerization Female Image Processing, Computer Assisted Management Information Systems Observer Bias Radiographic Image Interpretation, Computer-Assisted Radiology Information Systems Software Study Design Human Female ab: OBJECTIVE: This paper describes a high-quality, multisite telemammography system to enable 'almost real-time' remote patient management while the patient remains in the clinic. One goal is to reduce the number of women who would physically need to return to the clinic for additional imaging procedures (termed 'recall') to supplement 'routine' imaging of screening mammography. MATERIALS AND METHODS: Mammography films from current and prior (when available) examinations are digitized at three remote sites and transmitted along with other pertinent information across low-level communication systems to the central site. Images are automatically cropped, wavelet compressed, and encrypted prior to transmission to the central site. At the central site, radiologists review and rate examinations on a high-resolution workstation that displays the images, computer-assisted detection results, and the technologist's communication. Intersite communication is provided instantly via a messaging 'chat' window. RESULTS: The technologists recommended additional procedures at 2.7 times the actual clinical recall rate for the same cases. Using the telemammography system during a series of 'off-line' clinically simulated studies, radiologists recommended additional procedures at 1.3 times the actual clinical recall rate. Percent agreement and kappa between the study and actual clinical interpretations were 66.1% and 0.315, respectively. For every physical recall potentially avoided using the telemammography system, approximately one presumed 'unnecessary' imaging procedure was recommended. CONCLUSION: Remote patient management can reduce the number of women recalled by as much as 50% without performing an unreasonable number of presumed 'unnecessary' procedures. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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