Diagnostic concordance between mobile interfaces and conventional workstations for emergency imaging assessment.

Introduction: Mobile devices and software are now available with sufficient computing power, speed and complexity to allow for real-time interpretation of radiology exams. In this paper, we perform a multivariable user study that investigates concordance of image-based diagnoses provided using mobil...

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Publicado en:International Journal of Medical Informatics Vol. 113; pp. 1 - 9
Autores principales: Venson, José Eduardo, Bevilacqua, Fernando, Berni, Jean, Onuki, Fabio, Maciel, Anderson
Formato: research Journal Article
Publicado: Elsevier B.V. May2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2018
      vid: 113
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.ijmedinf.2018.01.019
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        atl: Diagnostic concordance between mobile interfaces and conventional workstations for emergency imaging assessment.
      aug:
        au:
          Venson, José Eduardo
          Bevilacqua, Fernando
          Berni, Jean
          Onuki, Fabio
          Maciel, Anderson
        affil: Instituto de Informática, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
      sug:
        subj:
          Diagnostic Imaging Methods
          User-Computer Interface
          Teleradiology Equipment and Supplies
          Emergency Medical Services
          Mobile Applications
          Image Processing, Computer Assisted Methods
          Human
          Male
          Risk Assessment
          Remote Consultation
          Magnetic Resonance Imaging Methods
          Female
          Tomography, X-Ray Computed Methods
          Radiography
          Software
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Male
          Female
      ab: Introduction: Mobile devices and software are now available with sufficient computing power, speed and complexity to allow for real-time interpretation of radiology exams. In this paper, we perform a multivariable user study that investigates concordance of image-based diagnoses provided using mobile devices on the one hand and conventional workstations on the other hand.Methods: We performed a between-subjects task-analysis using CT, MRI and radiography datasets. Moreover, we investigated the adequacy of the screen size, image quality, usability and the availability of the tools necessary for the analysis. Radiologists, members of several teams, participated in the experiment under real work conditions. A total of 64 studies with 93 main diagnoses were analyzed.Results: Our results showed that 56 cases were classified with complete concordance (87.69%), 5 cases with almost complete concordance (7.69%) and 1 case (1.56%) with partial concordance. Only 2 studies presented discordance between the reports (3.07%). The main reason to explain the cause of those disagreements was the lack of multiplanar reconstruction tool in the mobile viewer. Screen size and image quality had no direct impact on the mobile diagnosis process.Conclusion: We concluded that for images from emergency modalities, a mobile interface provides accurate interpretation and swift response, which could benefit patients' healthcare.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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