Teleradiology based CT colonography to screen a population group of a remote island; at average risk for colorectal cancer

Lefere, Philippe; Silva, Celso; Gryspeerdt, Stefaan; Rodrigues, António; Vasconcelos, Rita P.; Teixeira, Ricardo; Gouveia, Francisco Henriques de

doi:10.1016/j.ejrad.2013.02.010

Cited by 24 publications

(19 citation statements)

References 33 publications

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“…Three of the five screening studies reported per-patient sensitivities for advanced neoplasia ≥6 mm ranging from 84% to 93% (data only provided in De Haan et al 8). One further study published after this review showed similar results 15. No CRCs were missed by CTC in these six screening trials 9–15.…”

Section: Accuracy In Screeningsupporting

confidence: 57%

CT colonography: accuracy, acceptance, safety and position in organised population screening

Haan

Pickhardt

Stoker

2014

Gut

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Colorectal cancer (CRC) is the second most common cancer and second most common cause of cancer-related deaths in Europe. The introduction of CRC screening programmes using stool tests and flexible sigmoidoscopy, have been shown to reduce CRC-related mortality substantially. In several European countries, population-based CRC screening programmes are ongoing or being rolled out. Stool tests like faecal occult blood testing are non-invasive and simple to perform, but are primarily designed to detect early invasive cancer. More invasive tests like colonoscopy and CT colonography (CTC) aim at accurately detecting both CRC and cancer precursors, thus providing for cancer prevention. This review focuses on the accuracy, acceptance and safety of CTC as a CRC screening technique and on the current position of CTC in organised population screening. Based on the detection characteristics and acceptability of CTC screening, it might be a viable screening test. The potential disadvantage of radiation exposure is probably overemphasised, especially with newer technology. At this time-point, it is not entirely clear whether the detection of extracolonic findings at CTC is of net benefit and is cost effective, but with responsible handling, this may be the case. Future efforts will seek to further improve the technique, refine appropriate diagnostic algorithms and study cost-effectiveness.

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Section: Accuracy In Screeningsupporting

confidence: 57%

CT colonography: accuracy, acceptance, safety and position in organised population screening

Haan

Pickhardt

Stoker

2014

Gut

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“…Although studies to evaluate the use of telehealth in sports and musculoskeletal clinics are not available, a similar algorithm called teleradiology has been used for multiple decades. Teleradiology has been shown to have similar diagnostic accuracy as imaging studies interpreted by providers within the same health care system [63,64]. Although teleradiology uses a provider‐to‐provider model (remote radiologists read imaging studies and consult with ordering physicians), a similar provider‐to‐patient interaction in the sports medicine setting is equally feasible and may facilitate timely and convenient follow‐up of diagnostic imaging.…”

Section: Outpatient Musculoskeletal Care and Sports Medicinementioning

confidence: 99%

Telehealth in Physical Medicine and Rehabilitation: A Narrative Review

Tenforde

Hefner

Kodish-Wachs

et al. 2017

PM&R

160

127

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Telehealth refers to health care interactions that leverage telecommunication devices to provide medical care outside the traditional face-to-face, in-person medical encounter. Technology advances and research have expanded use of telehealth in health care delivery. Physical medicine and rehabilitation providers may use telehealth to deliver care to populations with neurologic and musculoskeletal conditions, commonly treated in both acute care and outpatient settings. Patients with impaired mobility and those living in locations with reduced access to care may particularly benefit. Video-teleconferencing has been shown to be effective for management of burn patients during acute rehabilitation, including reduced health care use expenses and less disruptions to care. Telehealth can facilitate developing interprofessional care plans. Patients with neurologic conditions including stroke, spinal cord injury, traumatic brain injury, and amyotrophic lateral sclerosis may use telehealth to monitor symptoms and response to treatment. Telehealth also may facilitate occupational and physical therapy programs as well as improve weight management and skin care in patients with chronic conditions. Other applications include imaging review in sports medicine, symptom management and counseling in concussion, traumatic brain injury, and pain management programs. Limitations of telehealth include barriers in establishing relationship between medical provider and patient, ability to perform limited physical examination, and differences in payment models and liability coverage. The expansion of telehealth services is expected to grow and has potential to improve patient satisfaction by delivering high quality and value of care.

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“…144 Early diagnosis and treatment are necessary for a successful outcome. All patients underwent CT colonoscopy and optical colonography, and the data were sent to a radiologist at a remote center through telemedicine for interpretation.…”

Section: Health Outcomesmentioning

confidence: 99%

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Bashshur

Krupiński

Thrall

et al. 2016

Telemedicine and e-Health

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Introduction: Radiology was founded on a technological discovery by Wilhelm Roentgen in 1895. Teleradiology also had its roots in technology dating back to 1947 with the successful transmission of radiographic images through telephone lines. Diagnostic radiology has become the eye of medicine in terms of diagnosing and treating injury and disease. This article documents the empirical foundations of teleradiology. Methods: A selective review of the credible literature during the past decade (2005-2015) was conducted, using robust research design and adequate sample size as criteria for inclusion. Findings: The evidence regarding feasibility of teleradiology and related information technology applications has been well documented for several decades. The majority of studies focused on intermediate outcomes, as indicated by comparability between teleradiology and conventional radiology. A consistent trend of concordance between the two modalities was observed in terms of diagnostic accuracy and reliability. Additional benefits include reductions in patient transfer, rehospitalization, and length of stay.

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Teleradiology based CT colonography to screen a population group of a remote island; at average risk for colorectal cancer

Cited by 24 publications

References 33 publications

CT colonography: accuracy, acceptance, safety and position in organised population screening

CT colonography: accuracy, acceptance, safety and position in organised population screening

Telehealth in Physical Medicine and Rehabilitation: A Narrative Review

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

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