Teleradiology: results of a questionnaire of German radiologists

Bolte, Rike; Walz, M.; Lehmann, K. J.; Hothorn, Torsten; Brill, C; Hothorn, Ludwing A.; Georgi, M

doi:10.1258/1357633981931524

Cited by 9 publications

(9 citation statements)

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“…The estimated values for all Swiss radiologists may therefore range from the values presented in this study to one fifth of these values. However, in comparison with the return rates for other surveys, the return rate in our study is considerably higher [12].…”

Section: Discussioncontrasting

confidence: 77%

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Swiss teleradiology survey: present situation and future trends

Lienemann

Hodler

Luetolf³

et al. 2005

Eur Radiol

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The purpose of this study was to obtain a survey about the present situation including the usage pattern, technical characteristics and the anticipated future of teleradiology in Switzerland. An internet-based questionnaire was made available to all members of the Swiss Society of Radiology. Questions concerning current teleradiology usage, the type of transmitted modalities, the technology employed, security, billing issues and the anticipated future of teleradiology were addressed. One hundred and two (22.67%) of 450 radiologists responded to the survey. Of the total, 41.2% (42) were teleradiology users, 35.3% (36) planned to use teleradiology in the near future and 24.5% (25) did not use or plan to use teleradiology. The mean number of examinations transmitted per month was 198 (range 1-2,000) and the mean distance was 33 km (range 1,250 km). An emergency service was considered the most important purpose (mean score 6.90; minimum 1, maximum 10) for the use of teleradiology, followed by image distribution (mean 6.74) and expert consultation (mean 6.61). The most commonly transmitted modality was computed tomography (mean 8.80), followed by conventional X-rays (8.40) and magnetic resonance imaging (8.32). The most commonly transmitted format was Digital Imaging and Communications in Medicine (DICOM) (66.7%), followed by bitmap/Joint Photographic Experts Group (jpg) (38.1%), using the DICOM send/receive protocol (52.4%), followed by the hypertext transfer protocol (26.2%) and e-mail (21.4%). For security a secure connection (54.8%) followed by encryption (14.3%) and anonymization (9.5%) was used. For the future, image distribution was rated the most important aspect of teleradiology (7.88), followed by emergency (7.22) and expert consultation (6.53). Development of legal regulations is considered most important (8.17), followed by data security guidelines (8.15). Most radiologists believe that insurance companies should pay for the costs of teleradiology (37.3%), followed by the radiologist (33.3%).In conclusion, in Switzerland a wide spectrum of teleradiology applications and technologies is in use. Guidelines and reimbursement issues remain to be solved.

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Section: Discussioncontrasting

confidence: 77%

“…In Switzerland, a wide spectrum of applications of teleradiology is in use. Similar to a large German survey, an emergency teleradiology service is the most important purpose of teleradiology [12,13]. Electronic image distribution is increasingly important in a filmless environment [14].…”

Section: Discussionmentioning

confidence: 99%

Swiss teleradiology survey: present situation and future trends

Lienemann

Hodler

Luetolf³

et al. 2005

Eur Radiol

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“…Auf einer Telemedizinkonferenz 1999 in Straûburg [17] In einer Fragebogenaktion zur Teleradiologie aus dem Jahr 1997 (ANARAD), die an 4400 deutsche Radiologen in mindestens 1000 radiologischen Instituten oder Praxen versandt wurde, wurden gegenwärtige und zukünftige Erfordernisse der Teleradiologie aus der Sicht der Radiologen analysiert [3,18]. Im Gegensatz zu der hiesigen Analyse lag die Responserate lediglich bei 5 % der Radiologen und 15 % der Institute.…”

Section: Diskussionunclassified

Telemedizin in der Pädiatrischen Onkologie - Ergebnisse einer Fragebogenaktion des Kompetenznetzes Pädiatrische Onkologie -

Graf¹,

Paulussen²,

T³

et al. 2002

Klin Padiatr

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1. The need for further detailed information on implementation and for help in technical realization of telemedicine applications was expressed by all participants. 2. The majority expected practical advantages from telemedicine communication and anticipated that telemedicine will increase quality in treating children with cancer. 3. Expert consultation (study chairman, reference radiologists) is stated as to be most important. 4. Thirty-three of 46 physicians (72 %) believe that telemedicine will reduce costs in medical care within the next years. 5. It is anticipated that the introduction of telemedicine is time consuming. 6. The lack of available medical informatics competence and manpower was regarded as the most important obstacle. 7. Data security and standardization, transfer speed and transmission quality are considered most important. 8. Most of the institutions (91 %) use computers in the management of patients. Fourty-four (96 %) are connected to the Internet. 9. Thirty-seven of 46 institutions were prepared to invest in the implementation of telemedicine. This analysis demonstrates that the use of telemedicine is expected to become standard in pediatric oncology, while the existing infrastructure and status of information regarding this subject at present are insufficient. The most pressing practical need for telemedicine applications is seen in the field of electronic expert consultation. Hence, the Telemedicine-Project of the GPOH Competence Net will focus on this aspect first.

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“…In the ANARAD study a questionnaire was sent to 4500 radiologists at the beginning of 1997 [3]. The return rate was approximately 10 % with half of the answers coming from hospital radiologists and half from radiologists from private institutes.…”

Section: Anarad Studymentioning

confidence: 99%

“…The first part demonstrates the current situation of teleradiology in Germany. The evaluation is the result of a questionnaire sent to approximately 4500 radiologist (ANARAD study) [3]. 2.…”

Section: Introductionmentioning

confidence: 99%

Telematics: relevance for effectiveness of radiology

Loose¹

2000

Eur Radiol

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IntroductionIf we look at the definition of telematics and its applications in radiology, we will find a wide range of contributing tools from computer hardware, software, network technique, and signal/image processing [1]. Since the present status and cost-effectiveness of PACS is presented in a separate contribution of the symposium, the current paper focuses on cost-effectiveness and benefit in patient care of teleradiology applications [2]. The presentation is divided into three parts:1. The first part demonstrates the current situation of teleradiology in Germany. The evaluation is the result of a questionnaire sent to approximately 4500 radiologist (ANARAD study) [3]. 2. The second part presents the result of a cost±benefit analysis of three different teleradiology applications in the framework of the KAMEDIN project [4,5]. 3. The third part presents the results of a cost±benefit analysis of teleradiology applications in neurosurgical emergency cases at the University of Greifswald [6]. ANARAD studyIn the ANARAD study a questionnaire was sent to 4500 radiologists at the beginning of 1997 [3]. The return rate was approximately 10 % with half of the answers coming from hospital radiologists and half from radiologists from private institutes. The major part of answers came from radiologists specializing in diagnostic radiology where some of them had additional specialties (possibility of multiple answers: diagnostic radiology 96 %; nuclear medicine 48 %; interventional radiology 39 %; neuroradiology 27 %; pediatric radiology 19 %; radiotherapy 5 %; others 5 %). The evaluation of the technical equipment was done separately for small and big institutes (small institutes with four physicians or less, big institutes with five physicians or more). No significant differences were found in the use of PCs (ca. 80 %) and in the use of networks (ca. 50 %). Significant differences exist in the use of the DICOM standard with 14 % in small institutes and 48 % in big institutes, the use of workstations with 45 % in small institutes and 64 % in big institutes, and the installation of PACS systems with 3 % in small institutes and 19 % in big institutes. The evaluation of the different modalities yield transmissions of CT images by teleradiology in 36 % and transmissions of MR images in 18 %. Eight percent were images from other modalities, and 11 % did not answer the question. An interesting result was the answer that only approximately 50 % of German radiologists feel themselves well informed about teleradiology, and the others have no or poor information. The most important requirements for the current situation of teleradiology are standardization of communications protocol and a definite attachment of the report to the images. Important requirements are data security, stable systems, optimized image quality, and payment for the teleradiology service. Less important requirements are optimized data transfer rates (small differences in transmission speed), interfaces to RIS, additional special functions of the teleradiology ...

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Teleradiology: results of a questionnaire of German radiologists

Cited by 9 publications

References 0 publications

Swiss teleradiology survey: present situation and future trends

Swiss teleradiology survey: present situation and future trends

Telemedizin in der Pädiatrischen Onkologie - Ergebnisse einer Fragebogenaktion des Kompetenznetzes Pädiatrische Onkologie -

Telematics: relevance for effectiveness of radiology

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