Using the Internet for Image Transfer in a Regional Trauma Network: Effect on CT Repeat Rate, Cost, and Radiation Exposure

Flanagan, Patrick T.; Relyea-Chew, Annemarie; Gross, Joel A.; Gunn, Martin L.

doi:10.1016/j.jacr.2012.04.014

Cited by 31 publications

(30 citation statements)

References 26 publications

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“…The U.S. study (retrospective cohort, n = 491) evaluated an Internet-based and compact disc-based image transfer system with other available systems in terms of repeat imaging rate, cost, and radiation dose among patients transferred to a level I regional trauma center, involving four states, Alaska, Washington, Montana, and Idaho. 153 The sample consisted of 500 consecutive trauma patients who were transferred from an initial assessing hospital. The average Injury Severity Score (a standardized severity of major traumatic injury of six body systems) was 14.7; average age was 40.5 years, and 70% were men.…”

Section: Cost Implicationsmentioning

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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Section: Cost Implicationsmentioning

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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“…Easy accessibility to historical exams on either CD or via the internet can diminish this phenomena (73,74) . CDs, representing a significant improvement beyond sharing on film, remain fraught with problems, (71,72) ranging from damaged discs to proprietary formats not readable universally.…”

Section: Radiology In the Cloudmentioning

confidence: 99%

Imaging Informatics

Mendelson¹,

Rubin²

2013

Academic Radiology

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“…Diminish inappropriate utilization (duplicate exams) by making prior and complementary exams easily accessible, thus reducing health-care costs [4,5]…”

Section: Overviewmentioning

confidence: 99%

Image Sharing: Evolving Solutions in the Age of Interoperability

Mendelson

Erickson

Choy

2014

Journal of the American College of Radiology

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Interoperability is a major focus of the quickly evolving world of Health Information Technology. Easy, yet secure and confidential exchange of imaging exams and the associated reports must be a part of the solutions that are implemented. The availability of historical exams is essential in providing a quality interpretation and reducing inappropriate utilization of imaging services. Today exchange of imaging exams is most often achieved via a CD. We describe the virtues of this solution as well as challenges that have surfaced. Internet and cloud based technologies employed for many consumer services can provide a better solution. Vendors are making these solutions available. Standards for internet based exchange are emerging. Just as Radiology converged on DICOM as a standard to store and view images we need a common exchange standard. We will review the existing standards, and how they are organized into useful workflows through Integrating the Healthcare Enterprise (IHE) profiles. IHE and standards development processes are discussed. Healthcare and the domain of Radiology must stay current with quickly evolving internet standards. The successful use of the “cloud” will depend upon both the technologies we discuss and the policies put into place around these technologies. We discuss both aspects. The Radiology community must lead the way and provide a solution that works for radiologists and clinicians in the Electronic Medical Record (EMR). Lastly we describe the features we believe radiologists should consider when considering adding internet based exchange solutions to their practice.

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Using the Internet for Image Transfer in a Regional Trauma Network: Effect on CT Repeat Rate, Cost, and Radiation Exposure

Cited by 31 publications

References 26 publications

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

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

Imaging Informatics

Image Sharing: Evolving Solutions in the Age of Interoperability

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