J Telemed Telecare - Development and evaluation of a PDA-based teleradiology terminal in thyroid nodule diagnosis.

Tópicos

{ case(1353) use(1143) diagnosi(1136) }
{ assess(1506) score(1403) qualiti(1306) }
{ method(984) reconstruct(947) comput(926) }
{ monitor(1329) mobil(1314) devic(1160) }
{ system(1050) medic(1026) inform(1018) }
{ visual(1396) interact(850) tool(830) }
{ group(2977) signific(1463) compar(1072) }
{ design(1359) user(1324) use(1319) }
{ can(774) often(719) complex(702) }
{ patient(2837) hospit(1953) medic(668) }
{ bind(1733) structur(1185) ligand(1036) }
{ method(1219) similar(1157) match(930) }
{ network(2748) neural(1063) input(814) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ model(2656) set(1616) predict(1553) }
{ intervent(3218) particip(2042) group(1664) }
{ use(1733) differ(960) four(931) }
{ survey(1388) particip(1329) question(1065) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ featur(3375) classif(2383) classifi(1994) }
{ clinic(1479) use(1117) guidelin(835) }
{ control(1307) perform(991) simul(935) }
{ care(1570) inform(1187) nurs(1089) }
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{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
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{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
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{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

We developed a wireless personal digital assistant (PDA)-based teleradiology terminal which allowed a secure connection to the hospital's Picture Archiving and Communication System (PACS) through the DICOM protocol. Ten members of the hospital's medical staff completed a questionnaire about its mobility, usability, stability, performance and diagnostic efficiency in a real health-care environment. There was a high degree of satisfaction with the system's mobility (mean score 4.1, SD 1.0, on a five-point scale), usability (mean score 4.2, SD 1.1), stability (mean score 3.9, SD 0.4) and performance (mean score 4.2, SD 0.6). The system was evaluated as a tool for providing assistance in diagnosing thyroid nodules from ultrasound images. A total of 144 ultrasound images with thyroid nodules were assessed by an expert. Six image quality attributes were evaluated. The physician concluded that the ultrasound thyroid images on the PDA screen were of similar quality to those displayed on a diagnostic visual display unit screen. However, the expert found difficulties in diagnosing microcalcification, internal echo texture and vascularity. The PDA terminal provided rapid, secure and convenient portable access to PACS images and the image quality was sufficient for diagnostic interpretation of ultrasound images of the thyroid.

Resumo Limpo

develop wireless person digit assist pdabas teleradiolog termin allow secur connect hospit pictur archiv communic system pac dicom protocol ten member hospit medic staff complet questionnair mobil usabl stabil perform diagnost effici real healthcar environ high degre satisfact system mobil mean score sd fivepoint scale usabl mean score sd stabil mean score sd perform mean score sd system evalu tool provid assist diagnos thyroid nodul ultrasound imag total ultrasound imag thyroid nodul assess expert six imag qualiti attribut evalu physician conclud ultrasound thyroid imag pda screen similar qualiti display diagnost visual display unit screen howev expert found difficulti diagnos microcalcif intern echo textur vascular pda termin provid rapid secur conveni portabl access pac imag imag qualiti suffici diagnost interpret ultrasound imag thyroid

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