-
Cureus Dec 2023Teleradiology, an established telemedicine practice globally, has significantly enhanced the accessibility of high-quality radiological interpretations in remote areas...
Teleradiology, an established telemedicine practice globally, has significantly enhanced the accessibility of high-quality radiological interpretations in remote areas worldwide, especially in India, thereby improving healthcare outcomes. The utilization of teleradiology services has seen a marked increase, expanding its reach into more distant regions of the country. However, this burgeoning field faces numerous regulatory, financial, and technical challenges. The current scenario regarding teleradiology in India is a double-edged sword. There is an increasing demand for it due to the expanding population, resulting in larger imaging volumes needing radiologist services. This editorial aims to examine the prevailing challenges in teleradiology in India, with an emphasis on the compensation model for teleradiologists, which has not kept pace with the growing demand for services and often remains inequitable.
PubMed: 38288194
DOI: 10.7759/cureus.51342 -
Journal of Veterinary Internal Medicine May 2021Movement disorders are a heterogeneous group of clinical syndromes in humans and animals characterized by involuntary movements without changes in consciousness. Canine...
Movement disorders are a heterogeneous group of clinical syndromes in humans and animals characterized by involuntary movements without changes in consciousness. Canine movement disorders broadly include tremors, peripheral nerve hyperexcitability disorders, paroxysmal dyskinesia, and dystonia. Of these, canine paroxysmal dyskinesias remain one of the more difficult to identify and characterize in dogs. Canine paroxysmal dyskinesias include an array of movement disorders in which there is a recurrent episode of abnormal, involuntary, movement. In this consensus statement, we recommend standard terminology for describing the various movement disorders with an emphasis on paroxysmal dyskinesia, as well as a preliminary classification and clinical approach to reporting cases. In the clinical approach to movement disorders, we recommend categorizing movements into hyperkinetic vs hypokinetic, paroxysmal vs persistent, exercise-induced vs not related to exercise, using a detailed description of movements using the recommended terminology presented here, differentiating movement disorders vs other differential diagnoses, and then finally, determining whether the paroxysmal dyskinesia is due to either inherited or acquired etiologies. This consensus statement represents a starting point for consistent reporting of clinical descriptions and terminology associated with canine movement disorders, with additional focus on paroxysmal dyskinesia. With consistent reporting and identification of additional genetic mutations responsible for these disorders, our understanding of the phenotype, genotype, and pathophysiology will continue to develop and inform further modification of these recommendations.
Topics: Animals; Chorea; Dog Diseases; Dogs; Dyskinesias; Mutation; Phenotype
PubMed: 33769611
DOI: 10.1111/jvim.16108 -
AJNR. American Journal of Neuroradiology Apr 2020
PubMed: 32273324
DOI: 10.3174/ajnr.P0074 -
AJNR. American Journal of Neuroradiology Aug 2020
PubMed: 32796098
DOI: 10.3174/ajnr.P0075 -
Sao Paulo Medical Journal = Revista... 2022Teleradiology consists of electronic transmission of radiological images from one location to another, including between countries, for interpretation and/or... (Review)
Review
BACKGROUND
Teleradiology consists of electronic transmission of radiological images from one location to another, including between countries, for interpretation and/or consultation. It is one of the most successful applications of telemedicine. Combining this methodology with ultrasound (called telesonography) can accelerate the process of making diagnoses. Despite this rationale, the quality of the evidence about the effectiveness and accuracy of teleradiology remains unknown.
OBJECTIVE
To review the literature on the evidence that exists regarding use of telemedicine for ultrasound in situations of synchronous transmission.
DESIGN AND SETTING
Narrative review conducted within the evidence-based health program at a federal university in São Paulo (SP), Brazil.
METHODS
A search of the literature was carried out in April 2020, in the online databases MEDLINE, EMBASE, Cochrane Library, Tripdatabase, CINAHL and LILACS, for original publications in all languages. The reference lists of the studies included and the main reviews on the subject were also evaluated.
RESULTS
We included ten studies that assessed procedures performed by different healthcare professionals, always with a doctor experienced in ultrasound as a distant mentor. Among these, only one study assessed disease diagnoses in relation to real patients.
CONCLUSIONS
Despite the promising position of telesonography within telemedicine, no studies with reasonable methodological quality have yet been conducted to demonstrate its effectiveness.
Topics: Brazil; Humans; MEDLINE; Telemedicine; Ultrasonography
PubMed: 35293938
DOI: 10.1590/1516-3180.2020.0607.R2.15092021 -
Annals of Global Health 2022Teleradiology has grown tremendously across the globe, providing significant benefits to both patients and physicians. In the late 1990s, South Africa sought to lead... (Review)
Review
BACKGROUND
Teleradiology has grown tremendously across the globe, providing significant benefits to both patients and physicians. In the late 1990s, South Africa sought to lead teleradiology adoption efforts by creating a national telemedicine system through a structured and phased approach. Although initial reports of the system's effectiveness were encouraging, the present status of this project, as well as comparable efforts in surrounding developing countries, has remained uncertain.
OBJECTIVE
To explore the status of teleradiology adoption in Africa, identify existing barriers to adoption, and explore potential solutions to the most commonly identified barriers.
METHODS
A narrative literature review was conducted to find articles that discussed current and past teleradiology systems in Africa. Each item was evaluated for relevance separately based on specified inclusion and exclusion criteria and was used to field further articles if relevant to the topic, even if not found in the initial search. The search began with articles published after January 1995 and included articles through December 2021.
FINDINGS
Although teleradiology systems in Africa has shown to have a benefit in improving patient outcomes, current implementation remains limited due to feasibility projects with no singular picture archiving and communication system (PACS) being utilized at the time of writing.
CONCLUSIONS
Although teleradiology has significant potential and can benefit the developing countries in Africa, further expansion, in terms of both complexity and adoption rates, remains hindered by infrastructure development, clinician and technologist support, and general sociopolitical factors.
Topics: Humans; Radiology Information Systems; South Africa; Telemedicine; Teleradiology
PubMed: 35814283
DOI: 10.5334/aogh.3711 -
Frontiers in Radiology 2022Emergency radiology has evolved into a distinct radiology subspecialty requiring a specialized skillset to make a timely and accurate diagnosis of acutely and critically...
Emergency radiology has evolved into a distinct radiology subspecialty requiring a specialized skillset to make a timely and accurate diagnosis of acutely and critically ill or traumatized patients. The need for emergency and odd hour radiology coverage fuelled the growth of internal and external teleradiology and the "nighthawk" services to meet the increasing demands from all stakeholders and support the changing trends in emergency medicine and trauma surgery inclined toward increased reliance on imaging. However, the basic issues of increased imaging workload, radiologist demand-supply mismatch, complex imaging protocols are only partially addressed by teleradiology with the promise of workload balancing by operations to scale. Incorporation of artificially intelligent tools helps scale manifold by the promise of streamlining the workflow, improved detection and quantification as well as prediction. The future of emergency teleradiologists and teleradiology groups is entwined with their ability to incorporate such tools at scale and adapt to newer workflows and different roles. This agility to adopt and adapt would determine their future.
PubMed: 37492686
DOI: 10.3389/fradi.2022.866643 -
Tidsskrift For Den Norske Laegeforening... Dec 2012
Topics: History, 20th Century; Outsourced Services; Quality of Health Care; Radiology Information Systems; Referral and Consultation; Teleradiology
PubMed: 23338095
DOI: 10.4045/tidsskr.12.0876 -
Radiologia 2023Teleradiology is the electronic transmission of radiological images from one location to another with the main purpose of interpreting or consulting a diagnosis and must...
Teleradiology is the electronic transmission of radiological images from one location to another with the main purpose of interpreting or consulting a diagnosis and must be subject to codes of conduct agreed upon by professional societies. The content of fourteen teleradiology best practice guidelines is analyzed. Their guiding principles are: the best interest and benefit of the patient, quality and safety standards homologous to the local radiology service, and use as a complement and support of the same. As legal obligations: guaranteeing rights by applying the principle of the patient's country of origin, establishing requirements in international teleradiology and civil liability insurance. Regarding the radiological process: integration with the local service process, guaranteeing the quality of images and reports, access to previous studies and reports and complying with the principles of radioprotection. Regarding professional requirements: compliance with the required registrations, licenses and qualifications, training and qualification of the radiologist and technician, prevention of fraudulent practices, respect for labor standards and remuneration of the radiologist. Subcontracting must be justified, managing the risk of commoditization. Compliance with the system's technical standards.
Topics: Humans; Teleradiology; Radiography; Radiology
PubMed: 37059579
DOI: 10.1016/j.rxeng.2022.11.005 -
Journal of Digital Imaging Jun 2018This paper reviews the components of Orthanc, a free and open-source, highly versatile ecosystem for medical imaging. At the core of the Orthanc ecosystem, the Orthanc... (Review)
Review
This paper reviews the components of Orthanc, a free and open-source, highly versatile ecosystem for medical imaging. At the core of the Orthanc ecosystem, the Orthanc server is a lightweight vendor neutral archive that provides PACS managers with a powerful environment to automate and optimize the imaging flows that are very specific to each hospital. The Orthanc server can be extended with plugins that provide solutions for teleradiology, digital pathology, or enterprise-ready databases. It is shown how software developers and research engineers can easily develop external software or Web portals dealing with medical images, with minimal knowledge of the DICOM standard, thanks to the advanced programming interface of the Orthanc server. The paper concludes by introducing the Stone of Orthanc, an innovative toolkit for the cross-platform rendering of medical images.
Topics: Diagnostic Imaging; Humans; Radiology Information Systems
PubMed: 29725964
DOI: 10.1007/s10278-018-0082-y