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Diagnostic accuracy of chest X-rays acquired using a digital camera for low-cost teleradiology.
Int J Med Inform. 2004 Feb; 73(1):65-73.IJ

Abstract

Store-and-forward telemedicine, using e-mail to send clinical data and digital images, offers a low-cost alternative for physicians in developing countries to obtain second opinions from specialists. To explore the potential usefulness of this technique, 91 chest X-ray images were photographed using a digital camera and a view box. Four independent readers (three radiologists and one pulmonologist) read two types of digital (JPEG and JPEG2000) and original film images and indicated their confidence in the presence of eight features known to be radiological indicators of tuberculosis (TB). The results were compared to a "gold standard" established by two different radiologists, and assessed using receiver operating characteristic (ROC) curve analysis. There was no statistical difference in the overall performance between the readings from the original films and both types of digital images. The size of JPEG2000 images was approximately 120KB, making this technique feasible for slow internet connections. Our preliminary results show the potential usefulness of this technique particularly for tuberculosis and lung disease, but further studies are required to refine its potential.

Authors+Show Affiliations

Department of Radiology, Brigham and Women's Hospital, Boston MA, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15036080

Citation

Szot, Agnieszka, et al. "Diagnostic Accuracy of Chest X-rays Acquired Using a Digital Camera for Low-cost Teleradiology." International Journal of Medical Informatics, vol. 73, no. 1, 2004, pp. 65-73.
Szot A, Jacobson FL, Munn S, et al. Diagnostic accuracy of chest X-rays acquired using a digital camera for low-cost teleradiology. Int J Med Inform. 2004;73(1):65-73.
Szot, A., Jacobson, F. L., Munn, S., Jazayeri, D., Nardell, E., Harrison, D., Drosten, R., Ohno-Machado, L., Smeaton, L. M., & Fraser, H. S. (2004). Diagnostic accuracy of chest X-rays acquired using a digital camera for low-cost teleradiology. International Journal of Medical Informatics, 73(1), 65-73.
Szot A, et al. Diagnostic Accuracy of Chest X-rays Acquired Using a Digital Camera for Low-cost Teleradiology. Int J Med Inform. 2004;73(1):65-73. PubMed PMID: 15036080.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnostic accuracy of chest X-rays acquired using a digital camera for low-cost teleradiology. AU - Szot,Agnieszka, AU - Jacobson,Francine L, AU - Munn,Samson, AU - Jazayeri,Darius, AU - Nardell,Edward, AU - Harrison,David, AU - Drosten,Ralph, AU - Ohno-Machado,Lucila, AU - Smeaton,Laura M, AU - Fraser,Hamish S F, PY - 2003/06/17/received PY - 2003/10/16/revised PY - 2003/10/24/accepted PY - 2004/3/24/pubmed PY - 2004/7/2/medline PY - 2004/3/24/entrez SP - 65 EP - 73 JF - International journal of medical informatics JO - Int J Med Inform VL - 73 IS - 1 N2 - Store-and-forward telemedicine, using e-mail to send clinical data and digital images, offers a low-cost alternative for physicians in developing countries to obtain second opinions from specialists. To explore the potential usefulness of this technique, 91 chest X-ray images were photographed using a digital camera and a view box. Four independent readers (three radiologists and one pulmonologist) read two types of digital (JPEG and JPEG2000) and original film images and indicated their confidence in the presence of eight features known to be radiological indicators of tuberculosis (TB). The results were compared to a "gold standard" established by two different radiologists, and assessed using receiver operating characteristic (ROC) curve analysis. There was no statistical difference in the overall performance between the readings from the original films and both types of digital images. The size of JPEG2000 images was approximately 120KB, making this technique feasible for slow internet connections. Our preliminary results show the potential usefulness of this technique particularly for tuberculosis and lung disease, but further studies are required to refine its potential. SN - 1386-5056 UR - https://www.unboundmedicine.com/medline/citation/15036080/Diagnostic_accuracy_of_chest_X_rays_acquired_using_a_digital_camera_for_low_cost_teleradiology_ DB - PRIME DP - Unbound Medicine ER -