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Proceedings Paper

Intrahospital teleradiology from the emergency room
Author(s): Carl R. Fuhrman; B. Simon Slasky; David Gur; Stefanie Lattner; John M. Herron; Michael B. Plunkett; Jeffrey D. Towers; F. Leland Thaete
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Paper Abstract

Off-hour operations of the modern emergency room presents a challenge to conventional image management systems. To assess the utility of intrahospital teleradiology systems from the emergency room (ER), we installed a high-resolution film digitizer which was interfaced to a central archive and to a workstation at the main reading room. The system was designed to allow for digitization of images as soon as the films were processed. Digitized images were autorouted to both destinations, and digitized images could be laser printed (if desired). Almost real time interpretations of nonselected cases were performed at both locations (conventional film in the ER and a workstation in the main reading room), and an analysis of disagreements was performed. Our results demonstrate that in spite of a `significant' difference in reporting, `clinically significant differences' were found in less than 5% of cases. Folder management issues, preprocessing, image orientation, and setting reasonable lookup tables for display were identified as the main limitations to the systems' routine use in a busy environment. The main limitation of the conventional film was the identification of subtle abnormalities in the bright regions of the film. Once identified on either system (conventional film or soft display), all abnormalities were visible and detectable on both display modalities.

Paper Details

Date Published: 8 September 1993
PDF: 5 pages
Proc. SPIE 1899, Medical Imaging 1993: PACS Design and Evaluation, (8 September 1993); doi: 10.1117/12.152907
Show Author Affiliations
Carl R. Fuhrman, Univ. of Pittsburgh (United States)
B. Simon Slasky, Univ. of Pittsburgh (United States)
David Gur, Univ. of Pittsburgh (United States)
Stefanie Lattner, Univ. of Pittsburgh (United States)
John M. Herron, Univ. of Pittsburgh (United States)
Michael B. Plunkett, Univ. of Pittsburgh (United States)
Jeffrey D. Towers, Univ. of Pittsburgh (United States)
F. Leland Thaete, Univ. of Pittsburgh (United States)

Published in SPIE Proceedings Vol. 1899:
Medical Imaging 1993: PACS Design and Evaluation
R. Gilbert Jost, Editor(s)

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