Internet Consultations from a Remote Pacific Island: Impact of Digitized Radiologic Images on Referral Decisions
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A study was carried out to determine whether digitized radiologic images added valuable information to Internet consultations from a remote Pacific Island. Chuuk State Hospital (Federated States of Micronesia) has limited film screen radiology, minimal ultrasound capability, and no radiologist. Providers initiate Web-based referrals for consultation or patient transfer. Digitized images (via low-cost digital camera or flatbed scanner) were uploaded to a Web site. Images were assessed for impact on referral decisions. A radiologist scored image quality and confidence (scale: 1–7). Of 97 referrals with images that were reviewed, 74 (76%) image sets were abnormal, 20 (20%) were normal, and 3 (4%) were indeterminate. Median scores were 4 for image quality and 5 for diagnostic confidence. In most cases with abnormal radiology (52/74, 70%), images were considered valuable. Radiologic images digitized with a low-cost camera or flatbed scanner provided valuable information for decision making in an Internet-based consultation and referral process from a remote, impoverished Pacific Island jurisdiction, despite relatively low image quality.
KeywordsTelemedicine teleradiology internet communications PACS image capture.
- 1.Person, DA 2000Pacific Island Health Care Project: early experiences with a Web-based consultation and referral networkPacific Health Dialog72935Google Scholar
- 2.Government of the Federated States of Micronesia Web site. Available at: http://www.fsmgov.org/. Accessed December 26, 2002
- 3.Feasley, VCLawrence, RS eds. 1998Pacific Partnerships for HealthNational Academy PressWashington DC1154Google Scholar
- 4.Yano, V, Finan, S, Dever, G, et al. 1997The PBMA and telemedicine in the Pacific: the first stepsPac Health Dialog48184Google Scholar
- 5.Ruess, L, Uyehara, CFT, Shiels, K, et al. 2001Digitizing pediatric chest radiographs: comparison of low-cost off-the-shelf technologiesPediatr Radiol31841847Google Scholar