To evaluate the inter and intraobserver agreement in the initial diagnosis by digital chest radiograph sent via whatsapp messenger
| Autor: | Ashish Kumar Prakash, Sameer G. Kotalwar, Poulomi Chatterjee, Sandeep Mittal, Bornali Datta, Anand Jaiswal |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Radiography Hospital based Gold standard (test) Teleradiology Washout period humanities 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Diagnostic quality medicine 030212 general & internal medicine Radiology Chest radiograph business Pulmonologists |
| Zdroj: | Imaging. |
| Popis: | Background: The present study aims to determine if images of digital radiographs captured on smartphone and sent by WhatsApp messenger are of sufficient diagnostic quality compared to viewing the original radiographs in PACS. Method: This is a hospital based observational double blinded prospective study to evaluate digital chest radiograph sent via WhatsApp messenger, and comparing the accuracy of the same, taking consensus of two senior pulmonologists on PACS as the gold standard . The Pulmonologists (R1 and R2) reported from 2 different districts X and Y with a washout period of 2 weeks between WhatsApp and PACS images. The results were divided into 21 variables on WhatsApp messenger as well as PACS. These results were compared, and intra and inter-observer variation analyzed. Result: Out of 400 X-rays, After standardization, This consensus was taken as gold standard. For normal X-rays, Sensitivity was 95.81% and specificity was 88.69% with accuracy of 92.36 (p Conclusion: In the era of telemedicine, WhatsApp messenger though not very specific, could be a modality for teleradiology. For diagnosis of normal chest X-ray, Active Koch’s, Old Koch’s, and Pneumonia WhatsApp messenger images are comparable to PACS images. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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