Imaging Pearls ❯ Cardiac ❯ Remote Reading Cardiac CTA
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- “When agreement with the reference was assessed per vessel for the presence of significant CAD, overall agreement in- creased to 87 and 90 % for the iPad and clinical workstations, respectively (difference, p > 0.05). There was 100 % agreement between readers and the reference for identification of coronary anomalies and aneurysms for both the iPad and clinical workstation.”
Remote reading of coronary CTA exams using a tablet computer: utility for stenosis assessment and identification of coronary anomalies Stefan L. Zimmerman, Cheng T. Lin, Linda C. Chu, John Eng, Elliot K. Fishman Emerg Radiol (2016) 23:255–261 - “The multivariate analysis showed the use of the iPad had no significant impact on the accuracy of coronary CTA reads. In a multivariable logistic regression analysis including reader, workstation, and vessel as co-variates, there was no significant association between workstation type or reader and agreement with the reference scores for presence of significant CAD (p > 0.05).”
Remote reading of coronary CTA exams using a tablet computer: utility for stenosis assessment and identification of coronary anomalies Stefan L. Zimmerman, Cheng T. Lin, Linda C. Chu, John Eng, Elliot K. Fishman Emerg Radiol (2016) 23:255–261 - “Coronary CTA imaging requires considerable training and expertise. Mobile devices can be used to expand avail- ability of these expert readers by allowing them to perform evaluations anywhere with a reliable internet connection. If implemented in the clinical routine, it is important to consider how these results will be communicated to the covering physicians. In our practice, when a remote study is performed, the reading physician is provided the contact information of the ordering physician and discusses the case directly with the referring. A preliminary verbal report is then stored in our electronic medical record by the ED provider until the formal report can be dictated by the cardiac imager.”
Remote reading of coronary CTA exams using a tablet computer: utility for stenosis assessment and identification of coronary anomalies Stefan L. Zimmerman, Cheng T. Lin, Linda C. Chu, John Eng, Elliot K. Fishman Emerg Radiol (2016) 23:255–261 - “Coronary CTA with using a tablet computer is feasible with results that are no different from reading of cardiac exams on standard clinical workstations. On multivariate analysis, we found no significant relationship between the type of reading modality and accuracy of interpretation. Remote reading with a tablet computer could be used to expand availability of cor- onary CTA in the ED.”
Remote reading of coronary CTA exams using a tablet computer: utility for stenosis assessment and identification of coronary anomalies Stefan L. Zimmerman, Cheng T. Lin, Linda C. Chu, John Eng, Elliot K. Fishman Emerg Radiol (2016) 23:255–261 - “For both readers, there was no significant difference in agreement with the reference standard for per-vessel stenosis scores using either the 3D workstation or the iPad. In a multivariable logistic regression analysis including reader, workstation, and vessel as co-variates, there was no significant association between workstation type or reader and agreement with the reference standard (p > 0.05). Both readers identified 100 % of coronary anomalies using each technique.Reading of coronary CT angiography examinations on the iPad had no influence on stenosis assessment compared to the standard clinical workstation.”
Remote reading of coronary CTA exams using a tablet computer: utility for stenosis assessment and identification of coronary anomalies Stefan L. Zimmerman, Cheng T. Lin, Linda C. Chu, John Eng, Elliot K. Fishman Emerg Radiol (2016) 23:255–261 - “When agreement with the reference was assessed per vessel for the presence of significant CAD, overall agreement in- creased to 87 and 90 % for the iPad and clinical workstations, respectively (difference, p > 0.05). There was 100 % agreement between readers and the reference for identification of coronary anomalies and aneurysms for both the iPad and clinical workstation.”
Remote reading of coronary CTA exams using a tablet computer: utility for stenosis assessment and identification of coronary anomalies Stefan L. Zimmerman, Cheng T. Lin, Linda C. Chu, John Eng, Elliot K. Fishman Emerg Radiol (2016) 23:255–261 - “The multivariate analysis showed the use of the iPad had no significant impact on the accuracy of coronary CTA reads. In a multivariable logistic regression analysis including reader, workstation, and vessel as co-variates, there was no significant association between workstation type or reader and agreement with the reference scores for presence of significant CAD (p > 0.05).”
Remote reading of coronary CTA exams using a tablet computer: utility for stenosis assessment and identification of coronary anomalies Stefan L. Zimmerman, Cheng T. Lin, Linda C. Chu, John Eng, Elliot K. Fishman Emerg Radiol (2016) 23:255–261 - “Coronary CTA imaging requires considerable training and expertise. Mobile devices can be used to expand avail- ability of these expert readers by allowing them to perform evaluations anywhere with a reliable internet connection. If implemented in the clinical routine, it is important to consider how these results will be communicated to the covering physicians. In our practice, when a remote study is performed, the reading physician is provided the contact information of the ordering physician and discusses the case directly with the referring. A preliminary verbal report is then stored in our electronic medical record by the ED provider until the formal report can be dictated by the cardiac imager.”
Remote reading of coronary CTA exams using a tablet computer: utility for stenosis assessment and identification of coronary anomalies Stefan L. Zimmerman, Cheng T. Lin, Linda C. Chu, John Eng, Elliot K. Fishman Emerg Radiol (2016) 23:255–261 - “Coronary CTA with using a tablet computer is feasible with results that are no different from reading of cardiac exams on standard clinical workstations. On multivariate analysis, we found no significant relationship between the type of reading modality and accuracy of interpretation. Remote reading with a tablet computer could be used to expand availability of cor- onary CTA in the ED.”
Remote reading of coronary CTA exams using a tablet computer: utility for stenosis assessment and identification of coronary anomalies Stefan L. Zimmerman, Cheng T. Lin, Linda C. Chu, John Eng, Elliot K. Fishman Emerg Radiol (2016) 23:255–261