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Main arrow Archive of previous Issues arrow ╣1 2017 (53) arrow USING TELEMEDICINE TECHNOLOGIES IN RADIOLOGY FOR LOW-DENSITY AREA
Monday, 06 March 2017

DOI: 10.21045/2071-5021-2017-53-1-3

Smal T.S., Zavadovskaya V.D., Deyev I.A.
Siberian State Medical University, Tomsk, Russian Federation

Contacts: Tatiana Smal, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Smal T.S., http://orcid.org/0000-0002-8059-1319
Zavadovskaya V.D., http://orcid.org/0000-0001-6231-7650
Deyev I.A., http://orcid.org/0000-0002-4449-4810
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.


Significance. Telemedicine is the use of information and communication technologies to provide medical assistance when distance between health care professionals and patients is a critical factor. Teleradiology is a separate area of telemedicine, a modern trend in medical diagnostics involving transmission of medical diagnostic images to receive expert opinion or clinical assessment.

Use of information and communication technologies makes it possible to overcome territorial barriers and increase access to health services. Due to low availability of health services and shortage of staff typical of remote areas of the Russian Federation such technologies are especially relevant for residents of low-density areas including small and medium-size cities and rural areas of the Russian Federation.

Purpose. To assess quality of distant description of radiographic images in low-density areas the authors have conducted a study that includes medical opinions and chest radiographs for 69 patients.

The following methods were used: expert assessments, diagnostic, analytical and statistical methods.

Results. The article presents results of the analysis of frequency and types of discrepancies in diagnostic decisions regarding X-rays reports by the on-site physicians and remote experts. The study identified most common types of diagnostic errors and assessed quality of X-ray reports.

Conclusions. The authors found out that differences in diagnostic decisions were due to underestimation of radiographic signs of intrathoratic organs pathology made by local primary care providers. Unavailability of high quality specialized medical care in the regions results in neglecting most important socially significant diseases, early detection of which contributes to timely treatment and rehabilitation.

Scope of application. Application of technologies for remote medical services assisted by highly qualified specialists is of high practical value for healthcare organization in remote areas and makes specialized high quality medical care more available.

Keywords: radio diagnostics; telemedicine; teleradiology; organization of medical care; low population density.


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