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Ruling Out Brain CT Contraindications prior to Intravenous Thrombolysis: Diagnostic Equivalence between a Primary Interpretation Workstation and a Mobile Tablet Computer
Joint Authors
Salazar, Antonio J.
Useche, Nicolás
Granja, Manuel
Morillo, Aníbal J.
Bermúdez, Sonia
Source
International Journal of Telemedicine and Applications
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-11-09
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
The aim of this study was to evaluate the equivalence of brain CT interpretations performed using a diagnostic workstation and a mobile tablet computer, in a telestroke service.
Materials and Methods.
The ethics committee of our institution approved this retrospective study.
A factorial design with 1452 interpretations was used.
The assessed variables were the type of stroke classification, the presence of contraindications to the tPA administration, the presence of a hyperdense intracranial artery sign (HMCA), and the Alberta Stroke Program Early CT Score (ASPECTS) score.
These variables were evaluated to determine the effect that the reading system had on their magnitudes.
Results.
The achieved distribution of observed lesions using both the reading systems was not statistically different.
The differences between the two reading systems to claim equivalence were 1.6% for hemorrhagic lesions, 4.5% for cases without lesion, and 5.2 for overall ischemic lesion.
Equivalence was achieved at 2.1% for ASPECTS ≤ 6, 6.5% for the presence of imaging contraindication to the tPA administration, and 7.2% for the presence of HMCA.
Conclusion.
The diagnostic performance for detecting acute stroke is likely equivalent whether a tablet computer or a diagnostic workstation is used or not.
American Psychological Association (APA)
Salazar, Antonio J.& Useche, Nicolás& Granja, Manuel& Morillo, Aníbal J.& Bermúdez, Sonia. 2017. Ruling Out Brain CT Contraindications prior to Intravenous Thrombolysis: Diagnostic Equivalence between a Primary Interpretation Workstation and a Mobile Tablet Computer. International Journal of Telemedicine and Applications،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1169756
Modern Language Association (MLA)
Salazar, Antonio J.…[et al.]. Ruling Out Brain CT Contraindications prior to Intravenous Thrombolysis: Diagnostic Equivalence between a Primary Interpretation Workstation and a Mobile Tablet Computer. International Journal of Telemedicine and Applications No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1169756
American Medical Association (AMA)
Salazar, Antonio J.& Useche, Nicolás& Granja, Manuel& Morillo, Aníbal J.& Bermúdez, Sonia. Ruling Out Brain CT Contraindications prior to Intravenous Thrombolysis: Diagnostic Equivalence between a Primary Interpretation Workstation and a Mobile Tablet Computer. International Journal of Telemedicine and Applications. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1169756
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1169756