Van Moore Arl, Allen Bibb, Campbell Shannon C, Carlson Richard A, Dunnick N Reed, Fletcher Thomas B, Hanks J Daniel, Hauser J Bruce, Moorefield James M, Taxin Richard N, Thrall James H
Charlotte Radiology PA, Charlotte, North Carolina 28203, USA.
J Am Coll Radiol. 2005 Feb;2(2):121-5. doi: 10.1016/j.jacr.2004.08.003.
Telemedicine is becoming an increasingly important tool in the practice of medicine throughout the world. For radiologists, telemedicine translates to teleradiology. Because an increasing amount of imaging is now archived in a digital format, and with the application of more powerful computers in radiology, digital image transmission between display stations is becoming commonplace. The ability to move large diagnostic image data sets to display stations anywhere in the world using the Internet and other high-speed data links is solving some problems and creating others. Medicine and radiology will be challenged in many ways by the issues created from the application of this burgeoning technology. Our task force was charged with investigating the evolving practice of international teleradiology and with developing a pubic statement to be adopted by the ACR Council (). This white paper is our effort to define those issues we believe to be most pertinent to international teleradiology as we know them today. Will these issues be changing? Certainly. For some facets of the issue, there are currently more questions than answers. We describe several scenarios that we believe are acceptable practices of international teleradiology as well as some that are not. We believe that much will be written about international teleradiology in the future as the issues of credentialing, quality assurance, licensure, American Board of Radiology certification, the maintenance of certification, jurisdictional and medical liability issues, patient privacy, fraud and medical ethics are more precisely defined and shaped by state and federal legislation and medical jurisprudence. This white paper is our assessment of what we believe to be the major challenges that exist as of this writing.
远程医疗正在成为全球医学实践中日益重要的工具。对于放射科医生来说，远程医疗就意味着远程放射学。由于现在越来越多的影像以数字格式存档，并且随着功能更强大的计算机在放射学中的应用，显示站之间的数字图像传输变得越来越普遍。利用互联网和其他高速数据链路将大型诊断图像数据集传输到世界任何地方的显示站的能力，既解决了一些问题，也带来了其他问题。这项新兴技术的应用所引发的问题将在许多方面给医学和放射学带来挑战。我们的特别工作组负责调查国际远程放射学不断发展的实践情况，并制定一份供美国放射学会理事会通过的公开声明。本白皮书是我们努力界定那些我们认为目前与国际远程放射学最相关的问题。这些问题会改变吗？当然会。对于该问题的某些方面，目前问题比答案更多。我们描述了几种我们认为是国际远程放射学可接受做法的情形，以及一些不可接受的情形。我们相信，随着资格认证、质量保证、执照发放、美国放射学会认证、认证维持、管辖权和医疗责任问题、患者隐私、欺诈和医学伦理等问题由州和联邦立法以及医学判例法更精确地界定和塑造，未来将会有更多关于国际远程放射学的著述。本白皮书是我们对截至撰写本文时我们认为存在的主要挑战的评估。
