Hishitani Takashi, Fujimoto Yoshitaka, Saito Yukinori, Sugamoto Kenji, Hoshino Kenji, Ogawa Kiyoshi
Department of Cardiology, Saitama Children's Medical Center, Saitama, Japan.
Pediatr Int. 2014 Apr;56(2):289-91. doi: 10.1111/ped.12318.
We verified the feasibility of telediagnosis of fetal disease by (i) grading telediagnosis by a pediatric cardiologist into five confidence levels; and (ii) comparison of fetal telediagnosis with hands-on fetal diagnosis or postnatal diagnosis. In 114 patients suspected of having heart disease (real time, n = 15; recorded image transmission, n = 99), 79 patients were in level 5 (excellent), 17 in level 4 (good), eight in level 3 (fair), 10 in level 2 (poor), and no patients in level 1 (bad). The average was 4.5, and in 96 patients (84% of all) telediagnosis was accurate (above 4), whereas in 18 patients it was inaccurate (level 2 or 3). In re-examination of 25 patients, telediagnosis was confirmed in patients in level 4 and 5, whereas heart disease was missed in patients in levels 2 or 3. The correct diagnosis matched the high confidence level of a specialist based on recognizable transmitted images.
（i）由一名儿科心脏病专家将远程诊断分为五个置信水平；（ii）将胎儿远程诊断与实际胎儿诊断或产后诊断进行比较。在114例疑似患有心脏病的患者中（实时诊断，n = 15；记录图像传输，n = 99），79例患者为5级（优秀），17例为4级（良好），8例为3级（中等），10例为2级（差），1级（差）无患者。平均为4.5级，96例患者（占总数的84%）的远程诊断准确（4级以上），而18例患者的诊断不准确（2级或3级）。在对25例患者的复查中，4级和5级患者的远程诊断得到证实，而2级或3级患者漏诊了心脏病。基于可识别的传输图像，正确诊断与专家的高置信水平相符。
