Perera Chandrashan Mahendra, Chakrabarti Rahul
1 Co-Editor in Chief, Journal of Mobile Technology in Medicine , Melbourne, Victoria, Australia .
Telemed J E Health. 2015 Feb;21(2):132-7. doi: 10.1089/tmj.2013.0330. Epub 2015 Jan 13.
The increasing capabilities of camera-equipped mobile phones have led to a growing body of evidence regarding their use in medical imaging across a broad range of medical specialties. This article reviews the current evidence for the use of mobile health (m-health) in medical imaging.
We performed a structured review of the published literature regarding m-health in medical imaging using the Medline, PubMed, and Web of Science databases (January 2002-August 2013). The two authors independently extracted data regarding type of specialty, purpose, and study design of publications.
In total, 235 articles were identified. The majority of studies were case reports or noncomparative product validation studies. The greatest volume of publications originated in the fields of radiology (21%), dermatology (15%), laboratory techniques (15%), and plastic surgery (12%). Among these studies, m-health was used as diagnostic aids, for patient monitoring, and to improve communication between health practitioners. With the growing use of mobile phones for medical imaging, considerations need to be given to informed consent, privacy, image storage and transfer, and guidelines for healthcare workers and patients.
There are several novel uses of mobile devices for medical imaging that show promise across a variety of areas and subspecialties of healthcare. Currently, studies are mostly exploratory in nature. To validate these devices, studies with higher methodological rigor are required.
配备摄像头的手机功能日益强大,这使得有关其在广泛医学专业的医学成像中应用的证据越来越多。本文综述了移动健康(m-健康)在医学成像中应用的当前证据。
我们使用Medline、PubMed和科学网数据库(2002年1月至2013年8月)对已发表的关于m-健康在医学成像中应用的文献进行了结构化综述。两位作者独立提取了有关出版物的专业类型、目的和研究设计的数据。
共识别出235篇文章。大多数研究为病例报告或非对比性产品验证研究。出版物数量最多的领域是放射学(21%)、皮肤病学(15%)、实验室技术(15%)和整形外科学(12%)。在这些研究中,m-健康被用作诊断辅助工具、用于患者监测以及改善医护人员之间的沟通。随着手机在医学成像中的使用不断增加,需要考虑知情同意、隐私、图像存储与传输以及针对医护人员和患者的指南等问题。
移动设备在医学成像中有多种新颖用途,在医疗保健的各个领域和亚专业都显示出前景。目前,研究大多具有探索性质。为验证这些设备,需要开展方法学严谨性更高的研究。