O'Connell Timothy W, Patlas Michael N
1 Department of Radiology, Vancouver General Hospital, Vancouver, BC, Canada.
2 Department of Radiology, McMaster University, Hamilton, ON, Canada.
Br J Radiol. 2016;89(1061):20150820. doi: 10.1259/bjr.20150820. Epub 2016 Feb 1.
Mobile devices, wireless networks and software have significantly evolved since the late 1990s and are now available with sufficient computing power, speed and complexity to allow real-time interpretation of radiology studies. Emergency radiology (ER)'s time-sensitive nature would seem to be an excellent match for study interpretation using mobile devices, allowing the radiologist to read studies anywhere, at any time. While suitable for use by the radiologist outside of the hospital, or clinicians and surgeons at the bedside or in the operating room, these devices do have limitations, and regulatory approval for in-hospital diagnostic use is limited. In the ER setting, we suggest that the best use of mobile devices is to be available to consult directly with patients about their imaging findings and to the clinical team during rounds and at handover. This will bring the radiologist to the clinician and patient, helping us to better understand the patient's presentation, educate both the physician and patient and increase the visibility and value of the radiologist as a member of the clinical care team.
自20世纪90年代末以来,移动设备、无线网络和软件有了显著发展,现在具备足够的计算能力、速度和复杂性,能够对放射学研究进行实时解读。急诊放射学(ER)对时间敏感的特性似乎与使用移动设备进行研究解读极为匹配,这使得放射科医生能够在任何地点、任何时间阅读研究报告。虽然这些设备适合放射科医生在医院外使用,也适合床边或手术室的临床医生和外科医生使用,但它们确实存在局限性,且在医院内用于诊断的监管批准有限。在急诊环境中,我们建议移动设备的最佳用途是在查房和交接期间,可供直接与患者就其影像检查结果进行咨询,并供临床团队使用。这将使放射科医生更接近临床医生和患者,有助于我们更好地了解患者的病情,对医生和患者进行教育,并提高放射科医生作为临床护理团队成员的知名度和价值。