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重塑放射学:过去五年移动与居家放射学交叉领域综述的全面概述

Reimagining Radiology: A Comprehensive Overview of Reviews at the Intersection of Mobile and Domiciliary Radiology over the Last Five Years.

作者信息

Lepri Graziano, Oddi Francesco, Gulino Rosario Alfio, Giansanti Daniele

机构信息

Azienda Unità Sanitaria Locale Umbria 1, Via Guerriero Guerra 21, 06127 Perugia, Italy.

Facoltà di Ingegneria, Università di Tor Vergata, Via del Politecnico, 1, 00133 Roma, Italy.

出版信息

Bioengineering (Basel). 2024 Feb 24;11(3):216. doi: 10.3390/bioengineering11030216.

Abstract

(Background) Domiciliary radiology, which originated in pioneering studies in 1958, has transformed healthcare, particularly during the COVID-19 pandemic, through advancements such as miniaturization and digitization. This evolution, driven by the synergy of advanced technologies and robust data networks, reshapes the intersection of domiciliary radiology and mobile technology in healthcare delivery. (Objective) The objective of this study is to overview the reviews in this field with reference to the last five years to face the state of development and integration of this practice in the health domain. (Methods) A review was conducted on PubMed and Scopus, applying a standard checklist and a qualification process. The outcome detected 21 studies. (Key Content and Findings) The exploration of mobile and domiciliary radiology unveils a compelling and optimistic perspective. Notable strides in this dynamic field include the integration of Artificial Intelligence (AI), revolutionary applications in telemedicine, and the educational potential of mobile devices. Post-COVID-19, telemedicine advances and the influential role of AI in pediatric radiology signify significant progress. Mobile mammography units emerge as a solution for underserved women, highlighting the crucial importance of early breast cancer detection. The investigation into domiciliary radiology, especially with mobile X-ray equipment, points toward a promising frontier, prompting in-depth research for comprehensive insights into its potential benefits for diverse populations. The study also identifies limitations and suggests future exploration in various domains of mobile and domiciliary radiology. A key recommendation stresses the strategic prioritization of multi-domain technology assessment initiatives, with scientific societies' endorsement, emphasizing regulatory considerations for responsible and ethical technology integration in healthcare practices. The broader landscape of technology assessment should aim to be innovative, ethical, and aligned with societal needs and regulatory standards. (Conclusions) The dynamic state of the field is evident, with active exploration of new frontiers. This overview also provides a roadmap, urging scholars, industry players, and regulators to collectively contribute to the further integration of this technology in the health domain.

摘要

(背景)家庭放射学起源于1958年的开创性研究,通过小型化和数字化等进步改变了医疗保健,尤其是在新冠疫情期间。这种由先进技术和强大数据网络协同推动的演变,重塑了家庭放射学与移动技术在医疗服务中的交叉点。(目的)本研究的目的是参考过去五年的情况,概述该领域的综述,以了解这种实践在健康领域的发展和整合状况。(方法)在PubMed和Scopus上进行了综述,应用了标准清单和资格审核流程。结果发现了21项研究。(关键内容与发现)对移动和家庭放射学的探索展现出了引人关注且乐观的前景。这一动态领域的显著进展包括人工智能(AI)的整合、远程医疗中的革命性应用以及移动设备的教育潜力。新冠疫情后,远程医疗的进步以及AI在儿科放射学中的重要作用标志着重大进展。移动乳腺摄影设备成为服务不足女性的一种解决方案,凸显了早期乳腺癌检测的至关重要性。对家庭放射学的研究,尤其是使用移动X射线设备的研究,指向了一个充满希望的前沿领域,促使进行深入研究以全面了解其对不同人群的潜在益处。该研究还确定了局限性,并建议在移动和家庭放射学的各个领域进行未来探索。一项关键建议强调,在科学协会的认可下,对多领域技术评估举措进行战略优先排序,强调在医疗实践中负责任且符合道德地整合技术时的监管考量。技术评估的更广泛格局应旨在创新、符合道德,并与社会需求和监管标准保持一致。(结论)该领域的动态状态显而易见,正在积极探索新的前沿领域。本综述还提供了一个路线图,敦促学者、行业参与者和监管机构共同为该技术在健康领域的进一步整合做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/125f/10967858/c5ef27e56d90/bioengineering-11-00216-g001.jpg

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