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肛周疾病中的患者生成图像:直肠病学中不断发展的工具

Patient-Generated Images in Perianal Disease: An Evolving Tool in Proctology.

作者信息

Yagnik Vipul D, Bhattacharya Kaushik, Garg Pankaj, Choudhary Prema Ram, Sadhu Mrunal, Dawka Sushil

机构信息

Department of Surgery, Banas Medical College and Research Institute, Palanpur, GJ, India.

Department of Surgery, MGM Medical College, Kishanganj, BR, India.

出版信息

Clin Exp Gastroenterol. 2024 Aug 8;17:255-259. doi: 10.2147/CEG.S466984. eCollection 2024.

Abstract

This article explores the potential benefits and challenges of incorporating Patient-Generated Images (PGIs) into the clinical practice for perianal conditions. PGIs refer to photographs (and video) captured by patients themselves of affected areas of their own bodies to illustrate potential pathologies. It facilitates remote patient assessments and swift evaluation for coloproctologist. They potentially reduce the need for in person follow-up particularly after operation if the patient is asymptomatic. However, concerns with PGI include quality of images, risk of misinterpretation, ethical, legal, and practical problems, especially when imaging private or sensitive body regions. Any platform transmitting and storing PGIs should prioritize data protection with advanced encryption. Comprehensive guidelines should be developed by collaboration between healthcare administrators, regulators, and professionals, and a thorough framework formulated to ensure that quality care is delivered always while respecting patient privacy and dignity. It should be considered as complementary to, rather than a replacement for, traditional clinical consultations. However, patient awareness and education regarding the limitations are key to ensuring that this modality is not misinterpreted or misused.

摘要

本文探讨了将患者生成图像(PGIs)纳入肛周疾病临床实践的潜在益处和挑战。PGIs是指患者自己拍摄的身体受影响部位的照片(和视频),以说明潜在的病理情况。它有助于对患者进行远程评估,并便于结直肠外科医生快速做出评估。如果患者无症状,PGIs有可能减少术后亲自随访的需求。然而,对PGI的担忧包括图像质量、误判风险、伦理、法律和实际问题,尤其是在对私密或敏感身体部位进行成像时。任何传输和存储PGIs的平台都应通过先进的加密技术优先保护数据。医疗保健管理人员、监管机构和专业人员应合作制定全面的指导方针,并制定一个完善的框架,以确保在尊重患者隐私和尊严的同时始终提供高质量的护理。应将其视为传统临床会诊的补充,而不是替代。然而,提高患者对这些局限性的认识和开展相关教育是确保这种方式不被误解或滥用的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f319/11319093/d88e8adb2e54/CEG-17-255-g0001.jpg

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