Bailes J E
Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania.
Neurosurgery. 1994 Oct;35(4):732-6. doi: 10.1227/00006123-199410000-00021.
A computerized system capable of transmitting digitally formatted images of the central nervous system has been used to develop a neurosurgical wide-area network in western Pennsylvania. This system links remote or primary care hospitals with a large, tertiary-care, Level 1 trauma center for the constant availability of neurosurgical evaluation by receiving and interpreting computed tomography and magnetic resonance images sent via ordinary public telephone lines. This network has been used in over 20 cases to receive and interpret transmitted cranial computed tomographic images consisting of subarachnoid hemorrhage, intracerebral hematoma, cerebral neoplasm, cerebral abscess, cerebrovascular accident, and normal studies. There has been no known instance of false-positive or false-negative interpretation or of a patient being adversely managed by this method. On the contrary, it appears that patient management has been positively affected through the ability of the neurosurgical evaluation to include a review of the radiological studies. The initial experience has led to the conclusion that this network is an effective, accurate, and cost-effective means of delivering neurosurgical care to underserved areas.
一个能够传输中枢神经系统数字格式图像的计算机化系统已被用于在宾夕法尼亚州西部建立一个神经外科广域网。该系统将偏远或基层医院与一家大型三级护理一级创伤中心相连，通过接收和解读经由普通公用电话线发送的计算机断层扫描（CT）和磁共振图像，实现神经外科评估的随时可用。该网络已用于20多例病例，接收和解读传输的头颅CT图像，这些图像包括蛛网膜下腔出血、脑内血肿、脑肿瘤、脑脓肿、脑血管意外以及正常检查结果。尚无已知的假阳性或假阴性解读实例，也没有患者因这种方法而受到不良治疗的情况。相反，通过神经外科评估能够对放射学研究进行回顾，似乎患者的治疗得到了积极影响。初步经验得出结论，该网络是向服务不足地区提供神经外科护理的一种有效、准确且具有成本效益的方式。
