Franken E A, Harkens K L, Berbaum K S
Department of Radiology, University of Iowa College of Medicine, Iowa City, USA.
Acad Radiol. 1997 Jul;4(7):492-6. doi: 10.1016/s1076-6332(97)80235-8.
The authors documented quantitatively how teleradiology was used for contemporaneous consultation with a radiologist by physicians at a small rural hospital.
The authors collected 31/2 years worth of data at a small hospital on all patients (n = 327) for whom a radiologist's consultation by teleradiology was requested and compared the data with those from a control group of 309 patients whose studies were interpreted at the same hospital.
Teleradiology consultation was requested by the attending physician in 3.6% (519 of 14,586) of all examinations performed during the study period. Physicians requested teleradiology consultation most often for patients with multiple examinations (average 1.59 vs 1.35 for controls). Examinations of infants were 10 times more prevalent in the teleradiology group than in the control group. The indication for most (52%) teleradiology consultations was trauma. Requests for interpretation of spine and abdominal radiographs were relatively more frequent than were those of other studies.
Physicians in this rural practice used contemporaneous radiologic consultation for selected specific examinations, with emphasis on examinations for trauma, spine, abdomen, and the infant age group.
作者定量记录了一家小型乡村医院的医生如何通过远程放射学与放射科医生进行同步会诊。
作者收集了一家小型医院3.5年间所有请求放射科医生进行远程放射学会诊的患者（n = 327）的数据，并将这些数据与在同一家医院进行检查结果解读的309名患者的对照组数据进行比较。
在研究期间进行的所有检查中，3.6%（14586例中的519例）的主治医师请求进行远程放射学会诊。医生最常为进行多次检查的患者请求远程放射学会诊（对照组平均为1.35次，远程放射学组平均为1.59次）。远程放射学组中婴儿检查的发生率比对照组高10倍。大多数（52%）远程放射学会诊的指征是创伤。脊柱和腹部X光片解读的请求相对比其他检查更频繁。
该乡村医疗机构的医生针对特定的特定检查进行同步放射学会诊，重点是创伤、脊柱、腹部和婴儿年龄组的检查。
