Use of telemedical technology for expert evaluation of x-ray quality of bone-joint system in conditions of remote areas.

Smal T.S., Zavadovskaya V.D., Deyev I.A.

The purpose of this study is to determine the quality of the description of X-ray photographs performed in the district hospital on the basis of an analysis of the osteoarticular system using a remote method of expert assessments.	Siberian State Medical University. Tomsk, Russia

 

 

 

 

 

Material and methods. The study included 72 patients who underwent X-ray exam-ination of the osteoarticular apparatus, among them 49 (68.1%) women and 23 (31.9%) men. The average age for men was 35.83 ± 3.55, for women 44.41 ± 3.21. The quality of the description of radiographic images was studied by analyzing the frequency of coincidences in the conclusions of the doctor of the regional hospital and experts. Statis-tical analysis of the obtained data was carried out in the program Statistic for Windows 10.0. When comparing qualitative indicators, the Pearson chi-square test was used. For comparison of independent samples, non-parametric Kruskal-Wallis and Mann-Whitney cri-teria were used. To assess the degree of consistency of the findings, Kendall's concordance (consistency) was used. Results. In the course of the study, the results of X-ray studies performed in the dis-trict hospital were analyzed. An assessment of the quality of the radiographs of the osteoar-ticular system was made, an evaluation of the research methodology. The main types of bone-joint pathologies were established. Discussion. Analysis of the structure of the main pathological conditions of the oste-oarticular system showed that among the possible reasons for the discrepancies in the diag-nostic findings, one can single out non-observance of standard provisions and possible vari-ants of the study depending on the clinical situation. Conclusions. Based on the analysis of the results obtained during the evaluation of the quality of the description of radiographic images of the osteoarticular system, it can be concluded that the use of telemedicine technology for the remote description of radiographs in remote areas is advisable.

 

Keywords: teleradiology, remote access, diagnostics, osteoarticular system, remote territories.

 

Corresponding author:Smal T.S., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: : Smal T.S., Zavadovskaya V.D., Deyev I.A. Use of telemedical technology for expert evaluation of x-ray quality of bone-joint system in conditions of remote areas. REJR 2017; 7 (2):102-109. DOI:10.21569/2222-7415-2017-7-2-102-109./em>

Received: 15.04.2017 Accepted:05.05.2017