Teleconsultation with the mobile camera-phone in remote evaluation of replantation potential
Teleconsultation with the mobile camera-phone in remote evaluation of replantation potential
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DOI：
10.1097/01.ta.0000175098.52974.fa
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发表时间：
2005-06-01
影响因子：
--
通讯作者：
Yeh, MC
中科院分区：
文献类型：
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作者：
Hsieh, CH;Jeng, SF;Yeh, MC
背景。本研究的目的是探讨使用移动照相手机进行远程会诊以传输临床图像并在线交流以评估完全截肢手指再植潜力的可行性。方法：通过松下照相电话在急诊室的医生和外科医生之间传输远程会诊，包括截肢部分和残肢的临床图像以及患者信息。内置11万像素数码相机和65,536色显示屏。屏幕上显示的数字图像由三名远程整形外科医生单独进行进一步评估，并将评估结果与顾问外科医生根据现场检查做出的决定进行比较。结果：研究人群由 35 名患者组成，2003 年 1 月至 10 月期间发生了总共 60 处手指损伤。所有三位外科医生都证明了通过远程诊断确定截肢位置和截肢 kwel 状态的能力，其中 90% 和 87%分别有六十个被截去的数字。在现场评估期间被认为具有再植潜力的 42 个手指中，有 38 个（90%）手指在远程诊断过程中被所有三位外科医生一致认为具有再植潜力。在现场评估过程中被认为不可再植的 18 个手指中，有 15 个（83%）被认为没有再植潜力，因此识别数字再植潜力的敏感性和特异性分别为 90% 和 83-'O re,-1。结论：拍照手机是远程评估完全截肢林指再植潜力的可行工具，它通过提供有用信息，在避免不必要的患者转移方面具有重要前景。
Background. The purpose of the present study was to investigate the feasibility of teleconsultation with the mobile camera-phone to transfer clinical images and communicate on line for evaluation of replantation potential in completely amputated fingers.Methods: Teleconsultations including clinical images of the amputated portion and stump as well as patient information were transmitted between the physicians in the emergency room and the consultant phlstic surgeon through Panasonic camera-phones, which had. a built-in 110,000-pixel digital camera and a 65,536 colors display. The digital images displayed on the screen were further evaluated by three remote plastic surgeons in-dividually and the evaluations were compared with the decision made according to onsite inspection by the consultant surgeon.Results: The study population consisted of 35 patients with a total of 60 digital injures occurring between January to October 2003. The ability to identify the amputation location and status of amputation kwel from remote diagnosis was demonstrated by all three surgeons in 90% and 87% of these sixty amputated digits respectively. Of the 42 digits that were considered to have replantation potential during onsite evaluation, 38 (90%) digits were considered to be so by all three surgeons in group agreement during re-mote diagnosis. Of the 18 digits that were not considered to be replantable during onsite evaluation, 15 (83%) digits were also deemed without replantation potential, thus making the sensitivity and specificity of recognizing digital replantation potential, 90% and 83-'O re,-1pectively.Conclusions: The camera-phone is a feasible tool for remote evaluation regarding the replantation potential of completely amputated ringers and it holds significant promise in avoiding unnecessary patient transfer by providing useful information.