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Three-Dimensional Teleradiology for Surveillance following Endovascular Aortic Aneurysm Repair: A Feasibility Study
Purpose: To study the feasibility of 3-dimensional (3D) teleradiology in surveillance of patients treated with stent-grafts for abdominal aortic aneurysm (AAA). Methods: Between April 2002 and November 2003, 8 AAA patients (7 men; median age 73 years, range 62–84) with stent-grafts had follow-up com...
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| Published in: | Journal of endovascular therapy 2005-04, Vol.12 (2), p.196-199 |
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| container_end_page | 199 |
| container_issue | 2 |
| container_start_page | 196 |
| container_title | Journal of endovascular therapy |
| container_volume | 12 |
| creator | Kaspersen, Jon H. Aasland, Jenny Leira, Håkon O. Ødegård, Asbjørn Nagelhus, Bjørn Størset, Gunnar Lundbom, Jan Rosenlund, Thomas T. Tjora, Aksel Myhre, Hans O. |
| description | Purpose:
To study the feasibility of 3-dimensional (3D) teleradiology in surveillance of patients treated with stent-grafts for abdominal aortic aneurysm (AAA).
Methods:
Between April 2002 and November 2003, 8 AAA patients (7 men; median age 73 years, range 62–84) with stent-grafts had follow-up computed tomograms (CT) performed at their local hospital and transmitted without loss across a broadband connection to the university hospital. On both monitors, the radiologists were presented with the complete CT axial dataset, sagittal and coronal reformatted slices, and a 3D volume-rendered reconstruction. The two radiologists were then able to simultaneously perform measurements and real-time manipulations of the axial and 3D pictures, which were discussed over the telephone or using a videoconferencing unit. Patient satisfaction, the radiologists' evaluation of the method, and the potential cost savings were explored.
Results:
Twelve follow-up CT scans were performed on the 8 patients. The time for transmission over the teleradiological network averaged 5 minutes, and the evaluation required 15 minutes at the university hospital. The overall technical quality of the images was rated as good by the university radiologist. In 11 studies, the stent-grafts were satisfactory, but a type III endoleak was detected in one 5.5-year-old stent-graft. Neither radiologist had a problem identifying the endoleak. Patients had confidence that the examination at the local hospital was of good quality; they all felt that they received good care and were pleased with avoiding travel to the university hospital. From the economic analysis, an annual savings of 40,000 Euros (US$52,304) was projected, mostly due to avoiding hospital stays and outpatient consultations at the university hospital.
Conclusions:
The experiences from this study are encouraging, but a larger series will be necessary for a thorough evaluation of 3D teleradiology as a surveillance method for aortic stent-graft patients. |
| doi_str_mv | 10.1583/04-1422.1 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_211151465</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1583_04-1422.1</sage_id><sourcerecordid>855602941</sourcerecordid><originalsourceid>FETCH-LOGICAL-c310t-1dec0caaef71c1a51883e2f419924d295e67440e79c25fea9963e1f5d0cb8b313</originalsourceid><addsrcrecordid>eNplkE1LxDAQhoMofh_8AxI8CB66ZtKk23or6ycsCLqeS5pO10i2WZN2pf_ell3w4GmG4Zl3mIeQC2ATkGl8y0QEgvMJ7JFjkEJGICXbH3ueRAnj6RE5CeGLMQ4c4JAcDVs8ZklyTMLi0yNG92aFTTCuUZYu0KJXlXHWLXtaO0_fO79BY61qNA4Da92PaZb0oancRgXdWeVp7nxrNM0b7HwfVvQN18r4O5rTR1TBlMaatqfvbVf1Z-SgVjbg-a6eko_Hh8XsOZq_Pr3M8nmkY2BtBBVqppXCegoalIQ0jZHXArKMi4pnEpOpEAynmeayRpVlSYxQy4rpMi1jiE_J1TZ37d13h6EtvlznhxdDMWgACSKRA3SzhbR3IXisi7U3K-X7Algx2i2YKEa7xRh4uQvsyhVWf-RO5wBcb4Gglvh37X_SL5rCgWQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>211151465</pqid></control><display><type>article</type><title>Three-Dimensional Teleradiology for Surveillance following Endovascular Aortic Aneurysm Repair: A Feasibility Study</title><source>Sage Journals Online</source><creator>Kaspersen, Jon H. ; Aasland, Jenny ; Leira, Håkon O. ; Ødegård, Asbjørn ; Nagelhus, Bjørn ; Størset, Gunnar ; Lundbom, Jan ; Rosenlund, Thomas T. ; Tjora, Aksel ; Myhre, Hans O.</creator><creatorcontrib>Kaspersen, Jon H. ; Aasland, Jenny ; Leira, Håkon O. ; Ødegård, Asbjørn ; Nagelhus, Bjørn ; Størset, Gunnar ; Lundbom, Jan ; Rosenlund, Thomas T. ; Tjora, Aksel ; Myhre, Hans O.</creatorcontrib><description>Purpose:
To study the feasibility of 3-dimensional (3D) teleradiology in surveillance of patients treated with stent-grafts for abdominal aortic aneurysm (AAA).
Methods:
Between April 2002 and November 2003, 8 AAA patients (7 men; median age 73 years, range 62–84) with stent-grafts had follow-up computed tomograms (CT) performed at their local hospital and transmitted without loss across a broadband connection to the university hospital. On both monitors, the radiologists were presented with the complete CT axial dataset, sagittal and coronal reformatted slices, and a 3D volume-rendered reconstruction. The two radiologists were then able to simultaneously perform measurements and real-time manipulations of the axial and 3D pictures, which were discussed over the telephone or using a videoconferencing unit. Patient satisfaction, the radiologists' evaluation of the method, and the potential cost savings were explored.
Results:
Twelve follow-up CT scans were performed on the 8 patients. The time for transmission over the teleradiological network averaged 5 minutes, and the evaluation required 15 minutes at the university hospital. The overall technical quality of the images was rated as good by the university radiologist. In 11 studies, the stent-grafts were satisfactory, but a type III endoleak was detected in one 5.5-year-old stent-graft. Neither radiologist had a problem identifying the endoleak. Patients had confidence that the examination at the local hospital was of good quality; they all felt that they received good care and were pleased with avoiding travel to the university hospital. From the economic analysis, an annual savings of 40,000 Euros (US$52,304) was projected, mostly due to avoiding hospital stays and outpatient consultations at the university hospital.
Conclusions:
The experiences from this study are encouraging, but a larger series will be necessary for a thorough evaluation of 3D teleradiology as a surveillance method for aortic stent-graft patients.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1583/04-1422.1</identifier><identifier>PMID: 15823066</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Angioplasty ; Aortic Aneurysm, Abdominal - diagnostic imaging ; Aortic Aneurysm, Abdominal - surgery ; Cost Savings ; Feasibility Studies ; Female ; Follow-Up Studies ; Humans ; Imaging, Three-Dimensional - economics ; Male ; Middle Aged ; Norway ; Patient Satisfaction ; Teleradiology - economics ; Tomography, X-Ray Computed - economics ; Tomography, X-Ray Computed - methods</subject><ispartof>Journal of endovascular therapy, 2005-04, Vol.12 (2), p.196-199</ispartof><rights>2005 SAGE Publications</rights><rights>Copyright Allen Press, Inc. Apr 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c310t-1dec0caaef71c1a51883e2f419924d295e67440e79c25fea9963e1f5d0cb8b313</citedby><cites>FETCH-LOGICAL-c310t-1dec0caaef71c1a51883e2f419924d295e67440e79c25fea9963e1f5d0cb8b313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15823066$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaspersen, Jon H.</creatorcontrib><creatorcontrib>Aasland, Jenny</creatorcontrib><creatorcontrib>Leira, Håkon O.</creatorcontrib><creatorcontrib>Ødegård, Asbjørn</creatorcontrib><creatorcontrib>Nagelhus, Bjørn</creatorcontrib><creatorcontrib>Størset, Gunnar</creatorcontrib><creatorcontrib>Lundbom, Jan</creatorcontrib><creatorcontrib>Rosenlund, Thomas T.</creatorcontrib><creatorcontrib>Tjora, Aksel</creatorcontrib><creatorcontrib>Myhre, Hans O.</creatorcontrib><title>Three-Dimensional Teleradiology for Surveillance following Endovascular Aortic Aneurysm Repair: A Feasibility Study</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>Purpose:
To study the feasibility of 3-dimensional (3D) teleradiology in surveillance of patients treated with stent-grafts for abdominal aortic aneurysm (AAA).
Methods:
Between April 2002 and November 2003, 8 AAA patients (7 men; median age 73 years, range 62–84) with stent-grafts had follow-up computed tomograms (CT) performed at their local hospital and transmitted without loss across a broadband connection to the university hospital. On both monitors, the radiologists were presented with the complete CT axial dataset, sagittal and coronal reformatted slices, and a 3D volume-rendered reconstruction. The two radiologists were then able to simultaneously perform measurements and real-time manipulations of the axial and 3D pictures, which were discussed over the telephone or using a videoconferencing unit. Patient satisfaction, the radiologists' evaluation of the method, and the potential cost savings were explored.
Results:
Twelve follow-up CT scans were performed on the 8 patients. The time for transmission over the teleradiological network averaged 5 minutes, and the evaluation required 15 minutes at the university hospital. The overall technical quality of the images was rated as good by the university radiologist. In 11 studies, the stent-grafts were satisfactory, but a type III endoleak was detected in one 5.5-year-old stent-graft. Neither radiologist had a problem identifying the endoleak. Patients had confidence that the examination at the local hospital was of good quality; they all felt that they received good care and were pleased with avoiding travel to the university hospital. From the economic analysis, an annual savings of 40,000 Euros (US$52,304) was projected, mostly due to avoiding hospital stays and outpatient consultations at the university hospital.
Conclusions:
The experiences from this study are encouraging, but a larger series will be necessary for a thorough evaluation of 3D teleradiology as a surveillance method for aortic stent-graft patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty</subject><subject>Aortic Aneurysm, Abdominal - diagnostic imaging</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Cost Savings</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional - economics</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Norway</subject><subject>Patient Satisfaction</subject><subject>Teleradiology - economics</subject><subject>Tomography, X-Ray Computed - economics</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNplkE1LxDAQhoMofh_8AxI8CB66ZtKk23or6ycsCLqeS5pO10i2WZN2pf_ell3w4GmG4Zl3mIeQC2ATkGl8y0QEgvMJ7JFjkEJGICXbH3ueRAnj6RE5CeGLMQ4c4JAcDVs8ZklyTMLi0yNG92aFTTCuUZYu0KJXlXHWLXtaO0_fO79BY61qNA4Da92PaZb0oancRgXdWeVp7nxrNM0b7HwfVvQN18r4O5rTR1TBlMaatqfvbVf1Z-SgVjbg-a6eko_Hh8XsOZq_Pr3M8nmkY2BtBBVqppXCegoalIQ0jZHXArKMi4pnEpOpEAynmeayRpVlSYxQy4rpMi1jiE_J1TZ37d13h6EtvlznhxdDMWgACSKRA3SzhbR3IXisi7U3K-X7Algx2i2YKEa7xRh4uQvsyhVWf-RO5wBcb4Gglvh37X_SL5rCgWQ</recordid><startdate>200504</startdate><enddate>200504</enddate><creator>Kaspersen, Jon H.</creator><creator>Aasland, Jenny</creator><creator>Leira, Håkon O.</creator><creator>Ødegård, Asbjørn</creator><creator>Nagelhus, Bjørn</creator><creator>Størset, Gunnar</creator><creator>Lundbom, Jan</creator><creator>Rosenlund, Thomas T.</creator><creator>Tjora, Aksel</creator><creator>Myhre, Hans O.</creator><general>SAGE Publications</general><general>Allen Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>200504</creationdate><title>Three-Dimensional Teleradiology for Surveillance following Endovascular Aortic Aneurysm Repair: A Feasibility Study</title><author>Kaspersen, Jon H. ; Aasland, Jenny ; Leira, Håkon O. ; Ødegård, Asbjørn ; Nagelhus, Bjørn ; Størset, Gunnar ; Lundbom, Jan ; Rosenlund, Thomas T. ; Tjora, Aksel ; Myhre, Hans O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c310t-1dec0caaef71c1a51883e2f419924d295e67440e79c25fea9963e1f5d0cb8b313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty</topic><topic>Aortic Aneurysm, Abdominal - diagnostic imaging</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Cost Savings</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional - economics</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Norway</topic><topic>Patient Satisfaction</topic><topic>Teleradiology - economics</topic><topic>Tomography, X-Ray Computed - economics</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaspersen, Jon H.</creatorcontrib><creatorcontrib>Aasland, Jenny</creatorcontrib><creatorcontrib>Leira, Håkon O.</creatorcontrib><creatorcontrib>Ødegård, Asbjørn</creatorcontrib><creatorcontrib>Nagelhus, Bjørn</creatorcontrib><creatorcontrib>Størset, Gunnar</creatorcontrib><creatorcontrib>Lundbom, Jan</creatorcontrib><creatorcontrib>Rosenlund, Thomas T.</creatorcontrib><creatorcontrib>Tjora, Aksel</creatorcontrib><creatorcontrib>Myhre, Hans O.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Journal of endovascular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaspersen, Jon H.</au><au>Aasland, Jenny</au><au>Leira, Håkon O.</au><au>Ødegård, Asbjørn</au><au>Nagelhus, Bjørn</au><au>Størset, Gunnar</au><au>Lundbom, Jan</au><au>Rosenlund, Thomas T.</au><au>Tjora, Aksel</au><au>Myhre, Hans O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three-Dimensional Teleradiology for Surveillance following Endovascular Aortic Aneurysm Repair: A Feasibility Study</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2005-04</date><risdate>2005</risdate><volume>12</volume><issue>2</issue><spage>196</spage><epage>199</epage><pages>196-199</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>Purpose:
To study the feasibility of 3-dimensional (3D) teleradiology in surveillance of patients treated with stent-grafts for abdominal aortic aneurysm (AAA).
Methods:
Between April 2002 and November 2003, 8 AAA patients (7 men; median age 73 years, range 62–84) with stent-grafts had follow-up computed tomograms (CT) performed at their local hospital and transmitted without loss across a broadband connection to the university hospital. On both monitors, the radiologists were presented with the complete CT axial dataset, sagittal and coronal reformatted slices, and a 3D volume-rendered reconstruction. The two radiologists were then able to simultaneously perform measurements and real-time manipulations of the axial and 3D pictures, which were discussed over the telephone or using a videoconferencing unit. Patient satisfaction, the radiologists' evaluation of the method, and the potential cost savings were explored.
Results:
Twelve follow-up CT scans were performed on the 8 patients. The time for transmission over the teleradiological network averaged 5 minutes, and the evaluation required 15 minutes at the university hospital. The overall technical quality of the images was rated as good by the university radiologist. In 11 studies, the stent-grafts were satisfactory, but a type III endoleak was detected in one 5.5-year-old stent-graft. Neither radiologist had a problem identifying the endoleak. Patients had confidence that the examination at the local hospital was of good quality; they all felt that they received good care and were pleased with avoiding travel to the university hospital. From the economic analysis, an annual savings of 40,000 Euros (US$52,304) was projected, mostly due to avoiding hospital stays and outpatient consultations at the university hospital.
Conclusions:
The experiences from this study are encouraging, but a larger series will be necessary for a thorough evaluation of 3D teleradiology as a surveillance method for aortic stent-graft patients.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>15823066</pmid><doi>10.1583/04-1422.1</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of endovascular therapy, 2005-04, Vol.12 (2), p.196-199 |
| issn | 1526-6028 1545-1550 |
| language | eng |
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| subjects | Aged Aged, 80 and over Angioplasty Aortic Aneurysm, Abdominal - diagnostic imaging Aortic Aneurysm, Abdominal - surgery Cost Savings Feasibility Studies Female Follow-Up Studies Humans Imaging, Three-Dimensional - economics Male Middle Aged Norway Patient Satisfaction Teleradiology - economics Tomography, X-Ray Computed - economics Tomography, X-Ray Computed - methods |
| title | Three-Dimensional Teleradiology for Surveillance following Endovascular Aortic Aneurysm Repair: A Feasibility Study |
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