Digital radiology to improve the quality of care in countries with limited resources: a feasibility study from Angola.
<h4>Objective</h4>Sub-standard quality in X-ray image acquisition and interpretation is common in low-resource countries, and can ultimately result in higher patient morbidity and mortality. This study aimed at evaluating; 1) feasibility of implementing a digital X-ray device in a second...
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2013
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oai:doaj.org-article:d06a291deeb64b3f93e011046e62d3e02021-11-18T08:53:42ZDigital radiology to improve the quality of care in countries with limited resources: a feasibility study from Angola.1932-620310.1371/journal.pone.0073939https://doaj.org/article/d06a291deeb64b3f93e011046e62d3e02013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24086301/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>Sub-standard quality in X-ray image acquisition and interpretation is common in low-resource countries, and can ultimately result in higher patient morbidity and mortality. This study aimed at evaluating; 1) feasibility of implementing a digital X-ray device in a second level hospital in Angola; 2) quality of digital X-ray images, when digital radiology was in the hands of local technicians; 3) feasibility of digital teleradiology and its potential impact on case management.<h4>Methods</h4>We developed and tested at the Hospital Divina Providencia (HDP) in Luanda, Angola, a digital X-ray device and a telemedicine network to acquire and print digital X-ray images and send them as DICOM files for remote consultation.<h4>Results</h4>20,564 digital X-ray images were made at HDP from November 2010 to December 2012, with no major technical problems and no need for on-site supervision. Digital radiology largely improved the number of X-ray images of good and very good quality (100% of images with digital radiology, compared to 15% of screen-film images, p<0.0001). Teleradiology using digital images was used in 7.6% of paediatric cases, and provided, in these cases, an important contribution to case management.<h4>Conclusions</h4>The implementation of a digital X-ray device is feasible in low resource settings with significant improvement in quality of X-ray images compared to standard screen film radiology.Floriana ZennaroJoaquim António Oliveira GomesArmando CasalinoMagda LonardiMeta StarcPierpaolo PaolettiDaniele GobboChiara GiustoTarcisio NotMarzia LazzeriniPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 9, p e73939 (2013) |
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Medicine R Science Q Floriana Zennaro Joaquim António Oliveira Gomes Armando Casalino Magda Lonardi Meta Starc Pierpaolo Paoletti Daniele Gobbo Chiara Giusto Tarcisio Not Marzia Lazzerini Digital radiology to improve the quality of care in countries with limited resources: a feasibility study from Angola. |
| description |
<h4>Objective</h4>Sub-standard quality in X-ray image acquisition and interpretation is common in low-resource countries, and can ultimately result in higher patient morbidity and mortality. This study aimed at evaluating; 1) feasibility of implementing a digital X-ray device in a second level hospital in Angola; 2) quality of digital X-ray images, when digital radiology was in the hands of local technicians; 3) feasibility of digital teleradiology and its potential impact on case management.<h4>Methods</h4>We developed and tested at the Hospital Divina Providencia (HDP) in Luanda, Angola, a digital X-ray device and a telemedicine network to acquire and print digital X-ray images and send them as DICOM files for remote consultation.<h4>Results</h4>20,564 digital X-ray images were made at HDP from November 2010 to December 2012, with no major technical problems and no need for on-site supervision. Digital radiology largely improved the number of X-ray images of good and very good quality (100% of images with digital radiology, compared to 15% of screen-film images, p<0.0001). Teleradiology using digital images was used in 7.6% of paediatric cases, and provided, in these cases, an important contribution to case management.<h4>Conclusions</h4>The implementation of a digital X-ray device is feasible in low resource settings with significant improvement in quality of X-ray images compared to standard screen film radiology. |
| format |
article |
| author |
Floriana Zennaro Joaquim António Oliveira Gomes Armando Casalino Magda Lonardi Meta Starc Pierpaolo Paoletti Daniele Gobbo Chiara Giusto Tarcisio Not Marzia Lazzerini |
| author_facet |
Floriana Zennaro Joaquim António Oliveira Gomes Armando Casalino Magda Lonardi Meta Starc Pierpaolo Paoletti Daniele Gobbo Chiara Giusto Tarcisio Not Marzia Lazzerini |
| author_sort |
Floriana Zennaro |
| title |
Digital radiology to improve the quality of care in countries with limited resources: a feasibility study from Angola. |
| title_short |
Digital radiology to improve the quality of care in countries with limited resources: a feasibility study from Angola. |
| title_full |
Digital radiology to improve the quality of care in countries with limited resources: a feasibility study from Angola. |
| title_fullStr |
Digital radiology to improve the quality of care in countries with limited resources: a feasibility study from Angola. |
| title_full_unstemmed |
Digital radiology to improve the quality of care in countries with limited resources: a feasibility study from Angola. |
| title_sort |
digital radiology to improve the quality of care in countries with limited resources: a feasibility study from angola. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2013 |
| url |
https://doaj.org/article/d06a291deeb64b3f93e011046e62d3e0 |
| work_keys_str_mv |
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