PMID- 23893749
OWN - NLM
STAT- MEDLINE
DCOM- 20140108
LR  - 20220410
IS  - 1438-9010 (Electronic)
IS  - 1438-9010 (Linking)
VI  - 185
IP  - 11
DP  - 2013 Nov
TI  - Evaluation of the use of a tablet computer with a high-resolution display for 
      interpreting emergency CT scans.
PG  - 1063-9
LID - 10.1055/s-0033-1350155 [doi]
AB  - PURPOSE: Evaluation of the potential usability of an iPad 3 with a 
      high-resolution display in CT emergency diagnosis compared to a 3 D PACS 
      workstation. MATERIALS AND METHODS: 3 readers used a 5-point Likert scale to 
      evaluate 40 CCT scans and 40 CTPA scans to determine the detectability of early 
      signs of infarction in CCT or segmental and subsegmental pulmonary embolisms in 
      CT angiography of the pulmonary arteries (CTPA) on the iPad 3 (Apple Inc., USA) 
      using an application for image viewing (Visage Ease, Visage Imaging GmbH, Berlin) 
      and on a 3 D PACS workstation (Visage 7.1, Visage Imaging, Berlin) using a 
      certified monitor for image viewing. The results were compared using the Wilcoxon 
      rank sum test, Spearman's correlation coefficient, and a kappa statistic. 
      RESULTS: There was no significant difference in the median evaluations for the 
      readings of both the CCT scans and the CTPA scans on the iPad 3 and on the 
      workstation (p > 0.05) for all three readers. The mean Spearman's correlation 
      coefficient for CCT and CTPA was 0.46 (+/- 0.2) and 0.69 (+/- 0.16), respectively, 
      for the comparison iPad/PACS, 0.41 (+/- 0.16) and 0.68 (+/- 0.06), respectively, for 
      the interobserver agreement on the iPad, and 0.35 (+/- 0.05) and 0.68 (+/- 0.10), 
      respectively, for the interobserver agreement on the PACS. Mean kappa values for 
      CCT of 0.52 (+/- 0.17) for the comparison iPad/PACS and 0.33 (+/- 0.16) and 0.32 (+/- 
      0.16), respectively, for the interobserver agreement on the iPad and the PACS 
      were achieved. For CTPA average kappa values of 0.67 (+/- 0.19) were calculated for 
      the comparison iPad/PACS and 0.69 (+/- 0.08) and 0.60 (+/- 0.14), respectively, for 
      the interobserver concordance on the iPad 3 and the PACS. All differences were 
      not statistically significant (p > 0.05). CONCLUSION: The variability of the 
      interpretation of typical emergency scans on an iPad 3 with a high-resolution 
      display and on a 3 D PACS workstation does not differ from the interobserver 
      variability.
CI  - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - Tewes, S
AU  - Tewes S
FAU - Rodt, T
AU  - Rodt T
FAU - Marquardt, S
AU  - Marquardt S
FAU - Evangelidou, E
AU  - Evangelidou E
FAU - Wacker, F K
AU  - Wacker FK
FAU - von Falck, C
AU  - von Falck C
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
DEP - 20130726
PL  - Germany
TA  - Rofo
JT  - RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin
JID - 7507497
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cerebral Infarction/*diagnostic imaging
MH  - Computer Terminals
MH  - *Computers, Handheld
MH  - Emergency Medical Services/*methods
MH  - Equipment Design
MH  - Equipment Failure Analysis
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Mobile Applications
MH  - Observer Variation
MH  - Pulmonary Embolism/*diagnostic imaging
MH  - Radiographic Image Interpretation, Computer-Assisted/*instrumentation
MH  - Reproducibility of Results
MH  - Sensitivity and Specificity
MH  - Tomography, X-Ray Computed/*instrumentation
MH  - User-Computer Interface
EDAT- 2013/07/31 06:00
MHDA- 2014/01/09 06:00
CRDT- 2013/07/30 06:00
PHST- 2013/07/30 06:00 [entrez]
PHST- 2013/07/31 06:00 [pubmed]
PHST- 2014/01/09 06:00 [medline]
AID - 10.1055/s-0033-1350155 [doi]
PST - ppublish
SO  - Rofo. 2013 Nov;185(11):1063-9. doi: 10.1055/s-0033-1350155. Epub 2013 Jul 26.