Ruling out brain CT contraindications prior to intravenous thrombolysis: diagnostic equivalence between a primary interpretation workstation and a mobile tablet computer
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Fecha
2017
Autores
Salazar, Antonio J.
Useche, Nicolás
Granja, Manuel
Morillo, Aníbal J.
Bermúdez, Sonia
Título de la revista
Publicado en
International Journal of Telemedicine and Applications, 1687-6415, 2017, p. 1-7
Publicado por
Hindawi Publishing Corporation
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Resumen
Descripción
Abstract
Objective. The aim of this study was to evaluate the equivalence of brain CT interpretations performed using a diagnostic
workstation and a mobile tablet computer, in a telestroke service. Materials and Methods. The ethics committee of our institution
approved this retrospective study. A factorial design with 1452 interpretations was used. The assessed variables were the type of
stroke classification, the presence of contraindications to the tPA administration, the presence of a hyperdense intracranial artery
sign (HMCA), and the Alberta Stroke Program Early CT Score (ASPECTS) score. These variables were evaluated to determine
the effect that the reading system had on their magnitudes. Results. The achieved distribution of observed lesions using both the
reading systems was not statistically different. The differences between the two reading systems to claim equivalence were 1.6%
for hemorrhagic lesions, 4.5% for cases without lesion, and 5.2 for overall ischemic lesion. Equivalence was achieved at 2.1% for
ASPECTS ≤ 6, 6.5% for the presence of imaging contraindication to the tPA administration, and 7.2% for the presence of HMCA.
Conclusion. The diagnostic performance for detecting acute stroke is likely equivalent whether a tablet computer or a diagnostic
workstation is used or not.
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Keywords
Temáticas
Accidente cerebrovascular
Contractura isquémica
Hemorragia cerebral
Contractura isquémica
Hemorragia cerebral