Reliability and accuracy of individual Alberta Stroke Program Early CT Score regions using a medical and a smartphone reading system in a telestroke network

Vista sencilla de ítem
dc.contributor.authorSalazar Gómez, Antonio José
dc.contributor.authorUseche, Nicolás
dc.contributor.authorGranja Santibañez, Manuel Felipe
dc.contributor.authorBermúde, Sonia
dc.contributor.authorMorillo, Aníbal J.
dc.contributor.authorTorres, Oscar J.
dc.contributor.authorRueda, Natalia
dc.contributor.authorRopero, Brenda
dc.date.accessioned2020-03-16T19:27:48Z
dc.date.available2020-03-16T19:27:48Z
dc.date.issued2019
dc.description.abstractenglishIntroduction: The aim of this study was to assess individual regions of the Alberta Stroke Program Early CT Score in noncontrast head computed tomography interpretations using a smartphone in a telestroke network, by comparison to a medical monitor. Methods: The review board of our institution approved this retrospective study. A factorial design with 188 patients, four radiologists and two reading systems was used. Accuracy and reliability were evaluated. Results: Very good interobserver agreements were observed on the total Alberta Stroke Program Early CT Score for both the medical and smartphone reading systems, with intraclass correlation coefficients of 0.91 and 0.84 respectively. Interobserver agreements were moderate to very good for the medical reading system (all intraclass correlation coefficients >0.74), whereas they were fair to very good for the smartphone (intraclass correlation coefficients ranged from 0.31–0.81). All intraobserver agreements were good (intraclass correlation coefficient >0.64), except for internal capsule (0.48) and M2 (0.55) regions. The areas under the receiver-operating curve ranged from 0.69–0.89 for the medical system, while for the smartphone ranged from 0.44–0.86. No statistical differences were observed between medical and smartphone reading systems for each region (all p > 0.05). Discussion: If radiologists are better trained in the evaluation of the lesions in the insula, the internal capsule and the M2 regions, the total and the dichotomised Alberta Stroke Program Early CT Score will be more precise. Hence, ruling out contraindications to thrombolysis administration will be improved, allowing assessment of head computed tomography in a telestroke network using a smartphone to be a common practice.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://dx.doi.org/10.1177/1357633X19881863
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1758-1109
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2063
dc.language.isoeng
dc.publisherSAGEspa
dc.publisher.journalJournal of telemedicine and telecarespa
dc.relation.ispartofseriesJournal of telemedicine and telecare, 1758-1109, 2019, p. 1-8spa
dc.relation.urihttps://journals.sagepub.com/doi/10.1177/1357633X19881863
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf436
dc.rights.creativecommons2019
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.decsAccidente cerebrovascularspa
dc.subject.decsTeléfono inteligentespa
dc.subject.decsTomografía computarizada por rayos Xspa
dc.subject.keywordsAccuracyspa
dc.subject.keywordsAgreementspa
dc.subject.keywordsAlberta stroke program early CT scorespa
dc.titleReliability and accuracy of individual Alberta Stroke Program Early CT Score regions using a medical and a smartphone reading system in a telestroke networkspa
dc.title.translatedReliability and accuracy of individual Alberta Stroke Program Early CT Score regions using a medical and a smartphone reading system in a telestroke network
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

Archivos

Bloque original
Mostrando 1 - 1 de 1
Miniatura
Nombre:
Salazar A.J., Useche N., Granja M., Bermúdez S., Morillo A.J., Torres O., Rueda N., Ropero B.,_2019.pdf
Tamaño:
555.72 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Bloque de licencias
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
1.71 KB
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar

Colecciones

Artículos