放射医学影像远程会诊应用情况分析

Application analysis of radiological imaging tele-consultation

目的探讨医学影像远程会诊技术在临床的应用现状。方法回顾性分析我院远程会诊中心2015年1—12月的所有影像会诊病例，对申请医院级别、检查类型、检查部位、会诊时间、会诊目的等数据进行统计分析。结果2015年有179所医疗机构申请了放射影像远程会诊，请求会诊的医疗机构中以二级医院最多，占58．66％。2015年远程中心接受放射影像远程会诊病例共计2454例，其中数字X线片278例（11．33％），CT影像1353例（55．13％），MRI影像823例（33．54％）。医疗机构请求会诊的目的不同，请求鉴别诊断的有1602例（65．28％），请求明确诊断的有766例（31．21％），请求复核的有86例（3．51％），90．59％的会诊病例在24h内获得专家会诊意见。结论我院医学影像的远程会诊能够及时有效地为基层医院提供会诊意见，节约了成本并为患者赢得了治疗时间，有效提高了基层的放射影像诊断效率，具有较高的临床应用前景。

Objective To investigate radiological imaging tele-consuhation in clinical application. Methods All cases of the tele-consultation analyzed retrospectively came from the Hospital＇s telemedicine center from January to December of 2015. The statistical analysis covered the level of applying hospital, modality type of imaging, inspection area, as well as the timing and purpose of the consultation. Results A total of 179 medical institutions required image consultation in 2015, most of which secondary hospitals, up to 58.66%. A total of 2 454 cases were consulted, including X-ray of 278 cases （11.33% ）, CT of 1 353 cases （55.13% ） , and MRI of 823 cases （33.54%）. Purposes of tele-eonsultation vary from differential diagnosis of 1 602 cases （65.28%） , definitive diagnosis of 766 cases （31.21%） , and eonfirmative review of 86 cases （3.51%）. 90.59% of the consultation cases were finished within 24 hours. Conclusions Radiological imaging tele-consultation could offer local hospitals with diagnosis efficiently effectively. On one hand, this service saves patients＇costs and gains time for treatment. On the other, it makes primary hospitals more efficient in radiological imaging diagnosis.