Telemedicine systems in organ transplantation: a feasibility and reliability study of the integrated teleradiological and tele-pathological evaluation of renal graft

Stud Health Technol Inform. 2013:190:279-81.

Abstract

Aim: To determine feasibility and reliability of the integrated Tele-Radiological (TRE) and Tele-Pathological (TPE) evaluation of the Renal Graft (RG) on Telemedicine Systems (TS).

Material and methods: A sensitivity-specificity analysis by a simulation of the TRE of RG on 15 MR abdominal images by a radiologist and of the TPE of RG by 26 specialists based on 130 human RG images assessing damages and lesions.

Results: The integrated analysis of TRE and TPE of RG showed: Sensitivity=96.7%, Specificity=100% and Accuracy=97.6%.

Conclusion: The TRE integrated with the TPE of RG is feasible and reliable for RG transplant decision support and planning.

MeSH terms

  • Europe / epidemiology
  • Feasibility Studies
  • Graft Rejection / diagnosis*
  • Graft Rejection / etiology
  • Graft Rejection / prevention & control
  • Humans
  • Kidney / diagnostic imaging*
  • Kidney / pathology*
  • Kidney Transplantation / adverse effects
  • Kidney Transplantation / methods*
  • Radiography
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Systems Integration
  • Telepathology / methods*
  • Teleradiology / methods*
  • Treatment Outcome
  • User-Computer Interface*