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

Stud Health Technol Inform. 2013:190:285-7.

Abstract

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

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

Results: The integrated analysis of TRE and TPE of LG showed: Sensitivity=96.6%, Specificity=100% and Accuracy=97.5%.

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

MeSH terms

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