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Titolo:
Clinical efficacy of telemedicine in emergency radiotherapy for malignant spinal cord compression
Autore:
Hashimoto, S; Shirato, H; Kaneko, K; Ooshio, W; Nishioka, T; Miyasaka, K;
Indirizzi:
Hokkaido Univ, Grad Sch Med, Dept Radiat Med, Sapporo, Hokkaido, Japan Hokkaido Univ Sapporo Hokkaido Japan adiat Med, Sapporo, Hokkaido, Japan Otaru City Hosp, Dept Orthoped, Otaru, Hokkaido, Japan Otaru City Hosp Otaru Hokkaido Japan pt Orthoped, Otaru, Hokkaido, Japan
Titolo Testata:
JOURNAL OF DIGITAL IMAGING
fascicolo: 3, volume: 14, anno: 2001,
pagine: 124 - 130
SICI:
0897-1889(200109)14:3<124:CEOTIE>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
MANAGEMENT; CANCER;
Keywords:
telemedicine; teleradiology; radiotherapy; emergency; malignant spinal cord compression;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Hashimoto, S Hokkaido Univ, Sch Med, Dept Radiat Oncol, Kita Ku, North 15,West 7, Sapporo, Hokkaido, Japan Hokkaido Univ North 15,West 7 Sapporo Hokkaido Japan , Japan
Citazione:
S. Hashimoto et al., "Clinical efficacy of telemedicine in emergency radiotherapy for malignant spinal cord compression", J DIGIT IM, 14(3), 2001, pp. 124-130

Abstract

The authors developed a Telecommunication-HElped Radiotherapy Planning andInformation SysTem (THERAPIST), then estimated its clinical benefit in radiotherapy in district hospitals where consultation with the university hospital was required. The system consists of a personal computer with an imagescanner and a digital camera, set up in district hospitals and directly connected via ISDN to an image server, and a treatment planning device set upin a university hospital. Image data and consultative reports are sent to the server. Radiation oncologists at the university hospital determine a treatment schedule and verify actual treatment fields. From 1998 to 1999, 12 patients with malignant spinal cord compression (MSCC) were treated by emergency radiotherapy with the help of this system,. Image quality, transmission time, and cost benefit also were. satisfactory for clinical use. The mean time between the onset of symptoms and the start of radiotherapy was reduced significantly from 7.1 days to 0.8 days (P <.05) by the introduction ofthe system. Five of 6 nonambulant patients became ambulant after the introduction of THERAPIST compared with 2 of 8 before the introduction of THERAPIST. The treatment outcome was significantly better after the introduction of the system (P <.05), and suggested to be beyond the international standard. The telecommunication-helped radiotherapy and information system was useful in emergency radiotherapy in district hospitals for patients with MSCCfor whom consultation with experienced radiation oncologists at a university hospital was required. Copyright (C) 2007 by W.B. Saunders Company.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 19:37:44