RESUMO
AIM: Feasibility and reliability assessment of the integrated Tele-Radiological (TRE) and Tele-Pathological (TPE) evaluation of the Pulmonary Graft (PG) on Telemedicine Systems, in Lung Transplant (LT). MATERIAL AND METHODS: Sensitivity-specificity by simulating TRE of PG on 15 MR thoracic images by two radiologists and TPE by 20 specialists based on a total of 100 human PG digital images. RESULTS: Integration of TRE and TPE of PG showed an accuracy of 94.1% for hematomas and 97.1% for neoplastic identification. CONCLUSION: Integrated TRE and TPE of PG is feasible and reliable for reducing the rate of injured and diseased PG in LT.
Assuntos
Prestação Integrada de Cuidados de Saúde/organização & administração , Rejeição de Enxerto/prevenção & controle , Transplante de Pulmão/métodos , Telepatologia/organização & administração , Telerradiologia/organização & administração , Coleta de Tecidos e Órgãos/métodos , Prestação Integrada de Cuidados de Saúde/métodos , Rejeição de Enxerto/diagnóstico por imagem , Rejeição de Enxerto/etiologia , Grécia , Transplante de Pulmão/efeitos adversos , Integração de Sistemas , Coleta de Tecidos e Órgãos/efeitos adversosRESUMO
UNLABELLED: Aim. Feasibility and reliability of the integrated Tele-Radiological (TRE) and Tele-Pathological (TPE) evaluation of the Cardiac Graft (CG) on Telemedicine Systems. MATERIAL AND METHODS: Sensitivity-specificity analysis by a simulation of TRE of CG on 15 MR thoracic images by two radiologists and of TPE by 20 specialists based on total 100 human CG digital images, assessing injuries/trauma and lesions. RESULTS: Integration of TRE and TPE of CG for remote diagnosis showed an accuracy for: injuries/trauma/hematoma=90.9-100%, and non-neoplastic lesions=94.3%. CONCLUSION: Integration of TRE and TPE of CG is feasible and reliable for Heart Pre-Grafting and Pre-Transplant decision support and planning.