THE INFLUENCE OF THE QUALITY OF X-RAY IMAGES FROM TELEMEDICINE ON THE COLLECTIVE EFFECTIVE DOSE OF PATIENTS

Author:

Lantukh Zoya A.1ORCID,Kozhikhina Daria D.2ORCID,Tolkachev Kirill V.1ORCID,Shatenok Maria P.1ORCID,Druzhinina Uliya V.34ORCID,Soldatov Ilya V.1ORCID,Vasilev Yuriy A.1ORCID,Ryzhov Sergey A.156ORCID,Vodovatov Aleksandr V.7ORCID

Affiliation:

1. Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

2. Moscow Center for Diagnostics and Telemedicine

3. Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of Moscow Health Care Department

4. Russian Medical Academy of Continuous Professional Education

5. Association of Medical Physicists in Russia

6. Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology

7. Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev

Abstract

Ensuring a quality of diagnostic radiology along with increasing efficiency is a key task for healthcare system for both municipal medical facilities and private medicine. When a defective X-ray image is obtained, there is a need to re-conduct a examination, which in turn entails reputational, temporary and economic losses for a medical facility. Repeated examination makes an additional contribution to the patient’s radiation exposure also. The paper shows that for facilities providing telemedicine services, implementation of a clinical audit for diagnostic examinations using information technology is efficient. In 2022 2059 error x-ray images were identified applying a similar system, which is 0.084% of the total number of telemedicine radiology examinations. A collective effective dose due to defective examinations was 3,613 man-Sv, which is less than 0.11% of the total collective dose.

Publisher

ECO-Vector LLC

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