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Teleradiology for Traumatic Brain Injury Management

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Teleradiology

Abstract

Teleradiology experiences from workstation to wireless technology and discrepancies from an “ideal world” of guidelines and a “real world” of medical practice are detailed. The real predictive value of Glasgow Coma Scale admission for the outcome of brain-injured patients and differences regarding the outcome of traumatic brain injury patients treated with or without neurosurgical facilities are outlined. Also examined is how to detect the computed tomography evolution before the neurologic change and the application of guidelines with area protocol and “hub and spoke” systems is discussed.

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References

  1. Armin SS, Colohan AR, Zhang JH (2006) Traumatic subarachnoid hemorrhage: our current understanding and its evolution over the past half century. Neurol Res 28(4):445-452

    Article  PubMed  Google Scholar 

  2. Ashkenazi I, Haspel J, Alfici R, Kessel B, Khashan T, Oren M (2007) Effect of teleradiology upon pattern of transfer of head injured patients from a rural general hospital to a neuro-surgical referral centre. Emerg Med J 24(8):550-552

    Article  PubMed  Google Scholar 

  3. Balestreri M, Czosnyka M, Chatfield DA et al (2004) Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psy-chiatry 75:161-162

    CAS  Google Scholar 

  4. Beaumont A, Gennarelli T (2006) CT prediction of contusion evolution after closed head injury: the role of pericontusional edema. Acta Neurochir Suppl 96:30-32

    Article  CAS  PubMed  Google Scholar 

  5. Brown CVR, Zada G, Salim A et al (2007) Indications for routine repeat head computed tomography (CT) stratified by severity of traumatic brain injury. J Trauma 62:1339-1345

    Article  PubMed  Google Scholar 

  6. Bruder N (2007) Transfer of emergency neurosurgical patients: when and how? Ann Fr Anesth Reanim 26(10):873-877

    CAS  PubMed  Google Scholar 

  7. Bullock R, Chesnut RM, Clifton G et al (1996) Guidelines for the management of severe head injury. J Neurotrauma 11:639-734

    Google Scholar 

  8. Bullock RM, Zauner A, Woodward JJ et al (1998) Factors affecting excitatory amino acid release following severe human head injury. J Neurosurg 89:507-518

    Article  CAS  PubMed  Google Scholar 

  9. Bullock R, Chesnut R, Ghajar J et al (2006) Guidelines for the surgical management of traumatic brain injury. Neurosurgery 58(3 Suppl):S2-47-S2-55

    Google Scholar 

  10. Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME (1989) A revision of the trauma score. J Trauma 29(5):623-629

    Article  CAS  PubMed  Google Scholar 

  11. Chang EF, Meeker M, Holland MC (2006) Acute traumatic intraparenchymal hemorrhage: risk factors for progression in the early post-injury period. Neurosurgery 58(4):647-656; discussion 647-656

    Article  PubMed  Google Scholar 

  12. Chieregato A, Fainardi E, Morselli-Labate AM et al (2005) Factors associated with neuro-logical outcome and lesion progression in traumatic subarachnoid hemorrhage patients. Neurosurgery 56(4):671-680; discussion 671-680

    Google Scholar 

  13. Daucourt V, Sicotte C, Pelletier-Fleuri N, Petitjean ME, Chateil JF, Michel P (2006) Cost-minimization analysis of a wide-area teleradiology network in a French region. Int J Qual Health Care 18(4):287-293

    Article  PubMed  Google Scholar 

  14. Durham SR, Liu KC, Selden NR (2006) Utility of serial computed tomography imaging in pediatric patients with head trauma. J Neurosurg 105(5 Suppl):365-369

    PubMed  Google Scholar 

  15. Fainardi E, Chieregato A, Antonelli V, Fagioli L, Servadei F (2004) Time course of CT evo-lution in traumatic subarachnoid haemorrhage: a study of 141 patients. Acta Neurochir (Wien) 146(3):257-263; discussion 263

    Google Scholar 

  16. Farin A, Deutsch R, Biegon A, Marshall LF (2003) Sex-related differences in patients with severe head injury: greater susceptibility to brain swelling in female patients 50 years of age and younger. J Neurosurg 98:32-69

    Article  PubMed  Google Scholar 

  17. Fins JJ (2003) Constructing an ethical stereotaxy for severe brain injury: balancing risks, benefits and access. Nat Rev 4:323-327

    CAS  Google Scholar 

  18. Goh KY, Lam CK, Poon WS (1997) The impact of teleradiology on the interhospital trans-fer of neurosurgical patients. Br J Neurosurg 11:52-56

    Article  CAS  PubMed  Google Scholar 

  19. Hukkelhoven CW, Steyerberg EW, Rampen AJ et al (2003) Patient age and outcome following severe traumatic brain injury: an analysis of 5600 patients. J Neurosurg 99:666-673

    Article  PubMed  Google Scholar 

  20. Kaups KL, Davis JW, Parks SN (2004) Routinely repeated computed tomography after blunt head trauma: does it benefit patients? J Trauma 56:475-481

    Article  PubMed  Google Scholar 

  21. Kim DK, Yoo SK, Kim SH (2005) Instant wireless transmission of radiological images using a personal digital assistant phone for emergency teleconsultation. J Telemed Tel-ecare 11(Suppl 2):S58-S61

    Article  Google Scholar 

  22. Kim DK, Yoo SK, Park JJ, Kim SH (2007) PDA-phone-based instant transmission of radio-logical images over a CDMA network by combining the PACS screen with a Bluetooth-interfaced local wireless link. J Digit Imaging 20(2):131-139

    Article  PubMed  Google Scholar 

  23. Kondo Y (2002) Medical image transfer for emergency care utilizing Internet and mobile phone. Nippon Hoshasen Gijutsu Gakkai Zasshi 58(10):1393-1401

    PubMed  Google Scholar 

  24. Lehoux P, Sicotte C, Denis JL, Berg M, Lacroix A (2002) The theory of use behind tele-medicine: how compatible with physicians’ clinical routines? Soc Sci Med 54:889-904

    Article  CAS  PubMed  Google Scholar 

  25. Lobato RD, Gomez PA, Alday R et al (1997) Sequential computerized tomography changes and related final outcome in severe head injury patients. Acta Neurochir (Wien) 139:385-391

    Article  CAS  Google Scholar 

  26. Lobato RD, Alen JF, Perez-Nuñez A et al (2005) Value of serial CT scanning and intracranial pressure monitoring for detecting new intracranial mass effect in severe head injury patients showing lesions type I-II in the initial CT scan. Neurocirugia (Astur) 16(3):217-234

    CAS  Google Scholar 

  27. Maas AJR, Dearden M, Teasdale GM et al (1997) EBIC-guidelines for management of severe head injury in adults. Acta Neurochir (Wien) 139:286-294

    Article  CAS  Google Scholar 

  28. MacFarlane A, Harrison R, Wallace P (2002) The benefits of a qualitative approach to telemedicine research. J Telemed Telecare 8(Suppl 2):56-57

    Article  PubMed  Google Scholar 

  29. Marshall LF, Marshall SB, Klauber MR et al (1992) The diagnosis of head injury requires a classification based on computed axial tomography. J Neurotrauma 9(Suppl 1): S287-S292

    PubMed  Google Scholar 

  30. McIntosh TL (1993) Novel pharmacological therapies in the treatment of experimental traumatic brain injury. J Neurotrauma 10:215-259

    Article  CAS  PubMed  Google Scholar 

  31. Morris K (1993) Assessment and communication of conscious level: an audit of neurosur-gical referrals. Injury 24:369-372

    Article  CAS  PubMed  Google Scholar 

  32. Mun SK, Turner JW (1999) Telemedicine: emerging e-medicine. Annu Rev Biomed Eng 01:589-610

    Article  CAS  Google Scholar 

  33. Munro PT, Smith RD, Parke TR (2002) Effect of patients’ age on management of acute intracranial haematoma: prospective national study. BMJ 325:1001

    Article  PubMed  Google Scholar 

  34. Nathens AB, Maier RV, Copass MK, Jurkovich GJ (2001) Payer status: the unspoken triage criterion. J Trauma 50:776-783

    Article  CAS  PubMed  Google Scholar 

  35. National Collaborating Centre for Acute Care (2003) Head injury: triage, assessment, investigation and early management of head injury in infants, children and adults. National Health Service, National Institute for Clinical Excellence, London, p 74

    Google Scholar 

  36. Ng WH, Wang E, Ng I (2007) Multimedia messaging service teleradiology in the provision of emergency neurosurgery services. Surg Neurol 67(4):338-341

    Article  PubMed  Google Scholar 

  37. Oertel M, Kelly DF, McArthur D et al (2002) Progressive hemorrhage after head trauma: predictors and consequences of the evolving injury. J Neurosurg 96(1):109-116

    Article  PubMed  Google Scholar 

  38. Papo I, Caruselli G, Luongo A, Scarpelli M, Pasquini U (1980) Traumatic cerebral mass lesions: correlations between clinical, intracranial pressure, and computer tomographic data. Neurosurgery 7:337-346

    Article  CAS  PubMed  Google Scholar 

  39. Patel NY, Hoyt DB, Nakaji P et al (2000) Traumatic brain injury: patterns of failure of nonoperative management. J Trauma 48:367-374

    Article  CAS  PubMed  Google Scholar 

  40. Patel HC, Bouamra O, Woodford M et al (2005) Trends in head injury outcome from 1989 to 2003 and the effect of neurosurgical care: an observational study. Lancet 366: 1538-1544

    Article  CAS  PubMed  Google Scholar 

  41. Pelletier-Fleury N, Fargeon V, Lanoe JL, Fardeau M (1997) Transaction costs economics as a conceptual framework for the analysis of barriers to the diffusion of telemedicine. Health Policy 42:1-14

    Article  CAS  PubMed  Google Scholar 

  42. Piek J, Hebecker R, Schütze M, Sola S, Mann S, Buchholz K (2006) Image transfer by mobile phones in neurosurgery. Zentralbl Neurochir 67(4):193-196

    Article  CAS  PubMed  Google Scholar 

  43. Poca MA, Sahuquillo J, Domenech P et al (2004) Use of teleradiology in the evaluation and management of head-injured patients. Results of a pilot study of a link between a district general hospital and a neurosurgical referral center. Neurocirugia (Astur) 15 (1):17-35

    CAS  Google Scholar 

  44. Procaccio F, Stocchetti N, Citerio G et al (2000) Guidelines for the treatment of adults with severe head trauma. J Neurosurg Sci 44:1-10

    CAS  PubMed  Google Scholar 

  45. Randles TJ, Thachenkary CS (2002) Toward an understanding of diagnostic teleconsulta-tions and their impact on diagnostic confidence. Telemed J E Health 8:377-385

    Article  PubMed  Google Scholar 

  46. Schuhmann MU, Rickels E, Rosahl SK, Schneekloth CG, Samii M (2001) Acute care in neurosurgery: quantity, quality, and challenges J Neurol Neurosurg Psychiatry 71: 182-187

    Article  CAS  PubMed  Google Scholar 

  47. Scottish Intercollegiate Guidelines Network (2000) Early management of patients with a head injury. Edinburgh: SIGN, Publication ISBN 1899893 27 X 46:36

    Google Scholar 

  48. Servadei F, Nanni A, Nasi MT et al (1995) Evolving brain lesions in the first 12 hours after head injury: analysis of 37 comatose patients. Neurosurgery 37(5):899-906; discussion 906-907

    Google Scholar 

  49. Servadei F, Murray GD, Penny K et al (2000) The value of the ‘worst’ computed tomo-graphic scan in clinical studies of moderate and severe head injury. European Brain Injury Consortium. Neurosurgery 46:70-75

    Article  CAS  PubMed  Google Scholar 

  50. Servadei F, Nasi MT, Giuliani G et al (2000) CT prognostic factors in acute subdural hae-matomas: the value of the “worst” CT scan. Br J Neurosurg 14(26):110-111

    CAS  PubMed  Google Scholar 

  51. Servadei F, Antonelli V, Mastrilli A, Cultrera F, Giuffrida M, Staffa G (2002) Integration of image transmission into a protocol for head injury management: a preliminary report. Br J Neurosurg 16(1):36-42

    Article  CAS  PubMed  Google Scholar 

  52. Servadei F, Murray GD, Teasdale GM et al (2002) Traumatic subarachnoid hemorrhage: demographic and clinical study of 750 patients from the European brain injury consor-tium survey of head injuries. Neurosurgery 50(2):261-267; discussion 267-269

    Google Scholar 

  53. Servadei F, Compagnone C, Sahuquillo J (2007) The role of surgery in traumatic brain injury. Curr Opin Crit Care 13:163-168

    Article  PubMed  Google Scholar 

  54. Shigemori M, Tokutomi T, Hirohata M, Maruiwa H, Kaku N, Kuramoto S (1990) Clinical significance of traumatic subarachnoid hemorrhage. Neurol Med Chir 30:396-400

    Article  CAS  Google Scholar 

  55. Sicotte C, Lehoux P (2003) Teleconsultation: rejected and emerging uses. Methods Infect Med 42:451-457

    CAS  Google Scholar 

  56. Sifri ZC, Livingston DH, Lavery RF et al (2004) Value of repeat cranial computed axial tomography scanning in patients with minimal head injury. Am J Surg 187:338-342

    Article  PubMed  Google Scholar 

  57. Tagliaferri F, Compagnone C, Korsic M, Servadei F, Kraus J (2006) A systematic review of brain injury epidemiology in Europe. Acta Neurochir (Wien) 148:255-268

    Article  CAS  Google Scholar 

  58. Tasker RC, Morris KP, Forsyth RJ, Hawley CA, Parslow RC on behalf of the UK Paediatric Brain Injury Study Group and the Paediatric Intensive Care Society Study Group (2006) Severe head injury in children: emergency access to neurosurgery in the United Kingdom. Emerg Med J 23:519-522

    Google Scholar 

  59. The Study Group on Head Injury of the Italian Society for Neurosurgery (1996) Guide-lines for minor head injured patients’ management in adult age. J Neurol Sci 40:11-15

    Google Scholar 

  60. Valadka AB (2006) Brain injury management: quo vadis? Clin Neurosurg 53:295-299

    PubMed  Google Scholar 

  61. Velmahos GC, Gervasini A, Petrovick L et al (2006) Routine repeat head CT for minimal head injury is unnecessary. J Trauma 60:494-501

    Article  PubMed  Google Scholar 

  62. Visca A, Faccani G, Massaro F et al (2006) Clinical and neuroimaging features of severely brain-injured patients treated in a neurosurgical unit compared with patients treated in peripheral non-neurosurgical hospitals. Br J Neurosurg 20(2):82-86

    Article  CAS  PubMed  Google Scholar 

  63. Walters KA (1993) Telephoned head injury referrals: the need to improve the quality of information provided. Arch Emerg Med 10:29-34

    CAS  PubMed  Google Scholar 

  64. Wang MC, Linnau KF, Tirschwell DL, Hollingsworth W (2006) Utility of repeat head com-puted tomography after blunt head trauma: a systematic review. J Trauma 61:226-233

    Article  PubMed  Google Scholar 

  65. Wong H, Poon W, Jacobs P et al (2006) The comparative impact of video consultation on emergency neurosurgical referrals. Neurosurgery 59:607-613

    Article  PubMed  Google Scholar 

  66. Yaghmai V, Salehi SA, Kuppuswami S, Berlin JW (2004) Rapid wireless transmission of head CT images to a personal digital assistant for remote consultation. Acad Radiol 11 (11):1291-1293

    Article  PubMed  Google Scholar 

  67. Yamada M, Watarai H, Andou T, Sakai N (2003) Emergency image transfer system through a mobile telephone in Japan: technical note. Neurosurgery 52(4):986-988; dis-cussion 988-990

    Google Scholar 

  68. Yamamoto LG (1995) Using JPEG image compression to facilitate telemedicine. Am J Emerg Med 13:55-57

    Article  CAS  PubMed  Google Scholar 

  69. Yamamoto LG (1995) Wireless teleradiology and fax using cellular phones and notebook PCs for instant access to consultants. Am J Emerg Med 13:184-187

    Article  CAS  PubMed  Google Scholar 

  70. Yamamoto LG, Suh PJ (1996) Accessing and using the Internet’s world wide web for emer-gency physicians. Am J Emerg Med 14:302-308

    Article  CAS  PubMed  Google Scholar 

  71. Yamamoto LG, Williams DR (2000) A demonstration of instant pocket wireless CT telera-diology to facilitate stat neurosurgical consultation and future telemedicine implications. Am J Emerg Med 18:423-426

    Article  CAS  PubMed  Google Scholar 

  72. Yamamoto LG, Elliott P, Herman MI, Abramo TJ (1996) Telemedicine using the internet. Am J Emerg Med 14:416-420

    Article  CAS  PubMed  Google Scholar 

  73. Zulu BMW, Mulaudzi TV, Madiba TE, Muckart DJJ (2007) Outcome of head injuries in general surgical units with an off-site neurosurgical service. Injury 38:576-583

    Article  CAS  PubMed  Google Scholar 

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Iaccarino, C., Rapana’, A., Compagnone, C., Tagliaferri, F., Servadei, F. (2008). Teleradiology for Traumatic Brain Injury Management. In: Kumar, S., Krupinski, E.A. (eds) Teleradiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78871-3_15

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  • DOI: https://doi.org/10.1007/978-3-540-78871-3_15

  • Publisher Name: Springer, Berlin, Heidelberg

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  • Online ISBN: 978-3-540-78871-3

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