According a Thai study by Kanitpong Phabphal et al in J Telemed Telecare 2008;14:439-442, They have developed a low-cost system using a PDA phone as the receiving equipment. The experimental system was based on a notebook PC to send the images and a PDA phone to receive them. A total of 100 images from clinically suspected strokes within the previous 24 hours were transmitted to a neurologist. The mean transmission time was 48 s per image. The diagnosis from the PDA phone image was in complete agreement with the diagnosis from the original image in cases of acute ischaemic stroke, intracerebral haemorrhage, metastasis and in normal scans. However, there was agreement in only 7 of the 8 cases (88%) of subarachnoid haemorrhage. The study showed that good accuracy can be achieved with a low-cost system for teleradiology consultation in stroke.
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