Smart-phone based telemedicine: Instant messaging application as a platform for radiographic interpretations of jaw pathologies.

J Oral Biol Craniofac Res

Department of Oral Medicine & Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India.

Published: April 2021

AI Article Synopsis

  • - The study aimed to assess how reliable WhatsApp is for identifying jaw pathologies compared to traditional workstation monitors, which are considered the gold standard for viewing radiographic images.
  • - Researchers analyzed 150 panoramic radiographs sent to two observers who examined them on their smartphones, using a structured evaluation form to assess various pathologies.
  • - Results showed that WhatsApp facilitated almost perfect agreement in identifying key features of the radiographs, suggesting it can be a suitable alternative for expert teleradiology consultations.

Article Abstract

Objective: To evaluate the reliability of WhatsApp in comparison to the images viewed on a workstation monitor (gold standard) for the identification and interpretation of radiographic images of jaw pathologies.

Methods: 150 panoramic radiographs were screened for the assessment of jaw pathologies in the workstation monitor. The radiographs were sent to two observers (Observer A and B) via WhatsApp® Messenger which were viewed independently on smartphones. A structured proforma was prepared to evaluate the radiographs for the presence or absence of various radiographic pathological characteristics.

Results: The reliability of WhatsApp for observers A and B concerning various characteristics like vital structures, pathological fractures, periodontal ligament widening, and root resorption indicated almost perfect agreement (0.8-0.97). The Kappa coefficients for WhatsApp for observers A and B for pre-categorized radiographic impressions were 0.95 and 0.97 which indicated almost perfect agreement.

Conclusion: WhatsApp based expert teleradiology consultation can be a suitable and effective alternative for radiographic interpretations.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8093935PMC
http://dx.doi.org/10.1016/j.jobcr.2021.04.003DOI Listing

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