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Acute aortic syndromes and traumatic aortic injury are often diagnosed on CT angiography, possibly requiring emergent intervention.
Advances in handheld computing have created the possibility of viewing full DICOM datasets from a remote location.
To evaluate the ability to diagnose and characterize acute aortic pathologies on CT angiograms of the thorax using an iPhone-based DICOM viewer.
Diagnosis of acute aortic pathology on CT angiograms of the thorax using a portable device DICOM viewer can be performed with good concordance to interpretations performed on PACS workstations in this preliminary investigation.
Commentary & Implication to mHealth
This study, although small, illustrates the diagnostic accuracy of radiological pathology when mobile devices are used. These results may potentially have improved given the hardware development available today that includes higher resolution screens. There are barriers to widespread use at the moment such as concern for patient privacy and integration with hospital PACS systems.
This study agrees with a number of other studies that show that mobile devices are a suitable adjunct to view imaging compared to standard hospital PACS systems. The discrepancies in the aortic dimensions between the handheld device measurements and those on a dedicated PACS station suggest that this is still an area of future development to work on.
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