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Published in: Insights into Imaging 5/2013

Open Access 01-10-2013 | Original Article

Radiology smartphone applications; current provision and cautions

Authors: M. A. Rodrigues, A. Visvanathan, J. T. Murchison, R. R. Brady

Published in: Insights into Imaging | Issue 5/2013

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Abstract

Objectives

Medical smartphone applications are increasingly popular amongst doctors. However, the quality of their content is variable. We assessed contemporary radiology-related smartphone applications, focussing on the level of advertised medical involvement in application development.

Methods

Six major application stores were searched between 18-30 June 2012 using the terms radiology, radiation, x-ray(s), computed tomography/CT, magnetic resonance imaging/MRI, ultrasound, nuclear medicine, fluoroscopy and mammography/mammogram. Application ratings, cost and medical input in development were recorded.

Results

321 applications were identified. One hundred fifty-eight were "teaching" and 96 “reference”. Three of the 29 DICOM viewing applications had FDA approval for primary diagnosis, while 62 % stated they should not be used for primary diagnosis; 24 % of applications stated named medical professional involvement, 12 % had unnamed medical involvement and 4 % acknowledged guidelines or papers; 42 % did not disclose authorship.

Conclusions

A large variety of radiology-related smartphone applications are available with many potential benefits. Advertised medical involvement in application design is variable, making assessment of their accuracy difficult prior to purchase. Additional measures are required to ensure the accuracy of such applications. The limitations of image interpretation using smartphones are a major drawback of DICOM viewing applications. Further research into the accuracy of primary diagnosis using such applications is needed.

Main Messages

• A large variety of radiology smartphone applications are available with many potential benefits
• Variable medical involvement in application design limits assessment of accuracy before purchase
• Limitations of image interpretation using smartphones are a drawback of DICOM viewing applications
• Further work on the accuracy of primary diagnosis using these DICOM viewing applications is needed
Literature
1.
go back to reference Sherwin-Smith J, Pritchard-Jones R (2012) Medical applications: the future of regulation. Ann R Coll Surg Engl 94:12–13CrossRef Sherwin-Smith J, Pritchard-Jones R (2012) Medical applications: the future of regulation. Ann R Coll Surg Engl 94:12–13CrossRef
2.
go back to reference Cox A (2011) Mobile Healthcare Opportunities Interactive Forecast Suite. Smartphone Applications, Monitoring & mHealth Strategies 2011–2016. Juniper Research. November 2011 Cox A (2011) Mobile Healthcare Opportunities Interactive Forecast Suite. Smartphone Applications, Monitoring & mHealth Strategies 2011–2016. Juniper Research. November 2011
3.
go back to reference Franko OI, Tirrell TF (2012) Smartphone app use among medical providers in ACGME training programs. J Med Syst 36:3135–9PubMedCrossRef Franko OI, Tirrell TF (2012) Smartphone app use among medical providers in ACGME training programs. J Med Syst 36:3135–9PubMedCrossRef
4.
go back to reference Ol F (2011) Bhola S. iPad applications for orthopedic surgeons. Orthopedics 34:978–981CrossRef Ol F (2011) Bhola S. iPad applications for orthopedic surgeons. Orthopedics 34:978–981CrossRef
5.
go back to reference O’Neill, Brady RR (2012) Colorectal smartphone applications: opportunities and risks. Colorectal Dis 14:e530–4PubMedCrossRef O’Neill, Brady RR (2012) Colorectal smartphone applications: opportunities and risks. Colorectal Dis 14:e530–4PubMedCrossRef
6.
go back to reference Kraidin J, Ginsberg SH, Solina A (2012) Anesthesia applications: overview of current technology and intelligent search techniques. J Cardiothorac Vasc Anesth 26:322–326PubMedCrossRef Kraidin J, Ginsberg SH, Solina A (2012) Anesthesia applications: overview of current technology and intelligent search techniques. J Cardiothorac Vasc Anesth 26:322–326PubMedCrossRef
7.
go back to reference Rosser BA, Eccleston C (2011) Smartphone applications for pain management. J Telemed Telecare 17:308–312PubMedCrossRef Rosser BA, Eccleston C (2011) Smartphone applications for pain management. J Telemed Telecare 17:308–312PubMedCrossRef
8.
go back to reference Visvanathan A, Hamilton A, Brady RR (2012) Smartphone applications in microbiology—is better regulation required? Clin Microbiol Infect 18:e218–20PubMedCrossRef Visvanathan A, Hamilton A, Brady RR (2012) Smartphone applications in microbiology—is better regulation required? Clin Microbiol Infect 18:e218–20PubMedCrossRef
9.
go back to reference Rodrigues MA, Brady RR (2011) Anaesthetists and applications: content and contamination concerns. Anaesthesia 66:1172–1185CrossRef Rodrigues MA, Brady RR (2011) Anaesthetists and applications: content and contamination concerns. Anaesthesia 66:1172–1185CrossRef
10.
go back to reference Haffey F, Brady RRW, Maxwell S (2013) A comparison of the reliability of smartphone apps for opioid conversion. Drug Saf 36:111–117PubMedCrossRef Haffey F, Brady RRW, Maxwell S (2013) A comparison of the reliability of smartphone apps for opioid conversion. Drug Saf 36:111–117PubMedCrossRef
11.
go back to reference Huang CC, Lee PY, Chen PY, Liu TY (2012) Design and implementation of a smartphone-based portable ultrasound pulse-wave Doppler device for blood flow measurement. IEEE Trans Ultrason Ferroelectr Frq Control 59:182–188CrossRef Huang CC, Lee PY, Chen PY, Liu TY (2012) Design and implementation of a smartphone-based portable ultrasound pulse-wave Doppler device for blood flow measurement. IEEE Trans Ultrason Ferroelectr Frq Control 59:182–188CrossRef
12.
go back to reference LaBounty TM, Kim RJ, Lin FY, Budoff MJ, Weinsaft JW, Min JK (2010) Diagnostic accuracy of coronary computed tomography angiography as interpreted on a mobile handheld phone device. JACC Cardiovasc Imaging 3:482–490PubMedCrossRef LaBounty TM, Kim RJ, Lin FY, Budoff MJ, Weinsaft JW, Min JK (2010) Diagnostic accuracy of coronary computed tomography angiography as interpreted on a mobile handheld phone device. JACC Cardiovasc Imaging 3:482–490PubMedCrossRef
19.
go back to reference Flanders AE, Wiggins RH 3rd, Gozum ME (2003) Handheld computers in radiology. Radiographics 23:1035–1047PubMedCrossRef Flanders AE, Wiggins RH 3rd, Gozum ME (2003) Handheld computers in radiology. Radiographics 23:1035–1047PubMedCrossRef
20.
go back to reference Choudhri AF, Radvany MG (2011) Initial experience with a handheld device digital imaging and communications in medicine viewer: OsiriX mobile on the iPhone. J Digit Imaging 24:184–189PubMedPubMedCentralCrossRef Choudhri AF, Radvany MG (2011) Initial experience with a handheld device digital imaging and communications in medicine viewer: OsiriX mobile on the iPhone. J Digit Imaging 24:184–189PubMedPubMedCentralCrossRef
21.
go back to reference Yaghmai V, Kuppuswami S, Berlin JW, Salehi SA (2003) Evaluation of personal digital assistants as an interpretation medium for computed tomography of patients with intracranial injury. Emerg Radiol 10:87–89PubMedCrossRef Yaghmai V, Kuppuswami S, Berlin JW, Salehi SA (2003) Evaluation of personal digital assistants as an interpretation medium for computed tomography of patients with intracranial injury. Emerg Radiol 10:87–89PubMedCrossRef
22.
go back to reference Johnston WK 3rd, Patel BN, Low RK, Das S (2005) Wireless teleradiology for renal colic and renal trauma. J Endourol 19:32–36PubMedCrossRef Johnston WK 3rd, Patel BN, Low RK, Das S (2005) Wireless teleradiology for renal colic and renal trauma. J Endourol 19:32–36PubMedCrossRef
23.
go back to reference Toomey RJ, Ryan JT, McEntee MF, Evanoff MG, Chakraborty DP, McNulty JP et al (2010) Diagnostic efficacy of handheld devices for emergency radiologic consultation. Am J Roentgenol 194:469–474CrossRef Toomey RJ, Ryan JT, McEntee MF, Evanoff MG, Chakraborty DP, McNulty JP et al (2010) Diagnostic efficacy of handheld devices for emergency radiologic consultation. Am J Roentgenol 194:469–474CrossRef
24.
go back to reference The Royal College of Radiologists (2008) Picture archiving and communication systems (PACS) and guidelines on diagnostic display devices. The Royal College of Radiologists, London The Royal College of Radiologists (2008) Picture archiving and communication systems (PACS) and guidelines on diagnostic display devices. The Royal College of Radiologists, London
26.
go back to reference John S, Poh AC, Lim TC, Chan EH, le Chong R (2012) The iPad tablet computer for mobile on-call radiology diagnosis? Auditing discrepancy in CT and MRI reporting. J Digit Imaging 25:628–34PubMedPubMedCentralCrossRef John S, Poh AC, Lim TC, Chan EH, le Chong R (2012) The iPad tablet computer for mobile on-call radiology diagnosis? Auditing discrepancy in CT and MRI reporting. J Digit Imaging 25:628–34PubMedPubMedCentralCrossRef
27.
go back to reference Johnson PT, Zimmerman SL, Heath D, Eng J, Horton KM, Scott WW et al (2012) The iPad as a mobile device for CT display and interpretation: diagnostic accuracy for identification of pulmonary embolism. Emerg Radiol 19:323–7PubMedCrossRef Johnson PT, Zimmerman SL, Heath D, Eng J, Horton KM, Scott WW et al (2012) The iPad as a mobile device for CT display and interpretation: diagnostic accuracy for identification of pulmonary embolism. Emerg Radiol 19:323–7PubMedCrossRef
28.
go back to reference McLaughlin P, Neill SO, Fanning N, McGarrigle AM, Connor OJ, Wyse G et al (2012) Emergency CT brain: preliminary interpretation with a tablet device: image quality and diagnostic performance of the Apple iPad. Emerg Radiol 19:127–33CrossRef McLaughlin P, Neill SO, Fanning N, McGarrigle AM, Connor OJ, Wyse G et al (2012) Emergency CT brain: preliminary interpretation with a tablet device: image quality and diagnostic performance of the Apple iPad. Emerg Radiol 19:127–33CrossRef
30.
go back to reference Brady RR, Verran J, Damani NN, Gibb AP (2009) Review of mobile communication devices as potential reservoirs of nosocomial pathogens. J Hosp Infect 71:295–300PubMedCrossRef Brady RR, Verran J, Damani NN, Gibb AP (2009) Review of mobile communication devices as potential reservoirs of nosocomial pathogens. J Hosp Infect 71:295–300PubMedCrossRef
31.
go back to reference Visvanathan A, Gibb AP, Brady RR (2011) Increasing presence of mobile communication technology: avoiding the pitfalls. Telemed J E Health 17:656–61PubMedCrossRef Visvanathan A, Gibb AP, Brady RR (2011) Increasing presence of mobile communication technology: avoiding the pitfalls. Telemed J E Health 17:656–61PubMedCrossRef
Metadata
Title
Radiology smartphone applications; current provision and cautions
Authors
M. A. Rodrigues
A. Visvanathan
J. T. Murchison
R. R. Brady
Publication date
01-10-2013
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 5/2013
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1007/s13244-013-0274-4

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