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Category Archives: Teleardiology

Teleradiology in India

Teleradiology Reporting Services: Do You Really Need It? This Article Will Help You

The ever-evolving medical world keeps bringing out solutions to the challenges posed by the fast pace populace. Radiology is keeping pace with modernity and has very well integrated technology and telecommunication to formulate a remote mode of extending services – Teleradiology.

Today, Teleradiology has enabled the clinician in providing the best of patient care and saving lives and thus becoming an indispensable healthcare service. Teleradiology supports the clinicians/hospitals/healthcare service providers with many solutions, compensating the shortage of radiologists and reporting for all imaging modalities – X-Ray, Ultrasound scan, CT scan, MRI Scan, PET scan, Nuclear Medicine, Interventional imaging.

1. Round-the-clock Reporting service supports the healthcare service providers with radiology services round the clock for all days irrespective of no. of radiologists on-site or subspecialty reporting requirement.

The defined reporting TAT ensures a quick TAT of as early as 30 to 60 minutes for all modalities of imaging both in cases of emergency and regular cases. In this competitive and fast-paced environment, Teleradiology enables hospitals from remotest places to small or mid-size hospitals to provide patient care effectively irrespective of time.

2. Nighthawk Reporting services work out as an ideal option for many healthcare service providers who cannot afford to recruit a radiologist beyond regular working hours and get benefitted from after-hour radiology services.

Nighthawk reporting allows the radiology department to exhibit its duty of quality reporting without any delay. This late-night radiology coverage empowers the hospitals in extending patient care to a high level with better outcomes, and in a bigger perspective improves the face-value and bottom-line score of Hospitals. 

3. Subspecialty Reporting services help in identifying the subspecialty pathologies apart from identifying the common findings, normal variants quickly. The accuracy of reporting and detailed interpretation of the images (expertise in particular anatomy or type of reports/modality) improves the prognosis by facilitating the early diagnosis and proper treatment planning. Subspecialty reporting adds value eliminating the need for a second opinion; and improves the productivity and reporting TATs also.

Subspecialty reporting can be categorized into the following specialty

·       Thoracic Imaging

·       Breast Imaging

·       Cardiac Imaging

·       Abdominal Imaging

·       Musculoskeletal Imaging

·       Neuroradiology

·       Neuro-interventional Radiology

·       Vascular Interventional Radiology

·       Emergency Radiology

·       Pediatric Radiology

·       Nuclear Medicine

4. Emergency Reporting services ensures the early intervention and initiation of required action for emergency case. The involvement of expert radiologists reduces the TAT duration and contributes to the immediate diagnosis of acute conditions and patient care.

5. Weekend / Holiday Reporting services ensure the regular radiologists are able to utilize their break productively and return to job energized without any of the radiology reporting being stalked/trailed at the health center.

6. Second Opinion Reporting service is access to expertise for getting detailed imaging reports to facilitate a better understanding of the situation or decide on the course of treatment or to understand the progression of disease or treatment outcome. Experts are able to contribute through their experience and make a value-added difference to disease management/treatment.

7. Access to Radiology by healthcare centers present at geographically challenged areas either by altitude or distance. Primary or secondary healthcare centers have benefited from teleradiology which diminished the need for on-site radiologists and have benefitted from subspecialty reporting too. This has improved patient care services through quality and timing.

Benefits of Teleradiology reporting:

· Availability of radiology services round the clock (24 x 7 x 365) including night-time and on weekends/holidays

· Access to subspecialty radiologist’s reporting

· No backlog/delay in imaging reports delivery (improved TAT)

· High-quality patient care without delay

· Reports checked by more than one radiologist (preliminary/final reads)

· Better time management of radiologists due to login enabled cloud-based system (saves on commuting)

· Software enabled workflow helps in timely delivery of reports

Cloudex Radiology Solutions offers a plethora of Teleradiology Services:

The team of experienced, expert and qualified radiologists at Cloudex’s panel extend teleradiology services encompassing all type of reporting services to fulfill the growing demand of radiology services of health providers by defying the distances and time zone. The quick TAT, accuracy, standardized report protocol, coordination network between the reporting radiologists, clinician/surgeon/technician, and administrator contributes to the delivery of services benefitting the hospital and patient.

At Cloudex, we support you to have that winning edge. 

MUSCULOSKELETAL IMAGING

MUSCULOSKELETAL (MSK) IMAGING

Musculoskeletal Disorder (MSD), includes diseases of muscles, bones, joints, and the soft tissues around it. Pain and injuries are the most common complaints of the patients reaching out to a primary care physician, and with increasing age, the risk of developing MSD increases. As per the data from the World Health Organization (WHO), disability from MSDs is second largest in number, across the globe. The symptoms of various MSDs vary and it may affect the daily activity so much so that the quality of life may get compromised. It’s very important to get muscle or bone disorders diagnosed and treated in time, to keep oneself healthy. This makes MSK, the most sought after system as far as, an accurate clinical diagnosis is concerned.

Imaging Modalities

Various modalities are used to reach an optimum conclusion , before starting a confirmed treatment in MSDs. These are X-Rays, ultrasound, CT scans, and magnetic resonance imaging (MRIs). Each modality offers its benefits and limitations, that also, make them specific tools for diagnosis in specific health conditions. 

 X-rays are often performed in an emergency situation such as a traumatic fall or an accident leading to fractures. Limited information can also be received in conditions like arthritis, infections, and osteoporosis while using X-rays.

Ultrasound is used to take pictures of the anatomy and function of soft tissue around bones and joints using sound waves. Ultrasound imaging is typically used to diagnose tendon tears, muscle tears, fluid collections, ligament sprains or tears, inflammation or fluid within the bursae and joints, early changes of rheumatoid arthritis, nerve entrapments such as carpal tunnel syndrome.

CT scan is a procedure, which can produce detailed pictures of the muscles, bones, joints, and the soft tissues around. This painless and non-invasive procedure helps doctors making a diagnosis in cases of, Osteoporosis, Osteopenia, Paget’s disease, Bone cancer, Bone infections, Muscular dystrophy, Muscle sprains or strains, Tendinitis, etc.

● MRI (Magnetic Resonance Imaging)

MRI is the most sensitive non-invasive imaging tool for a broad range of diseases affecting the musculoskeletal system. MRI’s edge over the other imaging tools rests primarily in obtaining better image resolution of body tissues and pathologic processes. Thus, high-resolution images of MRI, bring the excellent and discrete view of organs and diseases.

MRI uses a strong magnetic field, which is directly related to image resolution obtained. The field strength is typically between 1.5 T and 3 T, but may be lower in an open MRI scanner.

MRI is highly sensitive and specific for osseous and articular hip injuries, as well as soft tissues injuries of the hip and pelvis, and is the recommended imaging modality in most cases after a radiograph is negative.

Indications of MRI

Diagnostic imaging can be a valuable tool when used in conjunction with a thorough history and physical examination for establishing a diagnosis and treatment plan. Radiographs are the initial imaging modality in most cases of musculoskeletal injury or pain but MRI is most important and recommended imaging in following cases.

1.Bones

In the setting of trauma, MRI is indicated for the evaluation of those injuries of the metaphysis and epiphysis, where Xrays are found inconclusive/ undetected injuries, and to assess fracture union.

In knee injuries, When there is clinical suspicion for meniscal or ligamentous injury, MRI is the best modality to be used to detect such injuries.

MRI is useful to detect and stage acute and chronic osteomyelitis,primary bone tumors, both benign and cancerous, and undetected spread of secondaries to the bones.

2. Soft Tissues

 MRI is indicated for the evaluation of,

Muscle and tendon and ligament tears/injuries , hematomas, nerve entrapment syndromes,  tenosynovitis, bursitis, infections, abscesses and myositis  Rotator cuff injury (tendinopathy or tear), Avascular necrosis, Biceps tendon injury (tendinopathy/tear).

 It is helpful in detection, and staging of benign and malignant soft tissue tumours.

3. Joints/spinal

MRI is indicated for the diagnosis of hurt/ injuries to joints due to trauma, certain articular cartilage injuries, and inflammatory changes in the joints due to overuse, posttraumatic osteonecrosis and degenerative joint disease, joint infections, rheumatoid and the seronegative arthritis.

During traumatic spine surgeries, MRI is specifically recommended when there is a doubt for the injury to the spinal cord, nerve roots, and/or soft tissue, which are not well visualized on CT. MRI is also indicated in the cases of joint pain with clicking sounds, abnormal disc displacement, marrow abnormalities, osteonecrosis of the mandibular condyle and so on and so forth.

The list is endless……..and exhausting. Musculoskeletal health is very important to keep us going in our routine life, and in today’s day n time when the clinicians are overloaded and patients are becoming more impatient, there is a dire need for a diagnostic tool with an accurate, and in time reporting to have best results in day-to-day practice. MRI is the most recommended imaging tool in this scenario….

How do We Help….

At Cloudex, we have an entire team of certified Radiologists, Physicians, Subspeciality experts, and trained technologists, who work in association with Primary care  Physicians, Surgeons, orthopedic surgeons, and Radiation and Medical Oncologists to provide the best MRI reporting.

Our Fellowship Trained Experts from North America, provide structured reports based on the need and urgency. They are always available on call (24x7x365), for any discussion that can help managing any case, right from the simple fracture to an occult bone mass.

Urgent reporting within few hours, with upfront  information provided by the team to the referring doctor for various critical cases, has rewarded us with better patient and doctor satisfaction and immense faith of fellow clinicians.

Take Home Message from Cloudex……

We understand that the recipe to successful treatment results, is totally dependent upon the following ingredients:

The precision,

Reliability and,

In time access to an accurate, easy to understand imaging report,

At Cloudex, we ensure to help you have, that winning edge.

BODY IMAGING

What is Body Imaging?

Body Imaging is a subspecialty of diagnostic radiology which deals with imaging evaluation of organs in the thorax, abdomen, and pelvis. It includes all types of radiological examinations performed using conventional X- rays, CT scan, MRI, ultrasound, mammography, and PET (positron emission tomography).

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