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Tag Archives: Teleradiology Specialists

ctchest teleradiology

Teleradiology Services Are Forerunners Among the Healthcare Providers to Adapt to Hybrid Work in Contemporary Times

The healthcare management faced a tough situation during a pandemic time and emerged victorious in extending the best care to COVID & Non-COVD patients as well as safeguarding its medical care providers (clinical & non-clinical); and with the understanding that technology-driven practices and contact-less patient care are the new norms and necessity. 

Today, medical technology integrated with deep learning and artificial intelligence is one of the major contributing factors. On-line consultation through telemedicine, teleradiology, drone services, e-pharmacy, remote working, and at home services are some of the examples contributing to reduced or no exposure. Radiology was among the forerunners that made a swift adaption to new norms and supported the system with remote working. The technology companies too supported the medical system’s functionality either in maintaining or increasing the efficiency of the operational team during the patient flow surge. 

Teleradiology system driven by technological advancement has emerged as one of the most reliable modes of the patient care system in any given situation to deal with, be it a reporting for emergency or isolated COVID patients or IP/OPD patients, and could cope with the surge in image reporting through the option of remote reporting. This hybrid work norm supported many institutions in delivering patient care without any delay. Today’s teleradiology is integrated with the latest PACS, AI enabled workflow, internet connectivity with wide bandwidth and an experienced back-end support team that has made the reporting possible with short TAT. Technology companies have developed systems to transfer and archive the large dataset with integrity fulfilling the radiologist’s need for high-quality images for reporting. 

Machine Manufacturers are also contributing by developing systems that capture high-quality images with low dose radiation and high sensitivity. And to catch up with the trend of imaging services at point-of-care, compact mobile machines are getting developed to fulfill the need. The ultrasound machine and mobile X-ray machines are proving it with their wire-less and cloud-computing features. 

Remote Learning is being embraced by educators and many clinicians. The online recorded or live sessions have become the mode of learning for aspiring future physicians and medical professionals. Webinars/conferences and interactive sessions are being conducted virtually benefiting the healthcare providers and patients. 

With progressing time, the positive and productive approaches of radiologists, healthcare providers and technology companies the recovery from the pandemic is becoming a reality.  

Cloudex Teleradiology Solutions during Pandemic

Cloudex with its advanced teleradiology service in India supported many health centers worldwide managing the patient surge with its prompt reporting services. The reporting was dominated by X-rays, CT and MRI scan mainly for emergency cases as other patients were curtailed from outpatient services. Our experienced and expert teleradiologists team extended their much needed services relentlessly round the clock. Safety measure guidelines were strictly followed by the back-end team while reporting was done remotely. The non-stop and timely service deliverance which includes subspeciality reporting in this crucial time helped many centers in facilitating patient recovery and saving lives and it turned out as their winning edge. 

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

teleradiology

Cloudex Celebrates its 10 years of Teleradiology with 6 million patient’s smile curves

A humble start of Cloudex’s teleradiology services in 2012 has grown in leaps and bounds and has reached this celebration point. The journey so far covered has been full of coordination, compassion and patience filled. Each day has passed by with learning, growth and sometimes stumbling’s too. Today, we can share and write on our success stories; and redefine it with growing service demand, advancing technology and addition of sharper minds.

Our success is because of our dedicated team who nurtured Cloudex’s initiation into international presence, helped in soaring the service avenues and winning many hearts and clients.   

The intention of contributing to community has been formulated with care in order to bridge the gap in radiology services – learning & skill upgradation programs apart from setting up radiology service centres and teleradiology service support to healthcare centres. Cloudex has initiated online and offline developmental programs for aspiring radiology clinicians, expanding its service network through partnership beyond boundary. We are intensifying our venture in improving accessible radiology by establishing scan centres under PP partnership where increasing patient scan numbers talks about our investment on people, technology, equipment and customer service.

Our Milestone achievements in past 10 years can listed as

  • Over 6 million patients benefitted with our services
  • Over 100 Radiologists contributing to the smile curve
  • International presence of 16+ countries
  • Team of 40+ roped together with one mission of service

Currently, Cloudex is extending its clinical service to healthcare centres across India including those located in difficult to reach terrains and rural parts. And internationally, some of the centre in African countries like Botswana, Ghana, Ethiopia, Sudan, Nigeria, Uganda, Kenya, Tanzania and Southeast Asian countries like Malaysia, Philippines, Indonesia, Thailand, Vietnam are benefitting from our services.

In this demanding pandemic time, empowering the health centres with the winning edge seems to be success mantra. And Cloudex accepts it and strives to remain at par with industry trend, match the expectations of the associated healthcare service providers, raise the service delivery standards. And create a conducive work environment for the team which propels to give their best efficiently. At Cloudex, we strive to provide that winning edge or satisfaction and saving life.

Teleradiology Solutions India

How Teleradiology Can Help Early Management of Acute Stroke

Dr. Shriram Varadharajan, Consultant Neuroradiologist (Neuroimaging & Stroke)

Awareness of stroke and immediate arrival to the hospital plays a major role in its treatment and recovery. Unlike acute coronary syndrome (ACS – heart attack) where pain plays a prominent role in patients presenting early, stroke patients ignore the negative signs such as sudden onset weakness or numbness. Often minor stroke or TIA (transient ischemic attack) serves as a warning for subsequent major stroke (CVA – cerebrovascular accident). Stroke patients need to complete timely evaluation with various imaging tools. Treatment decisions in acute stroke require ultrafast imaging. It should be performed immediately after clinical triage and emergency stabilization of the patient.

Teleradiology Reporting Services India

Imaging starts with the very basic question of differentiating Ischemic (clot in the vessels supplying the brain) from Hemorrhagic stroke (bleed) using a simple plain CT scan. Ischemic stroke patients may be given an injection called intravenous thrombolysis (IVT or clot lysis). Plain CT aims to exclude hemorrhage and established large infarcts which are contraindications to intravenous thrombolysis. Additional findings such as hyperdense vessel sign and ASPECTS are helpful to decide on endovascular thrombectomy. Further vascular imaging (imaging of the blood vessels – CT Angiography) is used in Ischemic stroke to detect patients with large vessel occlusion (LVO) i.e. clot inside larger blood vessels. They may need additional emergency endovascular thrombectomy (EVT or clot removal) using advanced catheter-based techniques in DSA (cath.) lab.

These treatments are currently offered to patients presenting within narrow time windows of stroke onset (3-4.5 hours for injection – IVT and 6 hours for cath. lab – EVT). CTA involves evaluating routine angiography and additional venous/delayed phases, regarding the site and presence of LVO as well as to estimate collateral status.

However, few patients who arrive late (beyond 4.5 to 6 hours and till 16-24 hours) can also be treated based on their imaging if we can identify salvageable penumbra (affected brain parenchyma but without permanent damage) using advanced imaging techniques that analyze brain parenchymal perfusion.

All of these decisions can also be taken collectively and more accurately using MRI. Ultrafast Stroke MRI takes less than 20 minutes using limited protocols and involves basic sequences as well as Angiography. MRI in acute stroke can be done without having to administer intravenous contrast and is especially very useful in differentiating from other mimics. Parenchymal and vascular information both can be obtained. MRI involves DWI for infarct core and MRA for LVO while FLAIR mismatch can be used for IVT in stroke patients with unknown time of onset or wake-up strokes. SWI can help detect thrombus/clot burden in RBC rich clots and serve as a penumbral marker by demonstrating vessels with raised oxygen extraction.

Teleradiology can thus be very effective in acute Stroke if reporting can be accelerated to avoid time delays. Simplified reporting formats can be developed based on local logistics. Although CT and CTA are widely practiced in acute stroke, MRI provides a non-contrast one-stop solution in the emergency especially if reported immediately by dedicated, trained tele-stroke Radiologists. Structured reports for such time-based emergency situations like acute stroke help avoid medico-legal consequences especially in the era of evidence-based medicine and helps guide the referring physicians in making treatment decisions.

References

1. Varadharajan S, et al. Computed tomography angiography in acute stroke (revisiting the 4Ps of imaging). Am J Emerg Med. 2016 Feb;34(2):282-7

2. Varadharajan S. ASAP In Stroke Imaging – Need to Simplify and Standardize in Emergency. Accepted for publication in Neurology India