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Diagnosing Emergent Findings On Spine Radiographs Using The New iPad 2013

Category General Spine Aashim Bhatia
Jose Pizarro
William Burke
Vinay Bhatia
Purpose The FDA approved mobile application MIM has improved radiologist’s access to radiological imaging for interpretation away from the traditional workstation. The MIM application has been approved for evaluation of computed tomography, magnetic resonance, and nuclear medicine imaging due to the low resolution requirements of these modalities for interpretation on a mobile device. With the new iPad high resolution retina display, evaluation of emergent findings on radiographs is now a possibility.  Materials & Methods Radiographs over a 6 month period were uploaded to MIM Cloud and viewed on the new iPad for interpretation for acute findings by three board certified radiologists and two radiology residents. Fracture and degenerative disease parameters amongst other variables were diagnosed on radiographs of the spine. After a two week interval, the same studies were viewed on a traditional workstation. Results Intraobserver and interobserver variability demonstrated high accuracy of diagnosing emergent findings on radiographs. Statistical values were measured using Kappa values.  Conclusion The data, statistical analysis, and evaluations demonstrated accurate diagnosis of emergent findings on radiographs using the new iPad and improved response time for on call radiologists. References Yeager, D. Images on the move. Radiology Today, 2011. 12-15. Choudhri, A.F. and M.G. Radvany, Initial experience with a handheld device digital imaging and communications in medicine viewer: OsiriX mobile on the iPhone. J Digit Imaging, 2011. 24(2): p. 184-9.