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Selection and pilot implementation of a mobile image viewer: a case study.

Christine Marie Zwart1, Miao He, Teresa Wu

  • 1Medical Imaging Informatics, Department of Radiology, Mayo Clinic, Scottsdale, AZ, United States. zwart.christine@mayo.edu.

JMIR Mhealth and Uhealth
|May 29, 2015
PubMed
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Mobile image viewers offer faster access to medical images, improving efficiency and diagnostic confidence for healthcare providers. This technology enhances accessibility, leading to better patient care.

Area of Science:

  • Medical Informatics
  • Radiology
  • Clinical Workflow Optimization

Background:

  • Mobile image viewing enhances accessibility of medical images for healthcare providers.
  • Improved accessibility can potentially lead to quicker interpretations and consultations.
  • This may ultimately contribute to better patient outcomes.

Purpose of the Study:

  • To investigate the technical requirements and challenges of implementing a commercial mobile image viewer.
  • To test the hypothesis that a mobile image viewer provides faster access to medical images.
  • To compare the performance of a mobile viewer against traditional desktop viewers.

Main Methods:

  • 19 clinicians (radiologists, surgeons, neurologists, physician assistants) evaluated three viewers: commercial PACS, enterprise-developed, and a commercial mobile viewer.
Keywords:
Pilot projectsRadiologyTelemedicineTeleradiologymHealth

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  • Data collected over two 7-day periods (pre- and post-mobile viewer deployment) included viewer choice, time to first image, technical issues, diagnostic confidence, and ease of use.
  • Comparative analysis of viewing events (n=565) across different clinician groups and viewer types.

    • Main Results:

    • Mobile viewers demonstrated significantly faster mean time to first image (2.4 minutes) compared to PACS (12.5 minutes) and enterprise viewers (4.5 minutes).
    • Ease of use was comparable between mobile and PACS viewers (mean 3.6/4.0), outperforming the enterprise viewer (mean 2.9).
    • Technical issues were lowest with the mobile viewer (7%), and mobile image viewing adoption increased sixfold post-deployment (14% to 88.9%).

    Conclusions:

    • Commercial mobile image viewers offer superior performance in terms of speed, technical reliability, and ease of use compared to desktop alternatives.
    • Mobile viewers enhance diagnostic confidence and significantly increase the adoption of digital image viewing among clinicians.
    • Implementation of mobile viewers can streamline clinical workflows and potentially improve patient care through faster image access.