BACKGROUND: Prompt diagnosis and early referral to specialized centers is critical for @entity1 presenting with @entity65 , including @entity697 ( @entity697 ). Prior data has suggested that mobile access to imaging studies with hand-held devices can accelerate diagnosis and management. OBJECTIVE: We conducted a study to determine the diagnostic accuracy of a hand-held device compared to conventional dedicated work-stations for diagnosing a spectrum of @entity65 , predominantly acute aortic pathology. METHODS: This study included 104 cases who underwent computed tomography (CT)-scan during "on-call'' hours between January, 2013 and August, 2014 for suspected @entity697 . Assessment was performed on a hand-held device independently by two readers using an iPhone5 connected via secure connection to web-based PACS servers. The subsequent interpretation from a dedicated workstation coupled with the diagnosis at the time of discharge was used as the reference standard for determining the presence or absence of an acute abnormality. Sensitivity and Specificity were calculated on a per @entity1 basis. RESULTS: Readers' sensitivity and specificity using the hand-held device to diagnose acute chest pathology were calculated. Hand-held device evaluation was determined to have a sensitivity of 85.2% and a specificity of 98.6% by reader A and a sensitivity of 96.3% and specificity of 100% by reader B. Of 103 cases interpreted by both readers, the readers agreed about the diagnosis in 98 cases (95.1%). CONCLUSION: This study demonstrates that hand-held devices can be a potential useful tool to assist in diagnosis and triage of @entity1 presenting with @entity65 . Further studies are needed to assess the impact of screen size and resolution.

Utility of hand-held devices in diagnosis and triage of XXXX . Observations during implementation of a PACS-based system in an @entity697 ( @entity697 ) network.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute aortic syndromes', 'AAS'] @entity65 :: ('MESH:D002318', 'Disease') :: ['cardiovascular emergencies']
@entity65 :: (MESH:D002318,Disease) :: ['cardiovascular emergencies']
