Effective Smartphone Application Use for Postoperative Management of Moyamoya Disease release_jth5knqxuzc33m7wgefz3krkzu

by Haruto UCHINO, Toshiya OSANAI, Masaki ITO, Kota KURISU, Taku SUGIYAMA, Miki FUJIMURA

Published in Neurologia medico-chirurgica by Japan Neurosurgical Society.

2024   Volume 64, Issue 7, p272-277

Abstract

Continuous and careful management is necessary after revascularization surgery for moyamoya disease (MMD). The postoperative information has been shared in person or by telephone and emails among doctors; however, this is not always efficient. We aimed to describe the feasibility of remote diagnosis and text chats using a smartphone application on postoperative MMD management. Twenty consecutive patients who underwent combined direct and indirect revascularization for MMD were prospectively investigated in this study. In ten patients, the operator viewed postoperative images uploaded on a smartphone screen using the Join application (Allm Inc., Tokyo, Japan). The doctors shared the radiological findings and treatment plans using the group text chat function and performed postoperative management. We evaluated the intermodality agreements of radiological findings between the smartphone screen and conventional viewer. Postoperative courses were compared between the two patient groups that used or did not use the application. All postoperative images were uploaded to the cloud server and the operator viewed them remotely on the smartphone screen without restriction of location. Detected abnormal findings were cerebral hyperperfusion (CHP), CHP-related watershed shift phenomenon, fluid-attenuated inversion recovery cortical hyperintensity, high signal intensity on diffusion-weighted imaging, CHP-related crossed cerebellar diaschisis, and hypoperfusion. Radiological agreement between the modalities was good in all cases, and additional findings were not obtained on the conventional viewer. The postoperative courses of the Join group were as good as those of the control group. Remote radiological diagnosis and text chat using a smartphone application were feasible and useful for efficient and safe postoperative MMD management.
In text/plain format

Archived Files and Locations

application/pdf   1.1 MB
file_rligli7kvzbphn5tsd3ef7wkmy
www.jstage.jst.go.jp (repository)
web.archive.org (webarchive)
Read Archived PDF
Preserved and Accessible
Type  article-journal
Stage   published
Date   2024-06-05
Language   en ?
Container Metadata
Open Access Publication
In DOAJ
In ISSN ROAD
In Keepers Registry
ISSN-L:  0470-8105
Work Entity
access all versions, variants, and formats of this works (eg, pre-prints)
Catalog Record
Revision: 7851961e-0800-4c3c-a6f7-d61b3561a14f
API URL: JSON