Teleradiology

StudyShare is Applinic’s proprietary name for the service of sharing digital radiological studies in the cloud for others to view while Teleradiology is the practice of sending radiological images and studies including videos of dynamic investigations such as digital fluoroscopy (XA) and ultrasonography (US) via the internet to a remote physician usually a radiologist for opinion, assessment and reporting. It follows a communication protocol – Digital Imaging and Communication in Medicine (DICOM) to enable software programs in modalities and computers talk to each other irrespective of the manufacturer, platform and device.

As in all other healthcare innovations, the patient is the greatest beneficiary of StudyShare & Teleradiology. The ability to provide professional report of radiological studies within minutes or a few hours of completion of the investigation in a center where a radiologist is not physically present is a leverage that is expected to reduce morbidities and mortalities and facilitate quick patient management, thereby reducing hospital stay and patients’ bills.

Secondly, some patients who plan to travel abroad or get a second opinion on their conditions need to share radiology studies with other physicians who are home or abroad. Uploading their studies for them to share with the physician is a premium service a center using Applinic StudyShare can render. This is faster and more convenient than sending hardcopy x-ray films or CDs which the new trend has placed on the path to becoming obsolete.

Other beneficiaries of the technology include the center and the Teleradiologist because of their enablement to be of service to more patients than they would have without the technology, which translates to a more fulfilling practice, more satisfactory patient care and a more business turn over. In summary, teleradiology is a win-win for all.

The first basic requirement for a center to practice StudyShare & Teleradiology is to have digital and DICOM compliant modalities. Examples of such are DR, CR, CT, MRI, US, MG, XA, NM, PET, SPECT. All radiology modalities must obey the DICOM protocol to be able to communicate with other computers and servers. If your x-ray machines are still analogue, never mind, we can help you them and set you on the path to the digital journey using Computed Radiography (CR) systems or Flat Panel detectors (DR).

The next requirement is a PACS system. PACS is the acronym for Picture Archiving and Communications System. It is a computer server software for receiving, archiving and distribution of all digital images which conform to the DICOM protocol. It is required to upload your studies to the Applinic cloud, if you don’t have one, don’t worry, we can install one for you at a highly affordable cost and integrate all your modalities into one local server from where you can report all your studies locally or upload them online for teleradiology and sharing.

Please click here to open your free Applinic account and start taking your studies to the cloud. The final requirement for StudyShare and Teleradiology is the ability to upload the studies to the Applinic Cloud PACS server and then view them on a computer or mobile device with a special software called DICOM viewers whether online or offline. These latter requirements are provided for free on the Applinic platform.

To create a free Applinic account, you need to visit www.applinic.com/signup, select Radiology under Diagnostic Center and fill the form. This will create a free account for your center. This account is ready for Study Share & Teleradiology, nevertheless there are more uses for the account than just these as you will discover when you log in. To learn the other uses of this platform account after log in, please click the Getting Started button on the left menu of your Radiology Dashboard.

The first step to implementing Applinic StudyShare & Teleradiology service is Setting up Your Computer to Push Studies to the Applinic Cloud.
This is explained below. If the study was performed with a Patient ID that was generated from your Applinic account before pushing to the Applinic Cloud PACS, then it is ready for viewing and sharing from any internet device, whether web or mobile after the push, but if the study had been done before Applinic was implemented or it was performed in another center, then it has to be integrated with the Applinic web service after the push, before it can be accessible by others or shared.

Both options are described below as Integrating New and Old Studies respectively.

-Setting up your computer to push studies to the Applinic cloud service

As mentioned above, this is the first step to implementing StudyShare & Teleradiology on the Applinic platform. There are three options of sources for sending digital radiology studies from your center to Applinic cloud for archival, viewing and sharing. They are:     i.From the DICOM Viewer on your viewing station;     ii.From your local PACS Server;     iii.From your Modality Workstation

Regardless of the option you choose, the network configuration is the same but the system must have an internet connection. You need to apply the network configuration settings below in the computer station you chose as your source to set up it for the service:

LOGIC NAME: APPLINIC IP ADDRESS: (Contact Us) AE TITLE: (Contact Us) PORT NUMBER FOR NORMAL STUDIES: 11112 PORT NUMBER FOR DYNAMIC STUDIES (FLUOROSCOPY, ULTRASONOGRAPHY, ETC): 10104

After the configuration, select your study of interest on the work list and click transfer or send to the Applinic cloud destination you preset. After this upload, you need to link the study to the Applinic web service if the study is an old study or was done with a Patient ID that was not generated from Applinic but if the Patient ID was generated from Applinic, that is a new study, then it’s ready for viewing and sharing with the Patient ID as soon as it has been successfully pushed to the Applinic cloud PACS.

-How to integrate a new study

To integrate a new study on the platform, you need to have captured it originally with a Patient ID generated on your Applinic radiology account for the unique identification of that study on our web platform. This number will be used for the registration of the study in your modality such as CR, DR, CT or MRI before performing the study. After completing the study, the study needs to be uploaded to the Applinic online PACS Server for cloud storage. The section above on Setting Up Your Device for Push to Applinic Cloud already explained how the upload is done. Thereafter, the study ID can be used at any time to find or share the study on the Applinic platform. To generate a Patient ID from Applinic for a new investigation before performing it, click on Create Study on your Radiology dashboard, select Applinic Patient if the patient is already registered on Applinic. If he is not, then select Non Applinic patient. To confirm if a patient has an Applinic Account, enter his phone number in the space displayed upon clicking Applinic Patient and click Find. The system will use the phone number to search for the patient in the database. If the patient has an Applinic account, it will display and you may continue the process but if it is not there, it will prompt you to register the patient. Follow the prompts until the Patient ID is generated, then use it to create the study in the modality workstation before performing the investigation. Push the study to Applinic Cloud upon completion and it will be ready for view on Applinic homepage by anyone who has the Patient ID.

-How to integrate an old study

Previously completed studies need to be uploaded to the Applinic Cloud Server and integrated with the Applinic web service before they can be viewed or shared. This upload requires two simple steps which can be done from any of the three workstations - from the DICOM Viewer on your viewing station; from your local PACS Server; or from your Modality Workstation depending on which has internet connection. This upload can be done only after setting up the device destination configuration to push studies to the Applinic cloud service. The section above on Setting Up Your Device for Push to Applinic Cloud already explained how to do this this set and upload. DICOM studies on CDs and other storage drives can also be imported into a local DICOM Viewer in a computer before upload to Applinic Cloud Service.

After an old study has been uploaded to the Applinic cloud, it needs to be linked to the Applinic Web application from your Applinic Radiology account dashboard before it can viewed online or shared with others. These two steps are explained next.

-Linking an old study with the Applinic web/mobile platform

Following a successful upload of the study to the Applinic PACS server, its credentials have to be linked to the Applinic web application for anyone to view it from a web or mobile application. This requires the following few steps:
   i.    Log into https://applinic.com
   ii.    Click the Start button on the home page and Sign up as a Radiology center or Sign in if your center already has an account.
   iii.    Click LINK DICOM STUDY on your Radiology dashboard
   iv.    Select the type of study, and enter the Patient ID for the old study you want to link and fill other patient details and send. A bill will be displayed, click Pay.
   v.    Pay the fee for the archival storage and sharing by accepting the offer (Your account must be funded to do this. If your account is not funded, click the Payment & Wallet button on the left hand Menu of the radiology dashboard to fund your wallet with an ATM card or bank account details.
   vi.    If this is successful, the study will become available for viewing from the Applinic home page from the browser of any web or mobile device for anyone who has the Patient ID.

-Viewing and sharing new or old studies with others
Once studies have been uploaded to Applinic Cloud Services anyone – radiologists, referring physicians, other doctors can be authorized by the patient to view them. The authority is the possession of the Patient ID. This study is secured and can only be viewed by third parties the patient shares the Patient ID with.

What Is the Cost of Applinic Teleradiology Services
Most of the studies done in diagnostic radiology have been grouped into three for billing purposes:

   i.   SINGLE VIEW
SINGLE AP OR LATERAL OR OTHER VIEW OF SKULL/SPINE/CHEST/ABDOMEN/PELVIS/EXTREMETIES - 1USD/N350
   ii.   MULTIPLE VIEWS
MULITPLE ROUTINE VIEWS, CONTRAST STUDIES AND MAMMOGRAPHY – 2USD/N700
   iii.   SERIAL STUDIES
CT/MRI/PET/SPECT – 3USD/N1, 000

Loyalty Rewards for Archiving Radiology Studies in Applinic Cloud

Referring physicians who request for studies to be sent to them through Applinic StudyShare service will receive a loyalty reward of 50 cents (N175), 1USD (N350) and 1.5USD (N525) respectively for Single view, Multiple view and Serial studies respectively. This will be paid into their Applinic accounts and they can cash out at any time.

Before the end of September 2019, Fellowship Colleges and radiologists involved in teaching residents and other doctors will be able to use Applinic to conduct webinars on reporting. They will be able to schedule teaching/reporting sessions and invite or accept requests from residents and doctors anywhere to join them. They will be able to share their screens and use them to teach the participants while reporting or reviewing studies. This can be either a personally arranged free or paid service, or an institutionally scheduled academic work/career responsibility.

Group chats, audio and video conferences will be possible on the platform during the reporting/teaching sessions through Voice Over Internet Protocol (VOIP) and Web Real Time Communication (Web RTC) to enable communication among participants.

We are always at your service to help you set up your center for StudyShare & Teleradiology. We are also available to deploy a local or an Enterprise Online PACS for your center or hospital and to digitize your radiology practice using CR system or Flat Panel detectors if your X-ray machines are still analogue.

Fill the Contact Us form and a Teleradiology/DICOM Specialist will contact you within 24-72 hours or call +2349080045678 for urgent attention.