The remote diagnosis of malaria using telemedicine or e-mailed images

Rupal M. Mody, Clinton K. Murray, David P. Dooley, Duane R. Hospenthal, Lynn L. Horvath, Kimberly A. Moran, Ronald W. Muntz

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

We determined the ability of blinded remote expert microscopy to identify malaria parasites through transmission of malaria smear images via telemedicine and as e-mail attachments. Protocols for malaria smear transmission included: (1) transmission of sender-selected televised smears at various bandwidths (Bw), (2) transmission of remote reader-directed televised smears at various Bw, and (3) transmission of digital photomicrographs as e-mail attachments. Twenty (14%) of 147 sender-selected, and 13 (6%) of 221 reader-directed, images were deemed unreadable by slide readers. The presence or absence of malaria was correctly identified in 98% of the remaining images. Sixty-four (34%) of 190 digital microphotographs were deemed unreadable, while the presence or absence of malaria was correctly identified in 100% of the remaining images. Correct speciation ranged from 45% to 83% across various transmission methods and Bw. The use of telemedicine and e-mail technology shows promise for the remote diagnosis of malaria.

Original languageEnglish (US)
Pages (from-to)1167-1171
Number of pages5
JournalMilitary medicine
Volume171
Issue number12
DOIs
StatePublished - Dec 2006
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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