Reliability of smartphone-based teleradiology for evaluating thoracolumbar spine fractures: statistical issue to avoid misinterpretation

I was interested in reading the paper by Stahl and colleagues published in the February 2017 issue of The Spine Journal [1]. The purpose of the authors was to compare the reliability of interpreting computed tomography (CT) scans viewed by orthopedic surgeons in two ways for diagnosing, classifying, and treatment planning for thoracolumbar spine fractures: (1) captured as video clips from standard workstation-based picture archiving and communication system (PACS) and sent via a smartphone-based instant messaging application for viewing on a smartphone; and (2) viewed directly on a PACS [1].

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