Abstract
We thank Drs Chakrabarti and Perera for their letter dated October 8, 2012, which examined important issues regarding image quality and access. Chakrabarti and Perera postulate that the decrease in agreement over identification of more subtle radiological features, such as early ischemic changes and hyperdense artery signs, between neurologists using ResolutionMD and radiologists and independent telestroke adjudicators using standard picture archiving and communications system (PACS) and desktop viewers may have been the result of the lower resolution and small screen area of the mobile technology used. Instead, we assert that the more probable explanation was the impact of stress and limited viewing time on ResolutionMD computed tomography interpretation of subtleties by providers in a real-world emergency environment.1 In a more controlled comparison between …
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