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Julianna Brown, Brian Holland
BACKGROUND: Prenatal diagnosis of complex congenital heart disease (CHD) has been shown to improve newborn outcomes. The rate of prenatal diagnosis and access to fetal echocardiography vary widely across the United States. INTRODUCTION: A clinical fetal tele-echo service was established at King's Daughters Medical Center (KDMC) in Ashland, KY, a region in eastern Kentucky that is 3 h from the nearest congenital heart surgeon. The aim of this study was to determine if fetal tele-echo utilizing local sonographers at a small regional hospital can accurately and efficiently identify fetuses with complex CHD...
June 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Manish Bansal, Shaanemeet Singh, Puneet Maheshwari, David Adams, Marti L McCulloch, Tanuj Dada, Shantanu P Sengupta, Ravi R Kasliwal, Patricia A Pellikka, Partho P Sengupta
BACKGROUND: Point-of-care (POC) echocardiography may be helpful for mass triage, but such a strategy requires adequately trained sonographers at the remote site. The aim of this study was to test the feasibility of using a novel POC echocardiography training program for improving physicians' imaging skills during preanesthetic cardiac evaluations performed in a community camp organized for treating cataract blindness. METHODS: Seventeen physicians were provided 6 hours of training in the use of POC echocardiography; nine were taught on site and eight were taught online through a transcontinental tele-echocardiography system...
January 2015: Journal of the American Society of Echocardiography
Jessica E Haley, Scott E Klewer, Brent J Barber, F John Meaney, Richard L Donnerstein, Ronald S Weinstein, Elizabeth Krupinski, Gregory Warda, Ana Maria Lopez, Daniela Lax
OBJECTIVE: We report our experience with tele-echocardiography and echocardiograms recorded digitally or on videotape (recorded-echos) at The University of Arizona from August 2006 to December 2010 and compare their quality and diagnostic accuracy. MATERIALS AND METHODS: Tele-echocardiograms (tele-echos) were transmitted from the Yuma Regional Medical Center to The University of Arizona via a T-1 and aT-3 line at a bandwidth of 768 kilobits per second. Recorded-echos were shipped for interpretation to The University of Arizona by overnight mail...
December 2012: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Brian Grant, Gareth J Morgan, Brian A McCrossan, Grainne E Crealey, Andrew J Sands, Brian Craig, Frank A Casey
OBJECTIVES: To determine the accuracy of remote diagnosis of congenital heart disease (CHD) by real-time transmission of echocardiographic images via integrated services digital network (ISDN) lines, to assess the impact on patient management and examine cost implications. DESIGN: Prospective comparison of echocardiograms on infants with suspected significant CHD performed as follows: (1) hands-on evaluation and echocardiogram by a paediatrician at a district general hospital (DGH) followed by (2) transmission of the echocardiogram via ISDN 6 with guidance from a paediatric cardiologist and finally (3) hands-on evaluation and echocardiogram by a paediatric cardiologist...
April 2010: Archives of Disease in Childhood
Ryohei Takeuchi, Hiroshi Harada, Kohji Masuda, Gen-ichiro Ota, Masaki Yokoi, Nobuyasu Teramura, Tomoyuki Saito
We report the testing of a mobile Robotic Tele-echo system that was placed in an ambulance and successfully transmitted clear real time echo imaging of a patient's abdomen to the destination hospital from where this device was being remotely operated. Two-way communication between the paramedics in this vehicle and a doctor standing by at the hospital was undertaken. The robot was equipped with an ultrasound probe which was remotely controlled by the clinician at the hospital and ultrasound images of the patient were transmitted wirelessly...
June 2008: Journal of Medical Systems
H C Mulholland, F Casey, D Brown, N Corrigan, M Quinn, B McCord, J Rogers, B G Craig
OBJECTIVE: To determine whether accurate remote echocardiographic diagnosis of congenital heart disease could be achieved using a low cost telemedicine system. DESIGN: Echocardiographic images obtained by a paediatrician from neonates suspected of having congenital heart disease were transmitted by a telemedicine link across two integrated service digital network (ISDN) lines to a regional paediatric cardiology unit for interpretation by a consultant paediatric cardiologist...
August 1999: Heart: Official Journal of the British Cardiac Society
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