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Telemedicine ultrasound

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https://www.readbyqxmd.com/read/29577381/remote-mentoring-of-point-of-care-ultrasound-skills-to-inexperienced-operators-using-multiple-telemedicine-platforms-is-a-cell-phone-good-enough
#1
Andrew Smith, Reuben Addison, Peter Rogers, Jordan Stone-McLean, Sarah Boyd, Kristopher Hoover, Megan Pollard, Adam Dubrowski, Mike Parsons
OBJECTIVES: Telemedicine technology contributes to the teaching of point-of-care ultrasound (US); however, expensive equipment can limit its deployment in resource-challenged settings. We assessed 3 low-cost telemedicine solutions capable of supporting remote US training to determine feasibility, acceptability, and effectiveness. We also explored the value of instructional videos immediately before telementoring. METHODS: Thirty-six participants were randomly assigned to receive US mentoring in 1 of 3 telemedicine conditions: multiple fixed cameras, a smartphone, and traditional audio with a live US stream...
March 25, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29398312/implementation-of-a-virtual-vascular-clinic-with-point-of-care-ultrasound-in-an-integrated-health-care-system
#2
Judith C Lin, Janelle M Crutchfield, Dana K Zurawski, Courtney Stevens
OBJECTIVE: Using secured videoconferencing technologies, telemedicine may replace traditional clinic visits, save patients' time and travel, and improve use of limited surgeon and facility resources. We report our initial experience of the remote clinical encounter (RCE) by evaluating vascular surgery patients. METHODS: In this proof-of-concept pilot study, we conducted telemedicine evaluations of vascular patients at a tertiary care institution from October 2015 to August 2016...
February 1, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29317333/pocket-size-point-of-care-ultrasound-in-rural-uganda-a-unique-opportunity-to-see-where-no-imaging-facilities-are-available
#3
Danny Epstein, Neta Petersiel, Erez Klein, Erez Marcusohn, Eyal Aviran, Reut Harel, Zaher S Azzam, Ami Neuberger, Lior Fuchs
BACKGROUND: In the developing world, only a small minority of patients have access to radiological services. Over the past decade, technological developments of ultrasound equipment have led to the emergence of point-of-care ultrasonography (POCUS), which is widely used by healthcare professionals of nearly all specialties. We hypothesized that physicians with only basic POCUS training, but with telemedicine support, can use POCUS successfully in rural hospitals in sub-Saharan Africa...
January 6, 2018: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/28994720/augmented-reality-as-a-telemedicine-platform-for-remote-procedural-training
#4
Shiyao Wang, Michael Parsons, Jordan Stone-McLean, Peter Rogers, Sarah Boyd, Kristopher Hoover, Oscar Meruvia-Pastor, Minglun Gong, Andrew Smith
Traditionally, rural areas in many countries are limited by a lack of access to health care due to the inherent challenges associated with recruitment and retention of healthcare professionals. Telemedicine, which uses communication technology to deliver medical services over distance, is an economical and potentially effective way to address this problem. In this research, we develop a new telepresence application using an Augmented Reality (AR) system. We explore the use of the Microsoft HoloLens to facilitate and enhance remote medical training...
October 10, 2017: Sensors
https://www.readbyqxmd.com/read/28910212/feasibility-of-paramedic-performed-prehospital-lung-ultrasound-in-medical-patients-with-respiratory-distress
#5
Torben K Becker, Christian Martin-Gill, Clifton W Callaway, Francis X Guyette, Christopher Schott
OBJECTIVE: Prehospital ultrasound is not yet widely implemented. Most studies report on convenience samples and trauma patients, often by prehospital physicians or critical care clinicians. We assessed the feasibility of paramedic performed prehospital lung ultrasound in medical patients with respiratory distress. METHODS: Paramedics at 2 ambulance stations in the city of Pittsburgh, Pennsylvania, USA underwent a 2-hour training session in prehospital lung ultrasound using the SonoSite iViz, a handheld ultrasound device...
March 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28537495/remotely-guided-breast-sonography-for-long-term-space-missions-a-case-report-and-discussion
#6
Jackelynne P Silva-Martinez, Andreia Sorice Genaro, Hui Annie Wen, Naama Glauber, Thais Russomano
BACKGROUND: Space radiation can cause different types of cancers in crewmembers, especially during long-term space missions. INTRODUCTION: To date, a complete bilateral breast ultrasound has not been performed at the International Space Station (ISS). A breast screening imaging technique could be a useful tool for early identification of breast cancer in astronauts. We hypothesized that breast ultrasound performed by a crewmember while being remotely guided by a specialist from the ground could be an essential tool for medical diagnosis in space...
May 24, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28432039/simulation-training-evaluating-the-instructor-s-contribution-to-a-wizard-of-oz-simulator-in-obstetrics-and-gynecology-ultrasound-training
#7
Aric Katz, Ronnie Tepper, Avraham Shtub
BACKGROUND: Workplaces today demand graduates who are prepared with field-specific knowledge, advanced social skills, problem-solving skills, and integration capabilities. Meeting these goals with didactic learning (DL) is becoming increasingly difficult. Enhanced training methods that would better prepare tomorrow's graduates must be more engaging and game-like, such as feedback based e-learning or simulation-based training, while saving time. Empirical evidence regarding the effectiveness of advanced learning methods is lacking...
April 21, 2017: JMIR Medical Education
https://www.readbyqxmd.com/read/28192275/first-trimester-medical-abortion-practices-in-canada-national-survey
#8
MULTICENTER STUDY
Edith R Guilbert, Althea S Hayden, Heidi E Jones, Katharine O'Connell White, E Steven Lichtenberg, Maureen Paul, Wendy V Norman
OBJECTIVE: To understand the current availability and practice of first-trimester medical abortion (MA) in Canada. DESIGN: Using public sources and professional networks, abortion facilities across Canada were identified for a cross-sectional survey on medical and surgical abortion. English and French surveys were distributed by surface or electronic mail between July and November 2013. SETTING: Canada. PARTICIPANTS: A total of 94 abortion facilities were identified...
April 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/27602255/imaging-techniques-for-clinical-burn-assessment-with-a-focus-on-multispectral-imaging
#9
Jeffrey E Thatcher, John J Squiers, Stephen C Kanick, Darlene R King, Yang Lu, Yulin Wang, Rachit Mohan, Eric W Sellke, J Michael DiMaio
Significance: Burn assessments, including extent and severity, are some of the most critical diagnoses in burn care, and many recently developed imaging techniques may have the potential to improve the accuracy of these evaluations. Recent Advances: Optical devices, telemedicine, and high-frequency ultrasound are among the highlights in recent burn imaging advancements. We present another promising technology, multispectral imaging (MSI), which also has the potential to impact current medical practice in burn care, among a variety of other specialties...
August 1, 2016: Advances in Wound Care
https://www.readbyqxmd.com/read/27318571/accurate-cloud-based-smart-imt-measurement-its-validation-and-stroke-risk-stratification-in-carotid-ultrasound-a-web-based-point-of-care-tool-for-multicenter-clinical-trial
#10
MULTICENTER STUDY
Luca Saba, Sumit K Banchhor, Harman S Suri, Narendra D Londhe, Tadashi Araki, Nobutaka Ikeda, Klaudija Viskovic, Shoaib Shafique, John R Laird, Ajay Gupta, Andrew Nicolaides, Jasjit S Suri
This study presents AtheroCloud™ - a novel cloud-based smart carotid intima-media thickness (cIMT) measurement tool using B-mode ultrasound for stroke/cardiovascular risk assessment and its stratification. This is an anytime-anywhere clinical tool for routine screening and multi-center clinical trials. In this pilot study, the physician can upload ultrasound scans in one of the following formats (DICOM, JPEG, BMP, PNG, GIF or TIFF) directly into the proprietary cloud of AtheroPoint from the local server of the physician's office...
August 1, 2016: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/27046424/managing-chronic-oedema-in-a-patient-with-arterial-disease-and-leg-ulceration
#11
Robin Cooper
Treating lymphoedema in patients with critical arterial disease can be contraindicated. This case study describes current methods of managing lymphoedema in a patient with arterial disease and leg ulcers. The patient, a 65-year-old male, had paraplegia and lower-limb lymphoedema with leg ulceration for 18 years, as well as arterial disease. The patient was referred to the lymphoedema/vascular service in 2013. Duplex ultrasound indicated superficial femoral occlusion. The arterial disease was treated with an angiogram and angioplasty, and when the blood supply was improved, the lymphoedema was treated...
April 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27014715/cuqi-cardiac-ultrasound-video-quality-index
#12
Manzoor Razaak, Maria G Martini
Medical images and videos are now increasingly part of modern telecommunication applications, including telemedicinal applications, favored by advancements in video compression and communication technologies. Medical video quality evaluation is essential for modern applications since compression and transmission processes often compromise the video quality. Several state-of-the-art video quality metrics used for quality evaluation assess the perceptual quality of the video. For a medical video, assessing quality in terms of "diagnostic" value rather than "perceptual" quality is more important...
January 2016: Journal of Medical Imaging
https://www.readbyqxmd.com/read/26860914/effect-of-watermarking-on-diagnostic-preservation-of-atherosclerotic-ultrasound-video-in-stroke-telemedicine
#13
Nilanjan Dey, Soumyo Bose, Achintya Das, Sheli Sinha Chaudhuri, Luca Saba, Shoaib Shafique, Andrew Nicolaides, Jasjit S Suri
Embedding of diagnostic and health care information requires secure encryption and watermarking. This research paper presents a comprehensive study for the behavior of some well established watermarking algorithms in frequency domain for the preservation of stroke-based diagnostic parameters. Two different sets of watermarking algorithms namely: two correlation-based (binary logo hiding) and two singular value decomposition (SVD)-based (gray logo hiding) watermarking algorithms are used for embedding ownership logo...
April 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/26761550/retinal-diseases-in-a-reference-center-from-a-western-amazon-capital-city
#14
Fernando Korn Malerbi, Nilson Hideo Matsudo, Adriano Biondi Monteiro Carneiro, Claudio Luiz Lottenberg
OBJECTIVE: To describe retinal diseases found in patients who were waiting for treatment at a tertiary care hospital in Rio Branco, Acre, Brazil. METHODS: Patients underwent slit lamp biomicroscopy, dilated fundus exam and ocular ultrasound. Patients were classified according to phakic status and retinal disease of the most severely affected eye. RESULTS: A total of 138 patients were examined. The mean age was 51.3 years. Diabetes was present in 35...
October 2015: Einstein
https://www.readbyqxmd.com/read/26665234/three-reasons-for-on-line-remote-telemonitoring-of-patients-treated-with-high-doses-of-radionuclide-therapy-our-experience
#15
Milovan Matovic, Marija Jeremic, Vlade Urosevic, Miroslav Ravlic, Marina Vlajkovic
OBJECTIVE: Following radionuclide therapy, patients usually must remain hospitalised in special "restricted access area" 2-5 days, until radiation in their body drops below a certain level. During this period medical personnel can be faced with some challenges. Based on our previous experience, we used telemedicine approach as solution for it. We have developed comprehensive telemedicine system, which consists of three own developed hardware & software modules which are accessible remotely...
September 2015: Hellenic Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/26529249/stereoscopic-integrated-imaging-goggles-for-multimodal-intraoperative-image-guidance
#16
Christopher A Mela, Carrie Patterson, William K Thompson, Francis Papay, Yang Liu
We have developed novel stereoscopic wearable multimodal intraoperative imaging and display systems entitled Integrated Imaging Goggles for guiding surgeries. The prototype systems offer real time stereoscopic fluorescence imaging and color reflectance imaging capacity, along with in vivo handheld microscopy and ultrasound imaging. With the Integrated Imaging Goggle, both wide-field fluorescence imaging and in vivo microscopy are provided. The real time ultrasound images can also be presented in the goggle display...
2015: PloS One
https://www.readbyqxmd.com/read/26525650/intelligent-navigation-to-improve-obstetrical-sonography
#17
Lami Yeo, Roberto Romero
'Manual navigation' by the operator is the standard method used to obtain information from two-dimensional and volumetric sonography. Two-dimensional sonography is highly operator dependent and requires extensive training and expertise to assess fetal anatomy properly. Most of the sonographic examination time is devoted to acquisition of images, while 'retrieval' and display of diagnostic planes occurs rapidly (essentially instantaneously). In contrast, volumetric sonography has a rapid acquisition phase, but the retrieval and display of relevant diagnostic planes is often time-consuming, tedious and challenging...
April 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26438342/diagnostics-barriers-and-innovations-in-rural-areas-insights-from-junior-medical-doctors-on-the-frontlines-of-rural-care-in-peru
#18
Cynthia Fiorella Anticona Huaynate, Monica Jehnny Pajuelo Travezaño, Malena Correa, Holger Mayta Malpartida, Richard Oberhelman, Laura L Murphy, Valerie A Paz-Soldan
BACKGROUND: Worldwide, rural communities face barriers when accessing health services. In response, numerous initiatives have focused on fostering technological innovations, new management approaches and health policies. Research suggests that the most successful innovations are those involving stakeholders at all levels. However, there is little evidence exploring the opinions of local health providers that could contribute with further innovation development and research. The aims of this study were to explore the perspectives of medical doctors (MDs) working in rural areas of Peru, regarding the barriers impacting the diagnostic process, and ideas for diagnostic innovations that could assist them...
October 5, 2015: BMC Health Services Research
https://www.readbyqxmd.com/read/26349778/rural-ed-transfers-due-to-lack-of-radiology-services
#19
Matthew Lyon, LaShon Sturgis, Darren Lendermon, Ann Marie Kuchinski, Taylor Mueller, Patrick Loeffler, Hongyan Xu, Robert Gibson
PURPOSE: Our objectives were to determine the frequency of patient transfers to a tertiary care emergency department (Tertiary ED) due to a lack of radiology services in rural hospital EDs (Rural EDs), and examine the community and patient attributes that are associated with these transfers. METHODS: This was a retrospective chart review of patients transferred to a Tertiary ED from Rural EDs. Transfers excluded from the study included pediatric patients (age <18 years old) and patients transferred for trauma surgeon evaluation...
November 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26199277/prenatal-diagnosis-and-telemedicine-consultation-of-fetal-urologic-disorders
#20
Nader Z Rabie, Stephen Canon, Ashay Patel, Ismael Zamilpa, Everett F Magann, Jared Higley
In Arkansas, telemedicine is used commonly in obstetrics through Antenatal and Neonatal Guidelines, Education and Learning System (ANGELS), the existing statewide telemedicine network. This network is used primarily for tele-ultrasound and maternal-fetal medicine consultation. This study is a retrospective case series, describing all the patients who had a prenatally diagnosed urologic anomaly that required prenatal urologic consultation. From 2009-2013, approximately 1300 anomalies were recorded in the Arkansas Fetal Diagnosis and Management (AFDM) database, 14% of which were urologic anomalies...
June 2016: Journal of Telemedicine and Telecare
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