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Floriana Zennaro, Elena Neri, Federico Nappi, Daniele Grosso, Riccardo Triunfo, Francesco Cabras, Francesca Frexia, Stefania Norbedo, Pierpaolo Guastalla, Massino Gregori, Elisabetta Cattaruzzi, Daniela Sanabor, Egidio Barbi, Marzia Lazzerini
BACKGROUND: The use of point-of-care ultrasonography (POC US) in paediatrics is increasing. This study investigated the diagnostic accuracy of POC US in children accessing the emergency department (ED) when performed by paediatricians under the remote guidance of radiologists (TELE POC). METHODS: Children aged 0 to 18 years accessing the ED of a third level research hospital with eight possible clinical scenarios and without emergency/severity signs at the triage underwent three subsequent US tests: by a paediatrician guided remotely by a radiologist (TELE POC); by the same radiologist (UNBLIND RAD); by an independent blinded radiologist (BLIND RAD)...
2016: PloS One
Katarzyna Kasia Hampton, William N Vasios, Paul E Loos
Point-of-care ultrasonography has been recognized as a relevant and versatile tool in Special Operations Forces (SOF) medicine. The Special Operator Level Clinical Ultrasound (SOLCUS) program has been developed specifically for SOF Medics. A number of challenges, including skill sustainment, high-volume training, and quality assurance, have been identified. Potential solutions, including changes to content delivery methods and application of tele-ultrasound, are described in this article. Given the shift in operational context toward extended care in austere environments, a curriculum adjustment for the SOLCUS program is also proposed...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
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
Kokou Adambounou, Victor Adjenou, Alex P Salam, Fabien Farin, Koffi Gilbert N'Dakena, Messanvi Gbeassor, Philippe Arbeille
PURPOSE: To design a "low-cost" tele-imaging method allowing real-time tele-ultrasound expertise, delayed tele-ultrasound diagnosis, and tele-radiology between remote peripherals hospitals and clinics (patient centers) and university hospital centers (expert center). MATERIALS AND METHODS: A system of communication via internet (IP camera and remote access software) enabling transfer of ultrasound videos and images between two centers allows a real-time tele-radiology expertise in the presence of a junior sonographer or radiologist at the patient center...
2014: Frontiers in Public Health
Adilson Cunha Ferreira, Edward Araujo Júnior, Wellington P Martins, João Francisco Jordão, Antônio Hélio Oliani, Simon E Meagher, Fabricio Da Silva Costa
OBJECTIVE: To assess the quality of images and video clips of fetal central nervous (CNS) structures obtained by ultrasound and transmitted via tele-ultrasound from Brazil to Australia. METHODS: In this cross-sectional study, 15 normal singleton pregnant women between 20 and 26 weeks were selected. Fetal CNS structures were obtained by images and video clips. The exams were transmitted in real-time using a broadband internet and an inexpensive video streaming device...
2015: Journal of Maternal-fetal & Neonatal Medicine
Fausto da Silva Gonçalves, Denise Cristina Mos Vaz-Oliani, Gustavo Henrique de Oliveira, Antônio Hélio Oliani
PURPOSE: To evaluate the sonographic parameters related to morphological characteristics of pelvic adnexal masses by obtaining two-dimensional images by an observer presence, forwarded electronically (via tele-ultrasound) in static and dynamic modes observers do not face (distance) for comparative analyzes inter intraobserver and to the validation of a second opinion. METHODS: From March to August 2010 were selected 50 patients with adnexal mass viewing of the pelvic ultrasound...
October 2013: Revista Brasileira de Ginecologia e Obstetrícia
Thomas H Marshburn, Chris A Hadfield, Ashot E Sargsyan, Kathleen Garcia, Douglas Ebert, Scott A Dulchavsky
BACKGROUND: Changes in the lumbar and sacral spine occur with exposure to microgravity in astronauts; monitoring these alterations without radiographic capabilities on the International Space Station (ISS) requires novel diagnostic solutions to be developed. STUDY OBJECTIVES: We evaluated the ability of point-of-care ultrasound, performed by nonexpert-operator astronauts, to provide accurate anatomic information about the spine in long-duration crewmembers in space...
January 2014: Journal of Emergency Medicine
Andrew W Kirkpatrick, Michael Blaivas, Ashot E Sargsyan, Paul B McBeth, Chirag Patel, Zhengwen Xiao, Linping Pian, Nova Panebianco, Douglas R Hamilton, Chad G Ball, Scott A Dulchavsky
Modern medical practice has become extremely dependent upon diagnostic imaging technologies to confirm the results of clinical examination and to guide the response to therapies. Of the various diagnostic imaging techniques, ultrasound is the most portable modality and one that is repeatable, dynamic, relatively cheap, and safe as long as the imaging provided is accurately interpreted. It is, however, the most user-dependent, a characteristic that has prompted the development of remote guidance techniques, wherein remote experts guide distant users through the use of information technologies...
July 2013: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Christian Otto, Ron Shemenski, Jessica M Scott, Jeanette Hartshorn, Sheryl Bishop, Steven Viegas
UNLABELLED: Abstract Background: A large number of Antarctic stations do not utilize ultrasound for medical care. Regular use of ultrasound imaging at South Pole and McMurdo Stations first began in October 2002. To date, there has been no evaluation of medical events requiring ultrasound examination from this remote environment. Additionally, the importance of tele-ultrasound for clinical management in Antarctica has not yet been assessed. We therefore conducted a retrospective analysis of all ultrasound exams performed at South Pole and McMurdo Stations between October 2002 and October 2003...
March 2013: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Innes Crawford, Paul B McBeth, Mark Mitchelson, James Ferguson, Corina Tiruta, Andrew W Kirkpatrick
BACKGROUND: Worldwide ultrasound equipment accessibility is at an all-time high, as technology improves and costs decrease. Ensuring that patients benefit from more accurate resuscitation and diagnoses from a user-dependent technology, such as ultrasound, requires accurate examination, typically entailing significant training. Remote tele-mentored ultrasound (RTUS) examination is, however, a technique pioneered in space medicine that has increased applicability on earth. We, thus, sought to create and demonstrate a cost-minimal approach and system with potentially global applicability...
2012: Critical Ultrasound Journal
Christian A Otto, Ronald Shemenski, Laura Drudi
The McMurdo Research Station medical facility functions at the level of a rural community hospital emergency department. Telehealth technology has played an increasingly important role in providing intercontinental tertiary healthcare consultations, particularly for assistance with diagnostically challenging cases or cases involving complicated medical management. The role of telehealth in Antarctica is vital given the harsh and remote environment. The following case discusses a real-time tele-ultrasound consultation between the station physician and a patient with pericarditis at the McMurdo Medical Clinic in Antarctica and a team of cardiology consultants at the University of Texas Medical Branch, Galveston, TX...
September 2012: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Yannis M Paulus, Noel P Thompson
We have devised an inexpensive, web-based tele-ultrasound system using commercially-available video streaming equipment. We examined the spatial and grey scale resolution, and the delay time of the system. The receiving PC was tested at various distances from the transmitting site, from 3.2 km to 4828 km. Standard resolution targets and echocardiography movie strips recorded on DVDs were used to assess the image quality. A qualitative assessment was made by an expert sonographer. As the distance between the transmitter and the receiver increased, the scan smoothness decreased and the delay increased...
June 2012: Journal of Telemedicine and Telecare
Keith S Boniface, Hamid Shokoohi, E Reed Smith, Kari Scantlebury
OBJECTIVES: The aim of this study was to examine the capability of ultrasound-naïve paramedics to obtain interpretable Focused Assessment With Sonography for Trauma (FAST) images under the remote direction of emergency physicians (EPs). METHODS: Paramedics without experience using ultrasound participated in a 20-minute lecture covering orientation to the ultrasound machine and the FAST examination. The paramedics subsequently performed FAST examinations on a model patient, whereas the EP remained in another room, out of visual contact...
June 2011: American Journal of Emergency Medicine
Azzam Al-Kadi, Dianne Dyer, Chad G Ball, Paul B McBeth, Robert Hall, Steve Lan, Chuck Gauthier, Jeff Boyd, Jane Cusden, Christopher Turner, Douglas R Hamilton, Andrew W Kirkpatrick
We established a pilot tele-ultrasound system between a rural referring hospital and a tertiary care trauma centre to facilitate telementoring during acute trauma resuscitations. Over a 12-month period, 23 tele-ultrasound examinations were completed. The clinical protocol examined both the Focused Assessment with Sonography for Trauma (FAST) and the Extended FAST (EFAST) for pneumothoraxes. Twenty of the examinations were conducted during acute trauma resuscitations and three during live patient simulations...
2009: Journal of Telemedicine and Telecare
Mei-Ju Su, Huei-Ming Ma, Chow-In Ko, Wen-Chu Chiang, Chih-Wei Yang, Sao-Jie Chen, Robert Chen, Heng-Shuen Chen
In emergency medical services, portable ultrasound scanners have the potential to become new-age stethoscopes for emergency physicians. For trauma cases in particular, portable ultrasound scanners can scan the chest and abdomen of emergency patients both rapidly and conveniently. This study describes the development of tele-ultrasound for pre-diagnosis in a medical emergency setting as a part of the updated Mobile Hospital Emergency Medical System (MHEMS). An emergency medical technician can provide an emergency physician with a patient's ultrasound images and medical information during the patient's pre-hospitalization and transportation period using a combination of the MHEMS, the portable ultrasound scanner, and the onboard 3G communication capabilities...
October 2008: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Josh Pyke, Michael Hart, Veljko Popov, Robert D Harris, Susan McGrath
Ultrasound has great potential as an imaging technology in resource-limited environments. We present a novel tele-ultrasound approach designed to realize that potential by connecting a remote technician to a radiologist. Our preliminary system, based on open-source software and commercial off-the-shelf hardware, uses custom software and a satellite Internet connection to create this link. We also present the results of testing this system in both laboratory and real-world environments.
2007: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Jan Norum, Trine S Bergmo, Bjørn Holdø, May V Johansen, Ingar N Vold, Elisabeth E Sjaaeng, Heidi Jacobsen
We established a tele-obstetric service connecting the Department of Obstetrics and Gynaecology at the Nordland Hospital in Bodø to the delivery unit at the Nordland Hospital in Lofoten. The telemedicine service included a videoconferencing link (3 Mbit/s) for transmission of ultrasound scans and a low-speed data link (telephone modem) for transmission of cardiotocograms (CTGs). One hundred and thirty pregnant women entered the antenatal clinic in Lofoten during the eight-month study period. A total of 140 CTGs were recorded...
2007: Journal of Telemedicine and Telecare
Fung Yee Chan
Advanced fetal diagnosis with real-time, high resolution ultrasound and fetal therapy with fetoscopic surgery represent the state-of-the-art in the subspecialty of fetal medicine. They allow accurate diagnosis of the fetal condition, multidisciplinary support for management, and in utero treatment, thereby significantly reducing perinatal mortality and morbidity. Such expertise is only available in a small number of advanced fetal medicine centres. We have used telemedicine for tertiary real-time fetal ultrasound consultation and shown not only that it is technically feasible, but that it is welcomed by the clinicians and patients involved...
2007: Journal of Telemedicine and Telecare
Chris Lewis
A tele-ultrasound survey was distributed to clinicians and sonographers in regional and rural sites throughout Queensland. In all, 28 centres were invited to complete a profile questionnaire, and 27 centres were invited to complete a case-log. Twenty-five of the 28 questionnaires were returned (89% response rate). Twenty-two of the 27 case-logs were returned (81% response rate). Obstetric ultrasound was the most frequently performed ultrasound examination, accounting for 846 (35%) of the 2,410 recorded during the two-week survey period...
2005: Journal of Telemedicine and Telecare
Fabien Courreges, Pierre Vieyres, Robert S H Istepanian, Philippe Arbeille, Conxita Bru
We have developed a robotic tele-ultrasound system (OTELO) that allows an expert to examine a distant patient by ultrasound. At the expert station, a sonographer controls a virtual probe. Movements are reproduced at the patient station, which may be several kilometres away, on a real probe held by a lightweight robot, which is positioned on the patient by a paramedic. Two medical teams tested the tele-ultrasound system at two different hospitals on a total of 52 patients. Except for some difficulties caused by particular conditions, the diagnosis obtained with the remote scanning system agreed in at least 80% of the cases with the diagnosis made by conventional scanning...
2005: Journal of Telemedicine and Telecare
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