New tele-diagnostic model using volume sweep imaging for rural areas

Ferrer, J B Martinez; Chaumont, Thomas; Trujillo, Leslie; Fernandez, I. George; Guerrero, Jorge; Stewart, Pilar; Garra, Gail; Campos, Maria Fernanda; Garra, Katherine; Stephens, Nicole M.; Harley, Chere; Jacobo, Sylvia; Waks, Erin; Miele, Frank R.; Garra, Brian S.; Castaneda, Benjamín

doi:10.1109/embc.2017.8037395

Cited by 18 publications

(21 citation statements)

References 6 publications

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“…A simulation of the WiMAX physical layer was performed in [48], with the aim of supporting telemedicine applications in rural areas. In [49], ultrasound imaging was performed in rural areas by trained non-physician personnel, and the results were transferred to a cloud system where the physicians could perform diagnosis in an urban hospital. The approach of [49] requires that the portable ultrasound device be connected to a WiFi router, which necessitates some form of basic internet connectivity in the rural area to send the measurements to the cloud storage.…”

Section: ) Healthmentioning

confidence: 99%

“…In [49], ultrasound imaging was performed in rural areas by trained non-physician personnel, and the results were transferred to a cloud system where the physicians could perform diagnosis in an urban hospital. The approach of [49] requires that the portable ultrasound device be connected to a WiFi router, which necessitates some form of basic internet connectivity in the rural area to send the measurements to the cloud storage. In [50], image processing techniques were proposed for detecting eye diseases, where a technician can take a picture of the patient and the disease can be diagnosed remotely.…”

Section: ) Healthmentioning

confidence: 99%

“…Telemedicine in rural areas of North Carolina in the United States is discussed in [385]. In [49], a system for performing ultrasound imaging in remote rural areas by of Peru was tested. Trained no-physician personnel conduct the tests using a portable ultrasound device be connected to a WiFi router, and the results are transferred to a cloud system where the physicians could perform diagnosis in an urban hospital.…”

Section: Other Countriesmentioning

confidence: 99%

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A Key 6G Challenge and Opportunity—Connecting the Base of the Pyramid: A Survey on Rural Connectivity

2020

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Providing connectivity to around half of the world population living in rural or underprivileged areas is a tremendous challenge, but also a unique opportunity. Access to the internet would provide the population living in these areas a possibility to progress on the educational, health, environment, and business levels. In this paper, a survey of technologies for providing connectivity to rural areas, and that can help address this challenge, is provided. Although access/fronthaul and backhaul techniques are discussed in the paper, it is noted that the major limitation for providing connectivity to rural and underprivileged areas is the cost of backhaul deployment. In addition, energy requirements and cost efficiency of the studied technologies are analyzed. In fact, the challenges faced for deploying an electricity network, as a prerequisite for deploying communication networks, are huge in these areas and they are granted an important share of the discussions in this paper. Furthermore, typical application scenarios in rural areas are discussed, and several country-specific use cases are surveyed. The main

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Section: ) Healthmentioning

confidence: 99%

Section: ) Healthmentioning

confidence: 99%

Section: Other Countriesmentioning

confidence: 99%

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A Key 6G Challenge and Opportunity—Connecting the Base of the Pyramid: A Survey on Rural Connectivity

2020

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“…El proyecto "Tele-ecografía para zonas rurales" es un modelo innovador desarrollado gracias al trabajo colaborativo entre la Pontificia Universidad Católica del Perú (PUCP), Medical Innovation and Technology S.A.C. (MI&T) y Medical Imaging Ministries of the Americas (MIMAS); con el objetivo de contribuir en el acceso al diagnóstico por imágenes de un especialista en las zonas con menos recursos (33) .…”

Section: Un Modelo Innovador De Tele-ecografías Para Zonas Ruralesunclassified

Modelo innovador de tele-ecografía para zonas rurales en el Perú

Rojas-Mezarina

Inga-Berrospi

Trujillo³

et al. 2018

An Fac med

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Uno de los principales retos de nuestro sistema sanitario es satisfacer las necesidades actuales y futuras del sector garantizando el acceso equitativo y de calidad a los servicios de salud, por lo que frente a esta necesidad surge el uso de las capacidades que brindan las tecnologías. Por ello, en este artículo se describe un modelo innovador de tele-ecografía (tele-ultrasonografía) implementado en diversas zonas rurales del Perú el cual consiste en un nuevo método de adquisición de imágenes a través de protocolos volumétricos asociados al correcto entrenamiento del operador, el uso de equipos de fácil manejo, así como la nube que permite el diagnóstico en cualquier parte del mundo. Asimismo, se presentan los resultados de las intervenciones realizadas con este nuevo modelo en diferentes regiones con medio rural del país destacando sus ventajas y limitaciones. Este tipo de experiencia sirve como ejemplo de la utilidad de la tecnología la cual puede ser replicada en otros aspectos del sector salud; por lo que resulta necesario seguir generando evidencia científica que sirva como sustento para la implementación de nuevas políticas públicas orientadas a la promoción y fomento de este tipo de innovaciones.

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“…The images obtained from operators performing VSI protocols may be sent to a central location for interpretation, removing the need for on-site trained readers and sonographers. [21-23] VSI has been piloted in both Uganda and Peru and has many promising potential applications. In these locations, VSI has been employed for the detection of obstetrics, thyroid, and right upper quadrant pathology.…”

Section: Introductionmentioning

confidence: 99%

Lung Ultrasound Volume Sweep Imaging for Pneumonia Detection in Rural Areas: Piloting Training in Rural Peru

Marini

Castañeda

Baran

et al. 2019

JCIS

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Objective: Pneumonia is the leading cause of pediatric mortality worldwide among children 0–5 years old. Lung ultrasound can be used to diagnose pneumonia in rural areas as it is a portable and relatively economic imaging modality with ~95% sensitivity and specificity for pneumonia in children. Lack of trained sonographers is the current limiting factor to its deployment in rural areas. In this study, we piloted training of a volume sweep imaging (VSI) ultrasound protocol for pneumonia detection in Peru with rural health workers. VSI may be taught to individuals with limited medical/ultrasound experience as it requires minimal anatomical knowledge and technical skill. In VSI, the target organ is imaged with a series of sweeps and arcs of the ultrasound probe in relation to external body landmarks. Methods: Rural health workers in Peru were trained on a VSI ultrasound protocol for pneumonia detection. Subjects were given a brief didactic session followed by hands-on practice with the protocol. Each attempt was timed and mistakes were recorded. Participants performed the protocol until they demonstrated two mistake-free attempts. Results: It took participants a median number of three attempts (range 1–6) to perform the VSI protocol correctly. Time to mastery took 51.4 ± 17.7 min. There were no significant differences among doctors, nurses, and technicians in total training time (P = 0.43) or number of attempts to success (P = 0.72). Trainee age was not found to be significantly correlated with training time (P = 0.50) or number of attempts to success (P = 0.40). Conclusion: Rural health workers learned a VSI protocol for pneumonia detection with relative ease in a short amount of time. Future studies should investigate the clinical efficacy of this VSI protocol for pneumonia detection. Key Message: A volume sweep imaging (VSI) protocol for pneumonia detection can be taught with minimal difficulty to rural health workers without prior ultrasound experience. No difference was found in training performance related to education level or age. VSI involves no significant knowledge of anatomy or technical skill.

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New tele-diagnostic model using volume sweep imaging for rural areas

Cited by 18 publications

References 6 publications

A Key 6G Challenge and Opportunity—Connecting the Base of the Pyramid: A Survey on Rural Connectivity

A Key 6G Challenge and Opportunity—Connecting the Base of the Pyramid: A Survey on Rural Connectivity

Modelo innovador de tele-ecografía para zonas rurales en el Perú

Lung Ultrasound Volume Sweep Imaging for Pneumonia Detection in Rural Areas: Piloting Training in Rural Peru

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