Real-Time Remote Tele-Mentored Echocardiography: A Systematic Review

Salerno, Alexis; Kuhn, Diane; Sibai, Rayan El; Levine, Andrea; McCurdy, Michael T.

doi:10.3390/medicina56120668

Cited by 13 publications

(26 citation statements)

References 28 publications

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“…The quality of images is largely determined by the manipulation, and clearer and more comprehensive images will lead to a more accurate diagnosis. Provincial experts can observe the size, shape, peripheral tissue relationship and blood flow signals of lesions in real time through a remote consultation system and guide the operation techniques of grassroots doctors [6,7]. On the basis of voice and video, experts can not only communicate with patients to ask for a brief history but also make simple visual examinations, such as body mass, determining the location of pain and other relevant auxiliary information.…”

Section: Discussionmentioning

confidence: 99%

Preliminary exploration of theory and practice training of 5G ultrasonic remote consultation in grassroot hospitals

Wang

Zheng

Xiong

et al. 2022

BMC Health Serv Res

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Background With the rapid development of science and technology, telemedicine diagnosis and treatment systems have gradually attracted increased attention and applications.5G ultrasound is an important branch of telemedicine, connecting grassroots hospitals at one end and provincal hospitals at the other, which provides remote guidance to grassroots doctors for ultrasound examination and image diagnosis. It is convenient for villagers obtaining diagnosis and advice from provincial ultrasound experts, saving time and economic costs, as well as benefiting from high-quality ultrasound medical resources. In this study, taishun County community grassroot hospitals were selected as the pilot study of 5G ultrasound application, to explore the effectiveness of their theory and practice, and gradually improve the remote ultrasound diagnosis and treatment standards, so as to improve their quality of grassroots hospitals and benefit grassroots people. Methods This is a descriptive study. The Provincal Hospital will conduct ultrasonic theory and practice training for grassroot hospitals. The training subjects included 43 doctors in grassroots hospitals who were willing to carry out ultrasound examinations. Theories, skills training scores and trainees' questionnaires on teaching content were collected and analyzed. After passing theoretical and practical training, they will conduct ultrasound examinations in their respective communities and collect relevant cases. There are 148 cases thus far for analysis. It mainly included the type of disease, whether the patient was out-patient or inpatient, frequency of ultrasound visits in recent 5 years, and follow-up treatment measures. Results It mainly included three aspects: (1) Through theoretical and practical training, the ultrasonic diagnosis level of grassroot doctors was significantly improved. The difference in scores between the two practical trainings was statistically significant. (2) Forty-three questionnaires were sent out, feedback from trainees was very high. Most of them was very satisfied with our training. The total score of the questionnaire was 10, and 97.67% of them score more than 8. (3) In total, there were 148 remote consultation cases, including 67 males and 81 females, who were aged 21 to 101 years old (62.40 ± 15.73).mainly abdominal ultrasound, and typical cases involve fatty liver, hepatic cyst, gallbladder stone, kidney stone and so on. We analyzed case data and provided follow-up treatment recommendations. Conclusion As a “visual apparatus”, 5G ultrasound can be routinely carried out in grassroot hospitals, which can provide mutual benefit between doctors and patients and comprehensively promote healthy villages.

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Section: Discussionmentioning

confidence: 99%

Preliminary exploration of theory and practice training of 5G ultrasonic remote consultation in grassroot hospitals

Wang

Zheng

Xiong

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

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“…Of course, this is not the case for less demanding imaging such as echocardiography or dermatology images transfer, where effective transmission of high-quality images can be accomplished either through low-cost transmission systems or with images/video from publicly available apps. 26 , 27 The same applies to otolaryngologic exams, especially regarding remote of video-otoscopy images, as a recent review suggests that they can deliver adequate information suitable for diagnosis in most cases and results in high levels of user satisfaction. 28 …”

Section: Discussionmentioning

confidence: 99%

5G Use in Healthcare: The Future is Present

Γεωργίου¹,

Georgiou²,

Satava³

2021

JSLS

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Background: Most healthcare providers are unaware of the extraordinary opportunities for implementation in healthcare which can be enabled by 5G wireless networks. 5G created enormous opportunities for a myriad of new technologies, resulting in an integrated through 5G ‘ecosystem’. Although the new opportunities in healthcare are immense, medicine is slow to change, as manifest by the paucity of new, innovative applications based upon this ecosystem. Thus, emerges the need to “avoid technology surprise” - both laparoscopic and robotic assisted minimally invasive surgery were delayed for years because the surgical community was either unaware or unaccepting of a new technology. Database: PubMed (Medline) and Scopus (Elsevier) databases were searched and all published studies regarding clinical applications of 5G were retrieved. From a total of 40 articles, 13 were finally included in our review. Discussion: The important transformational properties of 5G communications and other innovative technologies are described and compared to healthcare needs, looking for opportunities, limitations, and challenges to implementation of 5G and the ecosystem it has spawned. Furthermore, the needs in the clinical applications, education and research in medicine and surgery, in addition to the administrative infrastructure are addressed. Additionally, we explore the nontechnical challenges, that either support or oppose this new healthcare renovation. Based upon proven advantages of these innovative technologies, current scientific evidence is analyzed for future trends for the transformation of healthcare. By providing awareness of these opportunities and their advantages for patients, it will be possible to decrease the prolonged timeframe for acceptance and implementation for patients.

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“…[1] A few studies investigating feasibility and the effect of remote real-time supervision of ultrasound have been published, which mostly focus on novice ultrasound practitioners being mentored by sonography experts and attest an adequate image quality for diagnosis. [22] The majority of previous research focuses on either remote or rural regions with limited medical services, e.g. cruise ships, [23] or medical staff with a very limited training in the interpretation of ultrasound imagery.…”

Section: Discussionmentioning

confidence: 99%

Remote Real-Time Supervision of Prehospital Point-of-Care Ultrasound: A Feasibility Study

Hermann¹,

Hafner²,

Scharner³

et al. 2021

Preprint

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Background: Although prehospital point-of-care ultrasound (POCUS) is gaining in importance, its rapid interpretation remains challenging in prehospital emergency situations. The technical development of remote real-time supervision potentially offers the possibility to support emergency medicine providers during prehospital emergency ultrasound. The aim of this study was to assess the feasibility of live data transmission and supervision of prehospital POCUS in an urban environment.Methods: Emergency doctors with moderate ultrasound experience performed prehospital POCUS in emergency cases (n=24) such as trauma, acute dyspnea or cardiac shock using the portable ultrasound device LumifyTM. The ultrasound examination was remotely transmitted to an emergency ultrasound expert in the clinic for real-time supervision via a secure video and audio connection. Technical feasibility as well as quality of communication and live stream were analysed.Results: Prehospital POCUS with remote real-time supervision was successfully performed in 17 patients (71%). In 3 cases, the expert was not available on time and in 1 case remote data transmission was not possible due to connection problems. In 3 cases tele-supervision was restricted to video only due to power saving mode of the tablet.Conclusion: Remote real-time supervision of prehospital POCUS is feasible most of the time with excellent image and communication quality. Trial registration: ClinicalTrials Number NCT04612816

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Real-Time Remote Tele-Mentored Echocardiography: A Systematic Review

Cited by 13 publications

References 28 publications

Preliminary exploration of theory and practice training of 5G ultrasonic remote consultation in grassroot hospitals

Preliminary exploration of theory and practice training of 5G ultrasonic remote consultation in grassroot hospitals

5G Use in Healthcare: The Future is Present

Remote Real-Time Supervision of Prehospital Point-of-Care Ultrasound: A Feasibility Study

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