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COTS technologies for telemedicine applications

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

To demonstrate a simple low-cost system for tele-echocardiology, focused on paediatric cardiology applications.

Methods

The system was realized using open-source software and COTS technologies. It is based on the transmission of two simultaneous video streams, obtained by direct digitization of the output of an ultrasound machine and by a netcam showing the examination that is taking place. These streams are then embedded into a web page so they are accessible, together with basic video controls, via a standard web browser. The system can also record video streams on a server for further use.

Results

The system was tested on a small group of neonatal cases with suspected cardiopathies for a preliminary assessment of its features and diagnostic capabilities. Both the clinical and technological results were encouraging and are leading the way for further experimentation.

Conclusions

The presented system can transfer clinical images and videos in an efficient way and in real time. It can be used in the same hospital to support internal consultancy requests, in remote areas using Internet connections and for didactic purposes using low cost COTS appliances and simple interfaces for end users. The solution proposed can be extended to control different medical appliances in those remote hospitals.

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References

  1. Archer H (2006) Scottish paediatric telemedicine project: final report. Yorkhill Hospital, Glasgow. Visit: http://www.show.scot.nhs.uk/publications/publications/Telemed%20Report.pdf

  2. Bellavance M, Béland MJ, van Doesburg NH, Paquet M, Ducharme FM, Cloutier A (2004) Implanting telehealth network for paediatric cardiology: learning from the Quebec experience. Cardiol Young 14(6): 608–614

    Article  PubMed  Google Scholar 

  3. Casey FA (1999) Telemedicine in paediatric cardiology. Arch Dis Child 80: 497–499

    Article  CAS  PubMed  Google Scholar 

  4. Cloutier A, Finley J (2004) Telepediatric cardiology practice in Canada. Telemed J E Health 10: 33–37

    Article  PubMed  Google Scholar 

  5. Dowie R, Mistry H, Young T et al (2007) Telemedicine in paediatric and perinatal cardiology: economic evaluation of a service in English hospitals. Int J Technol Assess Health Care 23(1): 116–125

    Article  PubMed  Google Scholar 

  6. Dowie R, Mistry H, Rigby M, Young TA, Weatherburn G, Rowlinson G, Franklin RCG (2009) A paediatric telecardiology service for district hospitals in south-east England: an observational study. Arch Dis Child 94:273–277. Published online Sept. 11. doi:101136/adc.2008.138495

    Google Scholar 

  7. Finley JP, Human DG, Nanton MA et al (1989) Echocardiography by telephone-evaluation of paediatric heart disease at a distance. Am J Cardiol 63: 1475–1477

    Article  CAS  PubMed  Google Scholar 

  8. Finley JP, Sharratt GP, Nanton MA, Chen RP, Bryan P, Wolstenholme J et al (1997) Paediatric echocardiography by telemedicine—nine years experience. J Telemed Telecare 3: 200–204

    Article  CAS  PubMed  Google Scholar 

  9. Finley JP, Justo R, Loane M, Wotton R (2004) The effect of bandwidth on the quality of transmitted paediatric echocardiograms. J Am Soc Echocardiogr 17: 227–230

    Article  PubMed  Google Scholar 

  10. Grant B, Wallace JG, Hobson RA, Craig BG, Mulholland HC, Casey FA (2002) Telemedicine applications for the regional paediatric cardiology service in Northern Ireland. J Telemed Telecare 8(Suppl 2): 31–33

    Article  PubMed  Google Scholar 

  11. Houston A, McCleod K, Richens T et al (1999) Assessment of quality of neonatal echocardiographic images transmitted by ISDN telephone lines. Heart 82: 222–225

    CAS  PubMed  Google Scholar 

  12. Justo R, Smith AC, Williams M, Van der Westhuyzen J, Murray J, Sciuto G, Wootton R (2004) Paediatric telecardiology services in Queensland: a reviews of three years experience. J Telemed Telecare, Proquest Medical Library 10

  13. Sable CA, Cummings SD, Pearson GD, Schratz LM, Cross RC, Quivers ES, Rudra H, Martin GR (2002) Impact of telemedicine on the practice of paediatric cardiology in community hospitals. Pediatrics 109(1): e3

    Article  PubMed  Google Scholar 

  14. Sicotte C, Lehoux P, Van Doesburg N, Cardinal G, Leblanc Y (2004) A cost-effectiveness analysis of interactive paediatric telecardiology. J Temed Telecare, Proquest Medical Library 10:2

    Google Scholar 

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Authors and Affiliations

  1. CRS4, Centro di Ricerca, Sviluppo e Studi Superiori della Sardegna, Parco Tecnologico e Scientifico POLARIS Edificio 1, Pula, Italy

    Riccardo Triunfo, Alessandro Sulis, Gianluigi Zanetti & Francesca Frexia

  2. Dipartimento di Ingegneria Elettrica ed Elettronica, Consorzio COSMOLAB, viale Merengo 3, Cagliari, Italia

    Luca Lianas

  3. Sardegna Ricerche, Laboratorio ICT per la Medicina, Parco Tecnologico e Scientifico POLARIS Edificio 2, Pula, Italia

    Vittorio Meloni

  4. Azienda Ospedaliera “G.Brotzu”, Piazzale A.Ricchi 1, 09134, Cagliari, Italia

    Roberto Tumbarello

Authors
  1. Riccardo Triunfo
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  2. Roberto Tumbarello
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  3. Alessandro Sulis
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  4. Gianluigi Zanetti
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  5. Luca Lianas
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  6. Vittorio Meloni
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  7. Francesca Frexia
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Corresponding author

Correspondence to Riccardo Triunfo.

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Triunfo, R., Tumbarello, R., Sulis, A. et al. COTS technologies for telemedicine applications. Int J CARS 5, 11–18 (2010). https://doi.org/10.1007/s11548-009-0377-z

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  • DOI: https://doi.org/10.1007/s11548-009-0377-z

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