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首页> 外文期刊>Journal of Clinical Medicine >Tele-Operated Echography and Remote Guidance for Performing Tele-Echography on Geographically Isolated Patients
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Tele-Operated Echography and Remote Guidance for Performing Tele-Echography on Geographically Isolated Patients

机译：在地理上分离患者执行远程焦点的远程回声觉和远程指导

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Objective: To evaluate the performance of three tele-echography systems for routine use in isolated medical centers. Methods: Three systems were used for deep (abdomen, pelvis, fetal) and superficial (muscle, thyroid, carotid artery) examinations: (a) a robotic arm (RA) holding an echographic probe; (b) an echograph with a motorized probe (MP); and (c) remote guidance (RG) where the patient site operator performed the examination assisted by an expert via videoconference. All systems were tested in the same medical center located 60 km away from the university hospital. Results: A total of 340 remote echography examinations were performed (41% RA and MP, 59% RG). MP and RA allowed full control of the probe orientation by the expert, and provided diagnoses in 97% of cases. The use of RG was sufficient for superficial vessel examinations and provided diagnoses in 98% of cases but was not suited for deep or superficial organs. Assessment of superficial organs was best accomplished using the MP. Discussion: Both teleoperated systems provided control of the probe orientation by the expert necessary for obtaining appropriate views of deep organs but the MP was much more ergonomic and easier to use than the RA. RG was appropriate for superficial vessels while the MP was better for superficial volumic organs.
机译：目的：评价三种远程沉降系统在孤立医疗中心常规用途的性能。方法：三种系统用于深（腹部，骨盆，胎儿）和肤浅（肌肉，甲状腺，颈动脉）检查：（a）握住回声探针的机器人臂（Ra）; （b）具有电动探针（MP）的电位器; （c）远程指导（RG），患者站点运营商通过视频会议通过专家进行检查辅助的检查。所有系统在与大学医院有60公里的同一医疗中心进行测试。结果：进行340例远程超声检查检查（41％RA和MP，59％RG）。 MP和RA允许完全控制专家的探针方向，并在97％的病例中提供诊断。 RG的使用足以用于浅表血管检查，并在98％的病例中提供诊断，但不适合深或浅表。使用MP，最好地完成对肤质器官的评估。讨论：省有的系统都提供了通过获得深奥人的适当观点所需的专家对探头取向的控制，但是MP更为符合人体工程学，并且比RA更容易使用。 RG适用于浅表血管，而MP对于浅表体积器官更好。

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