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Synchronized, Interactive Teleconferencing with Digital Cardiac Images

机译:与数字心脏影像同步,交互式电话会议

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摘要

St James's Hospital is a tertiary referral center for percutaneous intervention and cardiothoracic surgery for a number of referring hospitals. This article reports on the development and implementation of a synchronized, interactive teleconferencing system for cardiac images that links St. James's Hospital with a remote site (Sligo General Hospital) and overcomes the problems of transmission of large image files. Teleconferencing was achieved by setting up lossless auto transmission of patient files overnight and conferencing the next morning with linked control signals and databases. As a suitable product was not available, a commercially new software was developed. The system links the imaging databases, monitors and synchronizes progress through imaging sequences, and links a range of image processing and control functions. All parties to the conference are ensured that they are looking at the same images as they are played or at specific aspects of an image that the other party is highlighting. The system allows patient management decisions to be made at a weekly joint teleconference with cardiothoracic surgeons and interventional cardiologists from both sites. Rapid decision making was facilitated with 70% of decisions obtained within 24 h, and 88% within 1 week of their procedure. In urgent cases, data can be transmitted within 20 min of the diagnostic procedure. The system allows increased access to angiography for patients living in rural areas, and provides a more focused referral for revascularization. Participation of the referring cardiologist has improved the quality of decision making.
机译:圣詹姆斯医院是三级转诊中心,为许多转诊医院进行经皮介入和心胸外科手术。本文报告了用于心脏图像的同步交互式电话会议系统的开发和实现,该系统将圣詹姆斯医院与远程站点(Sligo总医院)连接起来,并克服了传输大图像文件的问题。通过在夜间设置患者文件的无损自动传输并在第二天早上与链接的控制信号和数据库进行会议来实现电话会议。由于没有合适的产品,因此开发了商业新软件。该系统链接成像数据库,通过成像序列监视和同步进度,并链接一系列图像处理和控制功能。确保会议的所有参加者都在观看与他们正在播放的图像相同的图像,或者正在观看另一方正在突出显示的图像的特定方面。该系统允许在每周两次与来自两个地点的心胸外科医师和介入心脏病学家共同举行的电话会议中做出患者管理决定。 70%的决策是在24小时内获得的,而88%的决策是在手术后1周内获得的,这有助于快速决策。在紧急情况下,可以在诊断过程的20分钟内传输数据。该系统使居住在农村地区的患者可以更容易地进行血管造影,并为血运重建提供了更集中的参考。推荐心脏病专家的参与提高了决策质量。

著录项

  • 来源
    《Journal of Digital Imaging》 |2006年第1期|85-91|共7页
  • 作者单位

    Department of Medical Physics St. James Hospital Dublin 8 Ireland;

    Department of Medical Physics St. James Hospital Dublin 8 Ireland;

    Department of Medical Physics St. James Hospital Dublin 8 Ireland;

    Sligo General Hospital Sligo Ireland;

    Sligo General Hospital Sligo Ireland;

    Captec Ltd Dublin Ireland;

    Department of Medical Physics St. James Hospital Dublin 8 Ireland;

    Department of Medical Physics St. James Hospital Dublin 8 Ireland;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Telemedicine; Digital Cardiac Imaging;

    机译:远程医疗;数字心脏成像;

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