Addressing requests for emergency ultrasonographic examinations when implementing teleradiology services

Junca-Laplace-Valageas, C.; Gervaise, A.; Pernin, M.; Naulet, P.; Portron, Yann; Lapierre-Combes, M.

doi:10.1016/j.diii.2015.01.007

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…Given the competing demands placed on resources within emergency medicine, a quantification of the local requirement for diagnostic ultrasound and telemedicine is essential. This has yet to be formerly assessed, however there is some evidence for existing unmet need for ultrasound imaging in rural emergency departments [ 58 , 59 ]. This may be due to lack of training, difficulty with image interpretation, and lack of support personnel, as well as skill atrophy due to infrequent use [ 60 ].…”

Section: Discussionmentioning

confidence: 99%

Telesonography in emergency medicine: A systematic review

2018

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Ultrasound is an efficacious, versatile and affordable imaging technique in emergencies, but has limited utility without expert interpretation. Telesonography, in which experts may remotely support the use of ultrasound through a telecommunications link, may broaden access to ultrasound and improve patient outcomes, particularly in remote settings. This review assesses the literature regarding telesonography in emergency medicine, focussing on evidence of feasibility, diagnostic accuracy and clinical utility. A systematic search was performed for articles published from 1946 to February 2017 using the Cochrane, Medline, EMBASE, and CINAHL databases. Further searches utilising Scopus, Google Scholar, and citation lists were conducted. 4388 titles were identified and screened against inclusion criteria which resulted in the inclusion of 28 papers. These included feasibility, diagnostic accuracy and clinical pilot studies. Study design, methodology and quality were heterogeneous. There was good evidence of feasibility from multiple studies. Where sufficient bandwidth and high quality components were used, diagnostic accuracy was slightly reduced by image transmission. There was evidence of clinical utility in remote hospitals and low-resource settings, although reliability was infrequently reported. Further exploratory research is required to determine minimum requirements for image quality, bandwidth, frame rate and to assess diagnostic accuracy. Clinical trials in remote settings are justifiable. Telecommunication options will depend on local requirements; no one system conveys universal advantages. The methodological quality of research in this field must improve: studies should be designed to minimise bias, and must include details of their methods to allow replication. Analysis of cost effectiveness and sustainability should be provided.

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Section: Discussionmentioning

confidence: 99%

Telesonography in emergency medicine: A systematic review

2018

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“…Now, for the remote control, instead of a mouse or a joystick, the system deviates from its precursors by equipping a haptic feedback-enabled dummy probe. The system is made commercially available by AdEchoTEch, France, and has successfully been deployed in over three hundred patients for cardiac [ 33 ], abdominal [ 34 , 35 ], obstetric [ 36 ] and pelvic [ 37 ] ultrasound scans.…”

Section: Telemanipulators In Medical Diagnosismentioning

confidence: 99%

A review on tele-manipulators for remote diagnostic procedures and surgery

Ratnangshu

Baishya

Bhattacharya

2023

CSIT

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With modern medicine and healthcare services improving in leaps and bounds, the integration of telemedicine has helped in expanding these specialised healthcare services to remote locations. Healthcare telerobotic systems form a component of telemedicine, which allows medical intervention from a distance. It has been nearly 40 years since a robotic technology, PUMA 560, was introduced to perform a stereotaxic biopsy in the brain. The use of telemanipulators for remote surgical procedures began around 1995, with the Aesop, the Zeus, and the da Vinci robotic surgery systems. Since then, the utilisation of robots has steadily increased in diverse healthcare disciplines, from clinical diagnosis to telesurgery. The telemanipulator system functions in a master–slave protocol mode, with the doctor operating the master system, aided by audio-visual and haptic feedback. Based on the control commands from the master, the slave system, a remote manipulator, interacts directly with the patient. It eliminates the requirement for the doctor to be physically present in the spatial vicinity of the patient by virtually bringing expert-guided medical services to them. Post the Covid-19 pandemic, an exponential surge in the utilisation of telerobotic systems has been observed. This study aims to present an organised review of the state-of-the-art telemanipulators used for remote diagnostic procedures and surgeries, highlighting their challenges and scope for future research and development.

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Addressing requests for emergency ultrasonographic examinations when implementing teleradiology services

Abstract: Although the need for addressing requests for ultrasonographic examinations should be taken into account when setting up an on-call teleradiology service, it should not impede such plans.

Cited by 2 publications

References 12 publications

Telesonography in emergency medicine: A systematic review

Telesonography in emergency medicine: A systematic review

A review on tele-manipulators for remote diagnostic procedures and surgery

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