Realizing 5G- and AI-based doctor-to-doctor remote diagnosis: opportunities, challenges, and prospects

Karako, Kenji; Song, Peipei; Chen, Yu; Tang, Wei

doi:10.5582/bst.2020.03364

Cited by 27 publications

(17 citation statements)

References 6 publications

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“…Furthermore, remote telesonography will improve the quality of US applications in underserved communities[ 36 ]. Lesser trained examiners will be able to obtain and interpret US images that impact patient care immediately[ 37 ].…”

Section: Use Of Pocket-sized Us Devices In Clincal Settingsmentioning

confidence: 99%

One-day seminar for residents for implementing abdominal pocket-sized ultrasound

Naganuma¹,

Ishida²

2021

WJM

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Despite its proven high utility, integration of pocked-sized portable ultrasound (US) into internal medicine residency training remains inconsistent. For 10 years, we have held a 1-d seminar biannually, consisting of lecture (half-day) and hands-on training (half-day) on pocket-sized US of the abdomen and lungs. The lecture consists of training on US physics and clinical applications of pocket-sized US, followed by a lecture covering the basic anatomy of the abdomen and lungs and introducing the systemic scanning method. Given the simple structure of pocket-sized US devices, understanding the basic physics is sufficient yet necessary to operate the pocket-sized US device. It is important to understand the selection of probes, adjustment of B mode gain, adjustment of color gain, and acoustic impedance. Basic comprehension may have a significant positive impact on the overall utilization of pocket-sized US devices. The easiest and most reliable way to observe the whole abdomen and lungs is a combination of transverse, sagittal, and oblique scanning, pursuing the main vascular system from the center to the periphery of the organ in the abdomen and systemic scanning of the pleura. There is usually a marked change in knowledge and attitudes among the program participants, although skill gaps remain among them. We discuss the limitations and problems to this education system as well.

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Section: Use Of Pocket-sized Us Devices In Clincal Settingsmentioning

confidence: 99%

One-day seminar for residents for implementing abdominal pocket-sized ultrasound

Naganuma¹,

Ishida²

2021

WJM

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“…Telehealth has been lauded since its early adoption, primarily as an effort to widen healthcare access in rural or remote communities (Blandford et al, 2020). Different models of telehealth delivery have been adopted in these settings including the following: presence of local health provider with the patient during consultation, doctor to doctor support to facilitate diagnosis, pharmacy telehealth and care in medical emergencies (Doolittle & Spaulding, 2006;Karako et al, 2020;Penninga et al, 2020;Segal et al, 2020). Multiple studies have detailed high levels of patient and physician satisfaction, with telehealth cited as permitting effective communication, access to specialist opinion and continuity of care, while significantly reducing cost and travelling effort (Jennett et al, 2009;Sabesan et al, 2012;Sevean et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

The role of telehealth in oncology care: A qualitative exploration of patient and clinician perspectives

Aung

Pasanen

LeGautier

et al. 2022

European J Cancer Care

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Objective: The COVID-19 pandemic has accelerated the rapid expansion of telehealth, affording opportunities to study its impact on oncology care. Our qualitative study explored physician and patient perspectives of telehealth in cancer care.Methods: Semistructured interviews were conducted with seven physicians and eleven patients, recruited from an Australian hospital oncology department. Two authors independently coded the transcripts with emerging themes identified and refined iteratively in a thematic analysis.Results: Telehealth offered broadened possibilities by allowing continuity of care in the pandemic and revealing advantages of convenience in consultations. It also highlighted core elements of in-person care that were unavailable. These included the information communicated through formal and informal physical examination, the collaboration between patient and physician in shaping outcomes and building rapport and the confidence in decisions made and physician performance. While patients and physicians envisioned the continuation of telehealth postpandemic, logistical steps are necessary to address these challenges. Conclusion:This study highlights the unprecedented opportunities that telehealth presents in widening access to oncology care and simultaneously reveals that it cannot always reach equivalence in quality of care. Further research is required to identify when and for whom telehealth is most acceptable as future care models are considered.

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“…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 provincial hospitals at the other, which provides remote guidance to grassroots doctors for ultrasound examination and image diagnosis [2]. Following its comprehensive application, villagers can directly realize face-to-face remote consultation with expert doctors in community hospitals instead of rushing to tertiary hospitals and waiting in line for registration.…”

Section: Introductionmentioning

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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Realizing 5G- and AI-based doctor-to-doctor remote diagnosis: opportunities, challenges, and prospects

Cited by 27 publications

References 6 publications

One-day seminar for residents for implementing abdominal pocket-sized ultrasound

One-day seminar for residents for implementing abdominal pocket-sized ultrasound

The role of telehealth in oncology care: A qualitative exploration of patient and clinician perspectives

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

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