Teleneurosonology: a novel application of transcranial and carotid ultrasound.

Autor: Rubin MN; Mayo Clinic Department of Neurology, Scottsdale, Arizona. Electronic address: Rubin.Mark@Mayo.edu., Barrett KM; Mayo Clinic Department of Neurology, Jacksonville, Florida., Freeman WD; Mayo Clinic Department of Neurology, Jacksonville, Florida., Lee Iannotti JK; Mayo Clinic Department of Neurology, Scottsdale, Arizona., Channer DD; Mayo Clinic Department of Neurology, Scottsdale, Arizona., Rabinstein AA; Mayo Clinic Department of Neurology, Rochester, Minnesota., Demaerschalk BM; Mayo Clinic Department of Neurology, Scottsdale, Arizona.
Jazyk: angličtina
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2015 Mar; Vol. 24 (3), pp. 562-5. Date of Electronic Publication: 2014 Dec 23.
DOI: 10.1016/j.jstrokecerebrovasdis.2014.09.032
Abstrakt: Background: To demonstrate the technical feasibility of interfacing transcranial Doppler (TCD) and carotid "duplex" ultrasonography (CUS) peripherals with telemedicine end points to provide real-time spectral waveform and duplex imaging data for remote review and interpretation.
Methods: We performed remote TCD and CUS examinations on a healthy, volunteer employee from our institution without known cerebrovascular disease. The telemedicine end point was stationed in our institution's hospital where the neurosonology examinations took place and the control station was in a dedicated telemedicine room in a separate building. The examinations were performed by a postgraduate level neurohospitalist trainee (M.N.R.) and interpreted by an attending vascular neurologist, both with experience in the performance and interpretation of TCD and CUS.
Results: Spectral waveform and duplex ultrasound data were successfully transmitted from TCD and CUS instruments through a telemedicine end point to a remote reviewer at a control station. Image quality was preserved in all cases, and technical failures were not encountered.
Conclusions: This proof-of-concept study demonstrates the technical feasibility of interfacing TCD and CUS peripherals with a telemedicine end point to provide real-time spectral waveform and duplex imaging data for remote review and interpretation. Medical diagnostic and telemedicine devices should be equipped with interfaces that allow simple transmission of high-quality audio and video information from the medical devices to the telemedicine technology. Further study is encouraged to determine the clinical impact of teleneurosonology.
(Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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