Publicación:
New Ultrasound Telediagnostic System for Low-Resource Areas: Pilot Results From Peru
New Ultrasound Telediagnostic System for Low-Resource Areas: Pilot Results From Peru
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Fecha
2021
Autores
Marini T.J.
Oppenheimer D.C.
Baran T.M.
Rubens D.J.
Toscano M.
Drennan K.
Garra B.
Miele F.R.
Garra G.
Noone S.J.
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John Wiley and Sons Ltd
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Abstracto
Billions of people around the world lack access to diagnostic imaging. To address this issue, we piloted a comprehensive ultrasound telediagnostic system, which uses ultrasound volume sweep imaging (VSI) acquisitions capable of being performed by operators without prior traditional ultrasound training and new telemedicine software capable of sending imaging acquisitions asynchronously over low Internet bandwidth for remote interpretation. The telediagnostic system was tested with obstetric, right upper quadrant abdominal, and thyroid volume sweep imaging protocols in Peru. Scans obtained by operators without prior ultrasound experience were sent for remote interpretation by specialists using the telemedicine platform. Scans obtained allowed visualization of the target region in 96% of cases with diagnostic imaging quality. This telediagnostic system shows promise in improving health care disparities in the developing world. © 2020 American Institute of Ultrasound in Medicine
Descripción
We thank Medical Imaging Ministries of the Americas and Medical Innovation and Technology for allowing the publication of their illustrated posters and videos as supplemental material; Pilar Stewart, Thomas Chaumont, Italo Fernandez Salgado, Silvina Zabala‐Travers, MD, Nicole Stephens, and Cheree Harlee, RDMS, for assistance in the study; Jane Lichorowic and Nadezhda Kiriyak for illustrating Figure 1; and Sarah Klingenberger for help with the figures. This work was supported by CONCYTEC/FONDECYT (175‐FONDECYT‐DE), Innovate Peru (596‐INNOVATEPERU‐EDAI‐2015 and PR‐PVE‐201), and the Pontificia Universidad Catolica del Peru (PUCP DGI‐2016‐345). Dr Castaneda and all authors affiliated with Medical Innovation and Technology have a financial stake in Medical Innovation and Technology, which seeks to deploy ultrasound in rural areas. All data analysis and manuscript writing were performed by the University of Rochester. The authors from Medical Innovation and Technology previewed the document, and any revisions were subject to approval from the University of Rochester and Medical Imaging Ministry of the Americas authors. This work was presented in part at the 2019 AIUM Annual Convention; April 6–10, 2019; Orlando, Florida.
Palabras clave
ultrasound,
global health,
obstetric,
telemedicine