A Medical Link Between Local Maternity Hospitals and a Tertiary Center Using Telediagnosis With Fetal Cardiac Ultrasound Image Transmission
A Medical Link Between Local Maternity Hospitals and a Tertiary Center Using Telediagnosis With Fetal Cardiac Ultrasound Image Transmission
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DOI：
10.1007/s00246-013-0834-x
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发表时间：
2014-04-01
影响因子：
1.6
通讯作者：
Ogawa, Kiyoshi
中科院分区：
文献类型：
--
作者：
Hishitani, Takashi;Fujimoto, Yoshitaka;Ogawa, Kiyoshi
信息和通信技术已广泛应用于包括临床医学在内的各个领域。我们在这里报告的远程诊断系统，使用超声图像传输。远程诊断的效果，利用当地妇产医院和我们的儿童医疗中心之间的医疗联系，得到了验证。根据医院记录，计算胎儿心脏病的teledignoses的数量，以及转介到围产期保健中心和产科医院的先天性心脏病新生儿紧急运输的病例。在门诊和远程诊断病例之间比较了发现患有心脏病的患者的百分比。远程诊断增加，使妇产医院工作人员在作出诊断时能够容易地获得专家的支持。许多严重病例在正确诊断后被转移到三级中心;因此，严重心脏异常新生儿的紧急转运数量持续低于。远程诊断作为妇产医院工作人员的教育工具也很有用，他们在与专家交谈时提高了技能。与门诊不同，即使是轻微异常的病例也需要通过远程诊断进行咨询，假阳性的数量增加，而许多心脏异常是在早期发现的。此外，远程诊断对需要卧床休息的孕妇很有帮助，还具有使医生能够与父母交谈的优点。建立一个胎儿远程诊断系统是一个有用的战略，以改善新生儿护理之间的医疗联系，当地妇产医院和三级中心。
Information and communication technology has been widely applied to various fields, including clinical medicine. We report here a telediagnosis system using ultrasound image transmission. The effect of telediagnosis, using a medical link between local maternity hospitals and our children's medical center, was verified. The number of fetal teledignoses for cardiac disease, and cases referred to a perinatal care center and emergent transportation of neonates with congenital heart disease from maternity hospitals, were calculated based on the hospital records. The percentage of patients found to have heart disease was compared between out-patient clinic and telediagnosis cases. Telediagnosis increased, allowing maternity hospital staff to obtain support easily from a specialist when making a diagnosis. Many severe cases were transferred to tertiary centers with the correct diagnosis; consequently, the number of emergent transportations of neonates with severe cardiac anomalies continued to below. Telediagnosis was also useful as an educational tool for maternity hospital staff, who improved their skills during conversations with a specialist. Unlike in the outpatient clinic, consultation by telediagnosis was requested even for cases of mild abnormalities, and the number of false-positives increased, while many cardiac anomalies were found in the early stage. Furthermore, telediagnosis was helpful for pregnant women requiring bed rest, and also had the advantage of allowing a doctor to be able to talk with parents. Establishing a fetal telediagnosis system is a useful strategy to improve neonatal care through a medical link between local maternity hospitals and a tertiary center.