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J. Clin. Med. 2016, 5(6), 58; doi:10.3390/jcm5060058

Tele-Operated Echography and Remote Guidance for Performing Tele-Echography on Geographically Isolated Patients

1
Unite Medecine Physiologie Spatiale (UMPS-CERCOM) Faculte de Medecine, Tours 37032, France
2
MSP (Maison de Santé Pluridisciplinaire), Richelieu 37190, France
3
MSP (Maison de Santé Pluridisciplinaire), Ligueil 37240, France
*
Author to whom correspondence should be addressed.
Academic Editors: Yolanda Blanco, Núria Solà-Valls, Rajender Gattu and Richard Lichenstein
Received: 23 April 2016 / Revised: 3 June 2016 / Accepted: 8 June 2016 / Published: 13 June 2016
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
View Full-Text   |   Download PDF [4442 KB, uploaded 13 June 2016]   |  

Abstract

Objective: To evaluate the performance of three tele-echography systems for routine use in isolated medical centers. Methods: Three systems were used for deep (abdomen, pelvis, fetal) and superficial (muscle, thyroid, carotid artery) examinations: (a) a robotic arm (RA) holding an echographic probe; (b) an echograph with a motorized probe (MP); and (c) remote guidance (RG) where the patient site operator performed the examination assisted by an expert via videoconference. All systems were tested in the same medical center located 60 km away from the university hospital. Results: A total of 340 remote echography examinations were performed (41% RA and MP, 59% RG). MP and RA allowed full control of the probe orientation by the expert, and provided diagnoses in 97% of cases. The use of RG was sufficient for superficial vessel examinations and provided diagnoses in 98% of cases but was not suited for deep or superficial organs. Assessment of superficial organs was best accomplished using the MP. Discussion: Both teleoperated systems provided control of the probe orientation by the expert necessary for obtaining appropriate views of deep organs but the MP was much more ergonomic and easier to use than the RA. RG was appropriate for superficial vessels while the MP was better for superficial volumic organs. View Full-Text
Keywords: tele-medicine; tele-echography; teleoperated probe; remote guidance tele-medicine; tele-echography; teleoperated probe; remote guidance
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Arbeille, P.; Zuj, K.; Saccomandi, A.; Andre, E.; De La Porte, C.; Georgescu, M. Tele-Operated Echography and Remote Guidance for Performing Tele-Echography on Geographically Isolated Patients. J. Clin. Med. 2016, 5, 58.

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