@article{120a9f9f89734d18bc658c5147d7a8dd,
title = "Telemedicine consultations in congenital heart disease: Assessment of advanced technical capabilities",
abstract = "Objective: To assess the value of adding remote pointer and dynamic display capabilities to a telemedicine system designed to provide consultative services for patients with congenital heart disease. Material and Methods: Independent observations by the referring physician and the consulting physician provided the data for the assessment. Fifty-four teleconsultations involving 38 patients with 21 different congenital heart diseases were analyzed. The teleconsultations were based on previously obtained cineangiograms that were digitized and then transmitted by combined satellite and terrestrial-based technology. The observations, recorded by each physician at his workstation at the time of each teleconsultation, were summarized and analyzed statistically. Results: In 108 observations, the pointer was believed to be helpful in 72 (67%), and dynamic display was helpful in 96 (89%). Conclusion: This study suggests that use of a pointer and dynamic display enhances teleconsultations for patients with congenital heart disease.",
author = "Julsrud, {Paul R.} and Breen, {Jerome F.} and Roy Jedeikin and William Peoples and Wondrow, {Merrill A.} and Bailey, {Kent R.}",
note = "Funding Information: Remote medical imaging consultation using satellite telecommunication has been documented to be effective for certain medical applications since it was first described in the 1970s. 1 The Canadian experience reported by Carey et al 2 describing the utility of teleradiology between Moose Factory at the southern tip of James Bay and the University of Ontario in London was particularly important in establishing routine clinical applicability of the imaging aspects of telemedicine. Although many other telemedicine projects have been described, we are unaware of any previous experience with telemedicine specifically designed to transmit angiocardiographic images from patients with congenital heart disease. Therefore, we were particularly interested in gaining experience with a relatively high-data-rate (HDR) telecommunication system theoretically capable of handling the data requirements associated with transmitting angiocardiographic images. The HDR system was part of a Defense Advanced Research Projects Agency contract with Mayo Foundation. The system used the National Aeronautics and Space Administration (NASA) Advanced Communications Technology Satellite (ACTS) as well as sophisticated terrestrial-based technology ( Figure 1 ). Funding Information: This research project was sponsored in part by DARPA/ITO through contract DABT63-93-C-0027 from the US Army, Ft Huachuca, Ariz. ",
year = "1999",
doi = "10.4065/74.8.758",
language = "English (US)",
volume = "74",
pages = "758--763",
journal = "Mayo Clinic proceedings",
issn = "0025-6196",
publisher = "Elsevier Science",
number = "8",
}