Teleneurosonology: A novel application of transcranial and carotid ultrasound

Mark N. Rubin, Kevin M Barrett, W. David Freeman, Joyce K. Lee Iannotti, Dwight D. Channer, Alejandro Rabinstein, Bart M Demaerschalk

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)562-565
Number of pages4
JournalJournal of Stroke and Cerebrovascular Diseases
Volume24
Issue number3
DOIs
StatePublished - Mar 1 2015

Fingerprint

Telemedicine
Doppler Duplex Ultrasonography
Doppler Transcranial Ultrasonography
Cerebrovascular Disorders
Equipment and Supplies
Blood Vessels
Healthy Volunteers
Technology

Keywords

  • acute stroke
  • carotid ultrasound
  • sonology
  • telemedicine
  • Telestroke
  • transcranial Doppler

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Rehabilitation
  • Cardiology and Cardiovascular Medicine

Cite this

Teleneurosonology : A novel application of transcranial and carotid ultrasound. / Rubin, Mark N.; Barrett, Kevin M; Freeman, W. David; Lee Iannotti, Joyce K.; Channer, Dwight D.; Rabinstein, Alejandro; Demaerschalk, Bart M.

In: Journal of Stroke and Cerebrovascular Diseases, Vol. 24, No. 3, 01.03.2015, p. 562-565.

Research output: Contribution to journalArticle

Rubin, Mark N. ; Barrett, Kevin M ; Freeman, W. David ; Lee Iannotti, Joyce K. ; Channer, Dwight D. ; Rabinstein, Alejandro ; Demaerschalk, Bart M. / Teleneurosonology : A novel application of transcranial and carotid ultrasound. In: Journal of Stroke and Cerebrovascular Diseases. 2015 ; Vol. 24, No. 3. pp. 562-565.
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AB - 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.

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