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Related Experiment Video

Updated: Jul 20, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
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Published on: April 21, 2023

Clinical-oriented collaboration over the Web during interventional radiology procedures.

Lefteris G Gortzis1, D Karnabatidis, D Siablis

  • 1Telemedicine Unit, Department of Medical Physics, University of Patras Medical School, Rion, Patras, Greece. gortzis@med.upatras.gr

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|September 1, 2006
PubMed
Summary

NetAngio, a web-based system, enhances interventional radiology procedures (IRPs) through real-time collaboration. This hybrid system supports remote mentoring and decision-making, improving outcomes in complex cases.

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Area of Science:

  • Medical Imaging
  • Interventional Radiology
  • Health Informatics

Background:

  • Multidisciplinary collaboration is crucial for contemporary interventional radiology procedures (IRPs).
  • Existing systems may lack the flexibility for real-time, heterogeneous collaboration during IRPs.
  • The need for remote expert input and decision-making support in complex cases is increasing.

Purpose of the Study:

  • To propose and investigate the feasibility and effectiveness of a hybrid system (NetAngio) for on-the-fly heterogeneous collaboration in IRPs.
  • To provide intraoperative essential services, including real-time mentoring, image manipulation, and education.
  • To enable subspecialist participation in complex case decision-making beyond institutional boundaries.

Main Methods:

  • Development of a web-based, cost-effective hybrid system (NetAngio) utilizing Motion Joint Photographic Experts Group (MJPEG) coder/decoder (CODEC).
  • Implementation of a user-friendly interface accessible via standard web browsers for authorized collaborators.
  • Evaluation through 33 fully collaborative cases involving interventional radiologists, vascular surgeons, and medical physicists over 13 months.

Main Results:

  • The NetAngio system successfully supported real-time mentoring, image manipulation, and educational services.
  • Collaborative procedures demonstrated enhanced outcomes, particularly in complex cases requiring remote expert intervention.
  • The system facilitated 15 open seminars, 75 expert module activations, and 255 learner module activations.

Conclusions:

  • The NetAngio hybrid system is feasible and effective for enabling heterogeneous collaboration in interventional radiology.
  • Real-time collaboration improves performance and outcomes in complex IRPs by integrating remote expertise.
  • Further research is recommended to integrate additional data sources and services for enhanced functionality.