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Updated: Jul 15, 2026

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
[Teleconsulting in echocardiography using a standard cable on HDSL]
Antonio Mantero1, Emanuele Catena, Giuseppe Tarelli
1Laboratorio di Ecografia Cardiovascolare, U.O. di Cardiologia, Azienda Ospedaliera San Paolo, Dipartimento di Medicina, Chirurgia e Odontoiatria, Università degli Studi, Milano. mantero.antonio@fastwebnet.it
Teleconsultation in echocardiography is feasible using standard HDSL telephone lines, enabling remote collaboration between laboratories. This technology offers a cost-effective alternative to patient or consultant travel, despite some initial implementation challenges.
Area of Science:
- Cardiovascular imaging and telecommunications.
- Medical informatics and network engineering.
Context:
- Teleconsultation in echocardiography presents challenges due to large data files and undefined standards.
- Connecting remote laboratories for echocardiography consultations requires robust data exchange solutions.
Purpose:
- To assess the feasibility of inter-laboratory teleconsultation in echocardiography using standard HDSL telephone lines.
- To evaluate the effectiveness and user perception of a teleconsultation platform for cardiovascular imaging.
Summary:
- A teleconsultation system utilizing HDSL lines, MPEG4 video streaming, and DICOM standards was implemented and tested.
- The system demonstrated positive user feedback regarding future usability, with 86% reporting potential adoption.
- While 57% noted differences between video streaming and DICOM, overall feasibility was rated positively despite some difficulties.
Impact:
- Provides a viable and cost-effective solution for remote echocardiography consultations, reducing the need for physical travel.
- Highlights the potential of standard telephone infrastructure for high-bandwidth medical data transmission.
- Suggests a future direction for improving access to specialist cardiovascular imaging expertise through telecommunication technologies.
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