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Remote neuro-endovascular consultation using a secure telemedicine system: A feasibility study
Toshihiro Ishibashi1, Shogo Kaku2, Shota Sonoda2
1Department of Neurosurgery, The Jikei University School of Medicine, Minato-Ku, Tokyo, Japan.
Surgical Neurology International
|March 4, 2022
Summary
This study demonstrates that an audio-visual telemedicine system effectively supports neuro-endovascular remote consultations. The system ensures high-quality imaging and communication, crucial for acute stroke management during the COVID-19 pandemic.
Area of Science:
- Medical Technology
- Neuroendovascular Surgery
- Telemedicine
Background:
- The COVID-19 pandemic accelerated the adoption of telemedicine in healthcare.
- Assessing the efficacy of audio-visual telemedicine for specialized remote consultations is critical.
Purpose of the Study:
- To evaluate an audio-visual telemedicine system for neuro-endovascular remote consultations.
- To determine its feasibility and effectiveness in clinical practice.
Main Methods:
- A system combining live angiography streaming, operating room cameras (smartphone app), and video conferencing (Zoom) was utilized.
- Real-time audio communication via bone conduction headphones and visual data from 4K cameras were integrated.
Main Results:
- The system provided high-quality streaming images comparable to digital subtraction angiography (DSA) monitors.
- Clear audio communication was achieved between the operator and supervisor.
- Image delay was minimal (within 2 seconds), enabling effective remote guidance.
Conclusions:
- Real-time audio-visual telemedicine is a viable tool for neuro-endovascular remote consultations.
- This technology can maintain the quality of patient care, particularly in acute stroke management during public health crises like COVID-19.
