Chapter 2: Clinical applications in telemedicine/telehealth

THIS CHAPTER: (1) summarizes the state of the art in selected clinical applications of telemedicine; (2) identifies basic issues pertinent to expanding clinical applications; and, (3) presents a research agenda and related action plans to promote the integration telemedicine into mainstream clinical care. For the purpose of this report, clinical telemedicine is defined as the exchange of health information pertaining to a patient, via telecommunications technology and computers, between geographically separated providers or providers and patients, for the purpose of evaluation, diagnosis, treatment or education.

[1]  D. Eedy,et al.  A comparison of real‐time and store‐and‐forward teledermatology: a cost–benefit study , 2000, The British journal of dermatology.

[2]  J McLoughlin,et al.  Robotic computer-assisted telemanipulation enhances coronary artery bypass. , 1999, The Journal of thoracic and cardiovascular surgery.

[3]  T Koval,et al.  MediLink: a wearable telemedicine system for emergency and mobile applications. , 1999, Studies in health technology and informatics.

[4]  Robert G. Moore,et al.  Early Experience with Telerobotic Surgery in Children , 1996, Journal of telemedicine and telecare.

[5]  S. Zeisel,et al.  [Nutrition in a new millennium. IT--for integrated teaching]. , 2000, Lakartidningen.

[6]  R F Walters,et al.  Hybrid system for telepathology. , 2000, Human pathology.

[7]  D A Bluemke,et al.  Interpretation of emergency department radiographs by radiologists and emergency medicine physicians: teleradiology workstation versus radiograph readings. , 1995, Radiology.

[8]  D. Dossetor,et al.  A child and adolescent psychiatric outreach service for rural New South Wales: A telemedicine pilot study , 1999, Journal of paediatrics and child health.

[9]  P Yellowlees,et al.  A community-based approach to evaluation of health outcomes and costs for telepsychiatry in a rural population: Preliminary results , 2000, Journal of telemedicine and telecare.

[10]  P J Lund,et al.  Comparison of conventional and computed radiography: assessment of image quality and reader performance in skeletal extremity trauma. , 1997, Academic radiology.

[11]  Jianfei Jiang,et al.  Wavelet-based compression of pathological images for telemedicine applications , 2000, Medical Imaging.

[12]  M A Wondrow,et al.  Telemedicine consultations in congenital heart disease: assessment of advanced technical capabilities. , 1999, Mayo Clinic proceedings.

[13]  M. Mccue,et al.  Financial analysis of telecardiology used in a correctional setting. , 2000, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[14]  D. Deaton,et al.  Telemedicine and endovascular aortic grafting. , 1999, American journal of surgery.

[15]  A. Ohinmaa,et al.  The use of videoconferencing for telepsychiatry in Finland , 1998, Journal of telemedicine and telecare.

[16]  R. V. Versen.  Letter from the editor , 2004, Cell and Tissue Banking.

[17]  R. Shih,et al.  Telemedicine in the emergency department: a randomized controlled trial , 1999, Journal of telemedicine and telecare.

[18]  A Sivakumar,et al.  Evaluation of telemedical support to a free-standing minor accident and treatment service , 1998, Journal of telemedicine and telecare.

[19]  M. Dongier,et al.  Telepsychiatry: Psychiatric Consultation through two-way television. A controlled study. , 1986, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[20]  D. J. Berry,et al.  Clinical consultations using store-and-forward telemedicine technology. , 1999, Mayo Clinic proceedings.

[21]  M E Stachura,et al.  Use of Telemedicine for Children With Special Health Care Needs , 2000, Pediatrics.

[22]  H Roehrig.  Image quality assurance for CRT display systems. , 1999, Journal of digital imaging.

[23]  D Gur,et al.  Preliminary clinical evaluation of a high-resolution telemammography system. , 1997, Investigative radiology.

[24]  J A Cadeddu,et al.  Robotic surgery in urology. , 1998, The Urologic clinics of North America.

[25]  C Heneghan,et al.  Telemedicine applications in otolaryngology. , 1998, Journal of telemedicine and telecare.

[26]  L. J. Peters,et al.  Overview of Telemedicine Applications for Otolaryngology , 1999, The Laryngoscope.

[27]  H. Kollberg,et al.  [Centralization or more money to health care services? A third way--use the technology!]. , 2001, Lakartidningen.

[28]  M. Talamini,et al.  Long distance telementoring. A novel tool for laparoscopy aboard the USS Abraham Lincoln. , 1999, Surgical endoscopy.

[29]  B. Meltzer.  Telemedicine in emergency psychiatry. , 1997, Psychiatric services.

[30]  C. Zaylor.  Clinical outcomes in telepsychiatry , 1999, Journal of telemedicine and telecare.

[31]  Ran Giladi,et al.  A pilot study of tele-ophthalmology outreach services to primary care , 1998, Journal of telemedicine and telecare.

[32]  B R Lee,et al.  Telemedicine and surgical robotics: urologic applications. , 1999, Reviews in urology.

[33]  P. Green,et al.  Vascular applications of telepresence surgery: initial feasibility studies in swine. , 1996, Journal of vascular surgery.

[34]  W L Sobczyk,et al.  Transtelephonic echocardiography: successful use in a tertiary pediatric referral center. , 1993, The Journal of pediatrics.

[35]  C. Nodine,et al.  The Nature of Expertise in Radiology , 2000 .

[36]  D A Lynch,et al.  Accuracy of diagnosis of subtle chest disease and subtle fractures with a teleradiology system. , 1998, AJR. American journal of roentgenology.

[37]  J D Dionisio,et al.  Improving the quality of care through routine teleradiology consultation. , 2000, Academic radiology.

[38]  P. Chodroff.  A three-year review of telemedicine at the community level —clinical and fiscal results , 1999, Journal of telemedicine and telecare.

[39]  V. Barbaro,et al.  A portable unit for remote monitoring of pacemaker patients , 1997, Journal of telemedicine and telecare.

[40]  P A Jennett,et al.  Video-capture teleradiology for the after-hours reading of computerized tomography scans , 2000, Journal of telemedicine and telecare.

[41]  I. Bruderman,et al.  Assessment of a new transtelephonic portable spirometer. , 1996, Thorax.

[42]  M. Rogers,et al.  Home Monitoring Service Improves Mean Arterial Pressure in Patients with Essential Hypertension: A Randomized Controlled Trial , 2001 .

[43]  T P Clemmer,et al.  Telemedicine and International Disaster Response: Medical Consultation to Armenia and Russia Via a Telemedicine Spacebridge , 1993, Prehospital and Disaster Medicine.

[44]  H K Matthies,et al.  Telemedicine of the future: teleneuropathology. , 2000, Technology and health care : official journal of the European Society for Engineering and Medicine.

[45]  E A Krupinski,et al.  Differences in time to interpretation for evaluation of bone radiographs with monitor and film viewing. , 1997, Academic radiology.

[46]  Smith Rs,et al.  Telemedicine and trauma care. , 2001 .

[47]  Arthur R. Williams,et al.  An estimation of costs for a pediatric telemedicine practice: Results from the TeleKidcare experience. , 2001 .

[48]  H. Kollberg.  [Cystic fibrosis--an ancient disease with renewed topicality. History and clinical practice]. , 1999, Lakartidningen.

[49]  Conor Heneghan,et al.  Teleconsultation in Otolaryngology: Live Versus “Store-and-Forward” Consultations , 1997 .

[50]  J. Lepistö,et al.  A prospective study of teleconferencing for orthopaedic consultations , 1999, Journal of telemedicine and telecare.

[51]  J. Dover,et al.  The substitution of digital images for dermatologic physical examination. , 1997, Archives of dermatology.

[52]  R S Weinstein,et al.  Routine surgical telepathology in the Department of Veterans Affairs: experience-related improvements in pathologist performance in 2200 cases. , 1999, Telemedicine journal : the official journal of the American Telemedicine Association.

[53]  A J Shepherd,et al.  Calibrating screens for continuous colour displays. , 1997, Spatial vision.

[54]  J. Finley,et al.  Paediatric echocardiography by telemedicine-nine years' experience , 1997, Journal of telemedicine and telecare.

[55]  R S Weinstein,et al.  Human performance studies of the video microscopy component of a dynamic telepathology system. , 1992, Zentralblatt fur Pathologie.

[56]  K. Tsubota,et al.  Telemedicine in the follow-up of corneal transplant patients. , 1997, Journal of telemedicine and telecare.

[57]  S D Schwartz,et al.  Telemedical evaluation and management of retinopathy of prematurity using a fiberoptic digital fundus camera. , 2000, Ophthalmology.

[58]  C. Kwolek,et al.  Telemedicine in Vascular Surgery: Does it Work? , 2001, The American surgeon.

[59]  M Kormano,et al.  Transportation savings and medical benefits of a teleneuroradiological network , 2000, Journal of telemedicine and telecare.

[60]  H. Katz,et al.  A 10-year experience in pediatric after-hours telecommunications. , 1996, Current opinion in pediatrics.

[61]  J. Mayrose,et al.  A telemedicine model for emergency care in a short-term correctional facility. , 2001, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[62]  J Benger,et al.  The Effect of Resolution, Compression, Colour Depth and Display Modality on the Accuracy of Accident and Emergency Telemedicine , 2001, Journal of telemedicine and telecare.

[63]  E. Krupinski,et al.  The importance of perception research in medical imaging. , 2000, Radiation medicine.

[64]  M L Phillips,et al.  Effect of real-time teleradiology on the practice of the emergency department physician in a rural setting: initial experience. , 1998, Academic radiology.

[65]  Yongmin Kim,et al.  Ultrasound telemedicine system supporting compression of pre-scan-converted data , 2000, Medical Imaging.

[66]  Sadayasu Ono,et al.  Signal analysis and compression performance evaluation of pathological microscopic images , 1997, IEEE Transactions on Medical Imaging.

[67]  B. Craig,et al.  Application of a low cost telemedicine link to the diagnosis of neonatal congenital heart defects by remote consultation , 1999, Heart.

[68]  R S Weinstein,et al.  Diagnostic accuracy of an international static-imaging telepathology consultation service. , 1997, Human pathology.

[69]  Harold L. Kundel,et al.  Visual Search in Medical Images , 2000 .

[70]  Peter Hufnagl,et al.  ANALYSIS OF ERRORS IN TELEPATHOLOGY , 2000 .

[71]  U J Balis,et al.  Digital imaging standards and system interoperability. , 1997, Clinics in laboratory medicine.

[72]  P. Taylor,et al.  Evaluating a telemedicine system to assist in the management of dermatology referrals , 2001, The British journal of dermatology.

[73]  G P Siegal,et al.  A prospective trial of telepathology for intraoperative consultation (frozen sections). , 2000, Human pathology.

[74]  C H Chi,et al.  Emergency department-based telemedicine. , 1999, The American journal of emergency medicine.

[75]  D S Weinberg,et al.  Color images in telepathology: how many colors do we need? , 1997, Human pathology.

[76]  Michael Nerlich,et al.  NOAH--a mobile emergency care system. , 2003, Studies in health technology and informatics.

[77]  N. Artinian,et al.  Effects of home telemonitoring and community-based monitoring on blood pressure control in urban African Americans: a pilot study. , 2001, Heart & lung : the journal of critical care.

[78]  M. Tsang,et al.  Improvement in diabetes control with a monitoring system based on a hand-held, touch-screen electronic diary , 2001, Journal of telemedicine and telecare.

[79]  R M Satava,et al.  Virtual reality and telepresence for military medicine. , 1995, Annals of the Academy of Medicine, Singapore.

[80]  O'Connell Jm,et al.  Satisfaction and patient outcomes of a telephone-based nurse triage service. , 2001 .

[81]  R. Wells,et al.  Telemedicine: Explorations in the Use of Telecommunications in Health Care. , 1976 .

[82]  S Nakajima,et al.  Three-dimensional medical imaging display with computer-generated integral photography. , 2001, Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society.

[83]  E A Krupinski,et al.  The influence of a perceptually linearized display on observer performance and visual search. , 2000, Academic radiology.

[84]  B. Boulanger,et al.  Telemedicine: a solution to the followup of rural trauma patients? , 2001, Journal of the American College of Surgeons.

[85]  Joseph Finkelstein,et al.  Telematic System for Monitoring of Asthma Severity in Patients' Homes , 1998, MedInfo.

[86]  O I Orlov,et al.  Wireless ECG monitoring by telephone. , 2001, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[87]  Elizabeth A. Krupinski,et al.  Practical Applications of Perceptual Research , 2000 .

[88]  S Gustke,et al.  Reliability of dermatology teleconsultations with the use of teleconferencing technology. , 1997, Journal of the American Academy of Dermatology.

[89]  E Krupinski,et al.  Evaluation of a digital camera for acquiring radiographic images for telemedicine applications. , 2000, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[90]  K. Mattox,et al.  Is regionalization of trauma care using telemedicine feasible and desirable? , 2000, American journal of surgery.

[91]  H. K. Huang,et al.  Full-field direct digital telemammography: preliminary , 1997, Medical Imaging.

[92]  S Tachakra,et al.  A follow-up study of remote trauma teleconsultations , 2000, Journal of telemedicine and telecare.

[93]  R. Shih,et al.  A randomized controlled trial of telemedicine in an emergency department , 1998, Journal of telemedicine and telecare.

[94]  A. Bhattacharyya,et al.  Case triage model for the practice of telepathology. , 1995, Telemedicine journal : the official journal of the American Telemedicine Association.

[95]  J. A. Vincent,et al.  Diagnostic and Cost Effectiveness of Telemonitoring the Pediatric Pacemaker Patient , 1997, Pediatric Cardiology.

[96]  J. Belmont,et al.  Evaluation of remote stethoscopy for pediatric telecardiology. , 1995, Telemedicine journal : the official journal of the American Telemedicine Association.

[97]  R Benschoter,et al.  Two-way television: helping the Medical Center reach out. , 1972, The American journal of psychiatry.

[98]  T. Bergmo,et al.  A cost-minimization analysis of a realtime teledermatology service in northern Norway , 2000, Journal of telemedicine and telecare.

[99]  T. Dwyer,et al.  Telepsychiatry: psychiatric consultation by interactive television. , 1973, The American journal of psychiatry.

[100]  F D Malone,et al.  Effect of ISDN bandwidth on image quality for telemedicine transmission of obstetric ultrasonography. , 1998, Telemedicine journal : the official journal of the American Telemedicine Association.

[101]  A Rovetta,et al.  Telerobotic surgery: applications on human patients and training with virtual reality. , 1997, Studies in health technology and informatics.

[102]  M. Obermaier,et al.  A telemedical approach to the screening of diabetic retinopathy: digital fundus photography. , 2000, Diabetes care.

[103]  L. Machet.  [Multicentre randomised control trial comparing real time teledermatology with conventional outpatient dermatological care: societal cost-benefit analysis]. , 2002, Annales de dermatologie et de venereologie.

[104]  L L Fajardo,et al.  Efficacy of digital radiography for the detection of pneumothorax: comparison with conventional chest radiography. , 1992, AJR. American journal of roentgenology.

[105]  M. Ljosland,et al.  [Prehospital ECG reduces the delay of thrombolysis in acute myocardial infarction]. , 2000, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke.

[106]  M. Furukawa,et al.  Telemedicine in laryngology. , 1998, Telemedicine journal : the official journal of the American Telemedicine Association.

[107]  T Matsumoto,et al.  Experience and present status of telepathology in the National Cancer Center Hospital, Tokyo. , 1992, Zentralblatt fur Pathologie.

[108]  L. Baer,et al.  Applicability of telemedicine for assessing patients with schizophrenia: acceptance and reliability. , 1997, The Journal of clinical psychiatry.

[109]  C. Safran,et al.  Baby CareLink: using the internet and telemedicine to improve care for high-risk infants. , 2000, Pediatrics.

[110]  Lambrecht Cj.  Telemedicine in trauma care. , 1998 .

[111]  M. Goldyne,et al.  Evaluation of an asynchronous teleconsultation system for diagnosis of skin cancer and other skin diseases. , 2000, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[112]  Telesurgical consultation. , 1996, The Journal of urology.

[113]  Daniel Winfield.  Academic Radiology 6 (suppl.4): S193-S220, Report of the working group on digital mammography: Digital displays and workstation design: , 1999 .

[114]  L R Kavoussi,et al.  Telesurgery. Remote monitoring and assistance during laparoscopy. , 2001, The Urologic clinics of North America.

[115]  N. O'Hare,et al.  Digitized mammograms: a preliminary clinical evaluation and the potential for telemammography , 1999, Journal of telemedicine and telecare.

[116]  R S Weinstein,et al.  Experience-related differences in diagnosis from medical images displayed on monitors. , 1996, Telemedicine journal : the official journal of the American Telemedicine Association.

[117]  P. Whitten,et al.  School-based telemedicine: Using technology to bring health care to inner-city children , 1999, Journal of telemedicine and telecare.

[118]  R S Weinstein,et al.  Dynamic-robotic telepathology: Department of Veterans Affairs feasibility study. , 1997, Human pathology.

[119]  K Solheim,et al.  [Emergency medicine and telemedicine]. , 1990, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke.

[120]  Chung-Chih Lin,et al.  Home telecare system using cable television plants - an experimental field trial , 2000, IEEE Trans. Inf. Technol. Biomed..

[121]  A W Partin,et al.  Comparison of robotic versus human laparoscopic camera control . , 1995, The Journal of urology.

[122]  E A Krupinski,et al.  Enhanced visualization processing: effect on workflow. , 2001, Academic radiology.

[123]  B.G. Celler,et al.  Methodology for designing telecare systems: a case study in cystic fibrosis monitoring , 2000, Proceedings 2000 IEEE EMBS International Conference on Information Technology Applications in Biomedicine. ITAB-ITIS 2000. Joint Meeting Third IEEE EMBS International Conference on Information Technol.

[124]  Elsie Hui,et al.  Telemedicine: A Pilot Study in Nursing Home Residents , 2001, Gerontology.

[125]  Conor Heneghan,et al.  Telemedicine applications in otolaryngology , 1998, IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in Medicine & Biology Society.

[126]  D. Stoianovici,et al.  Stereotactic mechanical percutaneous renal access. , 1998, Journal of endourology.

[127]  F A Allaert,et al.  Telepathology diagnosis by means of digital still images: an international validation study. , 1996, Human pathology.

[128]  J D Thomas,et al.  Internet-based transfer of cardiac ultrasound images , 2000, Journal of telemedicine and telecare.

[129]  D Magid,et al.  Interpretation of Emergency Department radiographs: a comparison of emergency medicine physicians with radiologists, residents with faculty, and film with digital display. , 2000, AJR. American journal of roentgenology.

[130]  J. Bowersox,et al.  Use of an intuitive telemanipulator system for remote trauma surgery: an experimental study. , 1998, Journal of the American College of Surgeons.

[131]  B. Avitall,et al.  The Effect of Home Monitoring and Telemanagement on Blood Pressure Control Among African Americans , 2000 .

[132]  K. Ong,et al.  Web-based monitoring of real-time ECG data , 2000, Computers in Cardiology 2000. Vol.27 (Cat. 00CH37163).

[133]  S. Tachakra,et al.  Evaluation of telemedical orthopaedic specialty support to a minor accident and treatment service , 2001, Journal of telemedicine and telecare.

[134]  A Allen,et al.  An analysis of the suitability of home health visits for telemedicine , 1999, Journal of telemedicine and telecare.

[135]  B. Johnston,et al.  Outcomes of the Kaiser Permanente Tele-Home Health Research Project. , 2000, Archives of family medicine.

[136]  Elieser Kaplinsky,et al.  Potential reduction of costs and hospital emergency department visits resulting from prehospital transtelephonic triage—the shahal experience in israel , 2000, Clinical cardiology.

[137]  E. Hui,et al.  The role of telenursing in the provision of geriatric outreach services to residential homes in Hong Kong , 2001, Journal of telemedicine and telecare.

[138]  R. M. Satava,et al.  3-D vision technology applied to advanced minimally invasive surgery systems , 1993, Surgical Endoscopy.

[139]  P. Yellowlees.  The use of telemedicine to perform psychiatric assessments under the Mental Health Act , 1997, Journal of telemedicine and telecare.

[140]  J. Dale,et al.  An Analysis of Telephone Calls to an Inner-City Accident and Emergency Department , 1996, Journal of the Royal Society of Medicine.

[141]  J. Belmont,et al.  Pediatric cardiology: auscultation from 280 miles away. , 1992, Kansas medicine : the journal of the Kansas Medical Society.

[142]  P. Trott,et al.  Cost evaluation of a telepsychiatry service in northern Queensland , 1998, Journal of telemedicine and telecare.

[143]  S. Pedersen,et al.  Teleconsultation of patients with otorhinolaryngologic conditions. A telendoscopic pilot study. , 1994, Archives of otolaryngology--head & neck surgery.

[144]  J M O'Connell,et al.  A satisfaction and return-on-investment study of a nurse triage service. , 2001, The American journal of managed care.

[145]  P Jacklin,et al.  A randomized controlled trial assessing the health economics of realtime teledermatology compared with conventional care: an urban versus rural perspective , 2001, Journal of telemedicine and telecare.

[146]  R M Satava.  Virtual reality and telepresence for military medicine. , 1995, Computers in biology and medicine.

[147]  S. Tachakra.  Depth perception in telemedical consultations. , 2001, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[148]  M Vertruyen,et al.  The World's First Obesity Surgery Performed by a Surgeon at a Distance , 1999, Obesity surgery.

[149]  Elizabeth A. Krupinski,et al.  Medical image perception: evaluating the role of experience , 2000, Electronic Imaging.

[150]  C R Doarn,et al.  Impact of varying transmission bandwidth on image quality. , 2001, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[151]  J. Benger.  A review of minor injuries telemedicine , 1999, Journal of telemedicine and telecare.

[152]  K Nakamura,et al.  The effectiveness of videophones in home healthcare for the elderly. , 1999, Medical care.

[153]  K Kayser,et al.  Basic aspects of and recent developments in telepathology in Europe, with specific emphasis on quality assurance. , 1999, Analytical and quantitative cytology and histology.

[154]  A JUTRAS,et al.  Teleroentgen diagnosis by means of video-tape recording. , 1959, The American journal of roentgenology, radium therapy, and nuclear medicine.

[155]  R S Weinstein,et al.  Static image telepathology in perspective. , 1996, Human pathology.

[156]  R. Orr,et al.  Telemedicine in Pediatric Transport: A Feasibility Study , 1998, Pediatrics.

[157]  B K Khandheria,et al.  Remote telemedical interpretation of neonatal echocardiograms: impact on clinical management in a primary care setting. , 1999, Journal of the American College of Cardiology.

[158]  J Tonetti,et al.  Feasibility of orthopaedic teleconsulting in a geriatric rehabilitation service , 1998, Journal of telemedicine and telecare.

[159]  B. Craig,et al.  Value of a low-cost telemedicine link in the remote echocardiographic diagnosis of congenital heart defects , 1998, Journal of telemedicine and telecare.

[160]  Lansing G. Ellsworth,et al.  Diagnostic accuracy and image quality using a digital camera for teledermatology. , 1999, Telemedicine journal : the official journal of the American Telemedicine Association.

[161]  J A Brink,et al.  Evaluation of JPEG and wavelet compression of body CT images for direct digital teleradiologic transmission. , 2000, Radiology.

[162]  M. Šatava,et al.  Information Age Technologies for Surgeons: Overview , 2001, World journal of surgery.