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Article

Tele-Operated Echography and Remote Guidance for Performing Tele-Echography on Geographically Isolated Patients

by
Philippe Arbeille
1,*,
Kathryn Zuj
1,
Arnaud Saccomandi
2,
Elise Andre
2,
Cedric De La Porte
3 and
Monica Georgescu
1
1
Unite Medecine Physiologie Spatiale (UMPS-CERCOM) Faculte de Medecine, Tours 37032, France
2
MSP (Maison de Santé Pluridisciplinaire), Richelieu 37190, France
3
MSP (Maison de Santé Pluridisciplinaire), Ligueil 37240, France
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2016, 5(6), 58; https://doi.org/10.3390/jcm5060058
Submission received: 23 April 2016 / Revised: 3 June 2016 / Accepted: 8 June 2016 / Published: 13 June 2016
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
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Abstract

Objective: To evaluate the performance of three tele-echography systems for routine use in isolated medical centers. Methods: Three systems were used for deep (abdomen, pelvis, fetal) and superficial (muscle, thyroid, carotid artery) examinations: (a) a robotic arm (RA) holding an echographic probe; (b) an echograph with a motorized probe (MP); and (c) remote guidance (RG) where the patient site operator performed the examination assisted by an expert via videoconference. All systems were tested in the same medical center located 60 km away from the university hospital. Results: A total of 340 remote echography examinations were performed (41% RA and MP, 59% RG). MP and RA allowed full control of the probe orientation by the expert, and provided diagnoses in 97% of cases. The use of RG was sufficient for superficial vessel examinations and provided diagnoses in 98% of cases but was not suited for deep or superficial organs. Assessment of superficial organs was best accomplished using the MP. Discussion: Both teleoperated systems provided control of the probe orientation by the expert necessary for obtaining appropriate views of deep organs but the MP was much more ergonomic and easier to use than the RA. RG was appropriate for superficial vessels while the MP was better for superficial volumic organs.
Keywords: tele-medicine; tele-echography; teleoperated probe; remote guidance tele-medicine; tele-echography; teleoperated probe; remote guidance
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MDPI and ACS Style

Arbeille, P.; Zuj, K.; Saccomandi, A.; Andre, E.; De La Porte, C.; Georgescu, M. Tele-Operated Echography and Remote Guidance for Performing Tele-Echography on Geographically Isolated Patients. J. Clin. Med. 2016, 5, 58. https://doi.org/10.3390/jcm5060058

AMA Style

Arbeille P, Zuj K, Saccomandi A, Andre E, De La Porte C, Georgescu M. Tele-Operated Echography and Remote Guidance for Performing Tele-Echography on Geographically Isolated Patients. Journal of Clinical Medicine. 2016; 5(6):58. https://doi.org/10.3390/jcm5060058

Chicago/Turabian Style

Arbeille, Philippe, Kathryn Zuj, Arnaud Saccomandi, Elise Andre, Cedric De La Porte, and Monica Georgescu. 2016. "Tele-Operated Echography and Remote Guidance for Performing Tele-Echography on Geographically Isolated Patients" Journal of Clinical Medicine 5, no. 6: 58. https://doi.org/10.3390/jcm5060058

APA Style

Arbeille, P., Zuj, K., Saccomandi, A., Andre, E., De La Porte, C., & Georgescu, M. (2016). Tele-Operated Echography and Remote Guidance for Performing Tele-Echography on Geographically Isolated Patients. Journal of Clinical Medicine, 5(6), 58. https://doi.org/10.3390/jcm5060058

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