عنوان مقاله
تله نورولوژی مشارکتی برای تشخیص از راه دور (تله تشخیص)
فهرست مطالب
چکیده
مقدمه
تله نورولوژی
TeNeCi : پیشنهاد کاربرد از راه دور انطباقی برای نورولوژی
نتیجه گیری
بخشی از مقاله
واحدTeNeCi
اهداف شبکهTeNeCi (شکل 1) عبارتند از تعیین و توسعه یک راه حل تخصصی و پشتیبانی و حمایت در تصمیم گیری نورولوژیکی و مدیریت نورولوژی اورژانسی. پروژه TeNeCi به سازمان دهی هر چه بهتر مدیریت اورژانس های نورولوژی و توسعه تکنیک های جدید و همچنین به تشخیص و درمان نورولوژی اورژانسی و همچنین به رشته پاتولوژی های نورولوژیکی در کل کمک می کند. این دسته از تکنیک های جدید از طریق شبکه ارتباط از راه دور کار کرده و به دست اندرکاران امکان دسترسی حقیقی راه دور به اطلاعات وابسته را می دهند.
کلمات کلیدی:
Collaborative Tele-Neurology for Remote Diagnosis E. Garcia* , J. Bogousslavsky****, V. Bonnans***, L. Cammoun**, S. Chatelain**, L. Droz-Bartholet* , G. Devuyst****, H. Guyennet* , JL. Haberbush* , JC. Lapayre* , T. Moulin***, JP. Thiran** * [garcia, droz, guyennet, haberbush, lapayre]@lifc.univ-fcomte.fr **[leila.cammoun, Simon.Chatelain, JP.Thiran]@epfl.ch ***[vbonnans, tmoulin]@chu-besancon.fr ****[Gerald.Devuyst, julien.bogousslavsky]@chuv.hospvd.ch Abstract: This paper presents the TENECI (Collaborative tele-neurology) project which allows practitioners to use telecommunication technologies to provide medical information and services for neurological diseases. Specificities of remote neurology are described and the CAliF multimedia platform on which TENECI relies is presented. In the last section we present our implementation of TENECI. This software is composed of several services, such as a DICOM explorer, a DICOM viewer, a security service… Tests performed on this first TENECI release have given good results, and allow us to hope for a large experimentation between French and Swiss hospitals using secured connections. Keywords: Telemedicine, Collaborative work, remote diagnosis, DICOM 1 Introduction Over the past 10 years, the concept of working remotely (teleworking) has been in rapid development. This phenomenon is due in large part to the parallel growth in high performance networks and processors. Teleworking is used in such various ways as distance learning, remote maintenance and even telemedicine. The principal areas of research of the Distributed System team in the Computer Science Laboratory of Franche-Comté (LIFC – Besançon, France) includes all aspects of the middleware supporting these teleapplications from user interfaces and distributed algorithms through to networks. With the support of European/INTERREGIII funding (with Switzerland), this team has been working in close collaboration with the Federation of Neurosciences in Besançon on the creation of the TeNeCi project (cooperative teleneurology). Involving engineers from the LIFC and from the Swiss Federal Institute of Technology Lausanne (EPFL – Switzerland) and neurologists from the University Hospitals of Besançon and Lausanne, this project will enable neurological expertise to be improved through the Emergency Neurology Network (RUN), which is already established in FrancheComté hospitals and coordinated by the University Hospital in Besançon. It also seeks to promote a collaborative network structure coordinated by the Lausanne University Hospital, which will gradually develop in hospitals in the Swiss cantons of Vaud and Neufchatel. In the long run a veritable regional crossborder centre of excellence will be created serving the border region. The second part of this paper presents the issue of neuro-telemedicine. Finally in the last section we present the TeNeCi platform (supported by European funding), the first demonstration of which will take place at the end of 2005. 2 Remote Neurology 2.1 Definition Telemedicine is generally used in a nonacute setting for patient monitoring or education and has only recently been introduced into emergency care. In neurology, telemedicine can be defined as the use of telecommunication technologies to provide medical information and services for neurological diseases. More specifically, “neuro-telemedicine” is the process by which electronic, visual and audio communications are used to support practitioners at distant sites with diagnostic and consultation procedures, such as distant clinical examinations and image transfers. 2.2 Need for Remote Neurology The impact of a neurological inpatient assessment on diagnosis, patient management and treatment in the emergency room (ER) has been clearly demonstrated
