Ferreira Adilson Cunha, O'Mahony Edward, Oliani Antonio Hélio, Araujo Júnior Edward, da Silva Costa Fabricio
Department of Obstetrics and Gynaecology and Department of Perinatal Medicine, Pregnancy Research Centre, Royal Women's Hospital, University of Melbourne, Melbourne, VIC 3207, Australia ; School of Medicine, University of São José do Rio Preto, São José do Rio Preto, SP, Brazil ; Monash Ultrasound for Women, Melbourne, VIC, Australia.
Department of Obstetrics and Gynaecology and Department of Perinatal Medicine, Pregnancy Research Centre, Royal Women's Hospital, University of Melbourne, Melbourne, VIC 3207, Australia.
Int J Telemed Appl. 2015;2015:306259. doi: 10.1155/2015/306259. Epub 2015 Feb 24.
The health care of patients in rural or isolated areas is challenged by the scarcity of local resources, limited patient access to doctors and hospitals, and the lack of specialized professionals. This has led to a new concept in telemedicine: teleultrasonography (or teleultrasound), which permits ultrasonographic diagnoses to be performed remotely. Telemedicine and teleultrasonography are effective in providing diagnostic imaging services to these populations and reduce health care costs by decreasing the number and duration of hospitalizations and reducing unnecessary surgical procedures. This is a narrative review to present the potential clinical applications of teleultrasonography in clinical practice. The results indicate that although barriers persist for implementing teleultrasonography in a more universal and routine way, advances in telecommunications, Internet bandwidth, and the high resolution currently available for portable ultrasonography suggest teleultrasonography applications will continue to expand. Teleultrasound appears to be a valuable addition to remote medical care for isolated populations with limited access to tertiary healthcare facilities and also a useful tool for education and training.
农村或偏远地区患者的医疗保健面临着当地资源稀缺、患者就医不便以及缺乏专业医疗人员等挑战。这催生了远程医疗领域的一个新概念：远程超声检查（或远程超声），它允许远程进行超声诊断。远程医疗和远程超声检查在为这些人群提供诊断成像服务方面效果显著，并通过减少住院次数和住院时间以及减少不必要的外科手术来降低医疗成本。本文是一篇叙述性综述，旨在介绍远程超声检查在临床实践中的潜在临床应用。结果表明，尽管以更广泛和常规的方式实施远程超声检查仍存在障碍，但电信、互联网带宽的进步以及目前便携式超声检查所具备的高分辨率表明，远程超声检查的应用将继续扩大。对于难以获得三级医疗设施的偏远地区人群而言，远程超声似乎是远程医疗保健的一项宝贵补充，同时也是教育和培训的有用工具。
