Giansanti Daniele, Cosentino Luca
Centro TISP, Istituto Superiore di Sanità, Roma, Italia.
Università Sapienza, Roma, Italia.
Mhealth. 2021 Jan 20;7:9. doi: 10.21037/mhealth-19-187. eCollection 2021.
WhatsApp, like many other messaging Apps, enables messages, documents, and multimedia elements to be exchanged through a chat-based tool. Among the many potentialities of WhatsApp are: (I) the possibility to create groups (WhatsApp Groups) and (II) the possibility to install the app on a personal computer using the WhatsApp Web application.
The two functionalities (I, II) were used to set-up an environment for teleconsultation in telecardiology which will support the exchange of the dynamic images in hemodynamics. A proper client/server architecture was proposed to supply the environment. The files related to the dynamic study were preliminarily converted [using picture archiving and communication system (PACS) functions] into an audio-video interleave (AVI) format, which is compatible with mobile technology.
The environment was configured. Five dynamic images were extracted from the PACS in the format AVI. The images were exchanged using WhatsApp Web on the server side and WhatsApp on the client side (smartphones). An acceptance analysis of five observers showed high satisfaction with the methodology.
From a global perspective, our contribution aligns with those of scholars in the field concerning the use of WhatsApp in medical imaging. Furthermore, this study suggests that research in the telecardiology field can be strengthened through the use of dynamic images and WhatsApp.
WhatsApp与许多其他即时通讯应用程序一样,能够通过基于聊天的工具来交换信息、文档和多媒体元素。WhatsApp的众多潜在用途包括:(I)创建群组(WhatsApp群组)的可能性,以及(II)使用WhatsApp网页应用程序在个人计算机上安装该应用程序的可能性。
利用这两种功能(I、II)搭建了一个远程心脏病学远程会诊环境,该环境将支持血流动力学动态图像的交换。提出了一种合适的客户端/服务器架构来提供该环境。与动态研究相关的文件预先[使用图像存档和通信系统(PACS)功能]转换为与移动技术兼容的音频视频交错(AVI)格式。
配置了该环境。从PACS中提取了5幅AVI格式的动态图像。这些图像在服务器端使用WhatsApp网页版,在客户端(智能手机)使用WhatsApp进行交换。对5名观察者的接受度分析显示,他们对该方法高度满意。
从全球角度来看,我们的贡献与该领域学者在医学成像中使用WhatsApp的贡献一致。此外,本研究表明,通过使用动态图像和WhatsApp可以加强远程心脏病学领域的研究。