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    Report of a national neurosurgical emergency teleconsulting system.

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    Authors
    Gray, W P
    Somers, J
    Buckley, T F
    Affiliation
    Department of Neurosurgery, Cork University Hospital, Republic of Ireland.
    Issue Date
    2012-02-03T15:14:52Z
    MeSH
    Angiography
    *Computer Systems
    Diagnostic Imaging/standards
    Emergency Medical Services/*methods
    Evaluation Studies as Topic
    Humans
    Ireland
    Magnetic Resonance Imaging
    Neurosurgery/*methods
    Remote Consultation/*instrumentation/standards
    Subtraction Technique
    Tomography, X-Ray Computed
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    Citation
    Neurosurgery. 1998 Jan;42(1):103-7; discussion 107-8.
    Journal
    Neurosurgery
    URI
    http://hdl.handle.net/10147/209199
    PubMed ID
    9442510
    Abstract
    OBJECTIVE: The goal was to develop a low-cost, national, neurosurgical emergency teleconsulting system that is independent of vendor computed tomographic (CT) or magnetic resonance imaging (MRI) scanner type. METHODS: Charge-coupled device scanners are used to digitize hard copies of CT and MRI scans. An enhanced optical density range is achieved by using an algorithm to fuse data from multiple exposures at different integration periods. The system is based on personal computers using Microsoft Windows 3.11. Data are transmitted on a wide-area network at 128 kilobits/s, over Integrated Systems Digital Network lines. The network connects both neurosurgical departments in Ireland to all major hospitals with CT/MRI scanners. RESULTS: The scanner optical density is 0.05 to 3.0, with 2.24 to 2.5 line pairs/mm. Five-megabyte images are transmitted uncompressed in 6 minutes. To date, more than 750 CT and MRI scans have been transmitted. The system is completely automated, and operator acceptance has been very high. Images are automatically stored and displayed at the receiving workstation, where the images can be viewed and manipulated on-screen. This system has significantly enhanced acute neurosurgical patient care. CONCLUSION: The system is cost effective and simple to use, has gained widespread physician acceptance, and delivers an image quality superior to that of many commercially available systems.
    Language
    eng
    ISSN
    0148-396X (Print)
    0148-396X (Linking)
    Collections
    Cork University Hospital

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