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dc.contributor.authorGray, W P
dc.contributor.authorSomers, J
dc.contributor.authorBuckley, T F
dc.date.accessioned2012-02-03T15:14:52Z
dc.date.available2012-02-03T15:14:52Z
dc.date.issued2012-02-03T15:14:52Z
dc.identifier.citationNeurosurgery. 1998 Jan;42(1):103-7; discussion 107-8.en_GB
dc.identifier.issn0148-396X (Print)en_GB
dc.identifier.issn0148-396X (Linking)en_GB
dc.identifier.pmid9442510en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209199
dc.description.abstractOBJECTIVE: 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.
dc.language.isoengen_GB
dc.subject.meshAngiographyen_GB
dc.subject.mesh*Computer Systemsen_GB
dc.subject.meshDiagnostic Imaging/standardsen_GB
dc.subject.meshEmergency Medical Services/*methodsen_GB
dc.subject.meshEvaluation Studies as Topicen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMagnetic Resonance Imagingen_GB
dc.subject.meshNeurosurgery/*methodsen_GB
dc.subject.meshRemote Consultation/*instrumentation/standardsen_GB
dc.subject.meshSubtraction Techniqueen_GB
dc.subject.meshTomography, X-Ray Computeden_GB
dc.titleReport of a national neurosurgical emergency teleconsulting system.en_GB
dc.contributor.departmentDepartment of Neurosurgery, Cork University Hospital, Republic of Ireland.en_GB
dc.identifier.journalNeurosurgeryen_GB
dc.description.provinceMunster
html.description.abstractOBJECTIVE: 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.


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