跳至主要内容

Evaluation of Videoconferencing Systems for Remote Medical Education

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=47325#.VFsj3mfHRK0

Remote education in medicine has two distinct differences over remote education in other fields. The first is the frequent use of moving images to show techniques and procedures, and the second is the necessity of very high image quality for accurate diagnosis or precise anatomy. The emergence of digital video transport systems (DVTS) has surmounted technological limitations and made remote medical education practical. However, to meet new demands for better quality and wider availability, two additional systems, HD-H.323 and Vidyo, have been developed. Feedbacks from users of these systems are crucial for accurate evaluation and further improvements. We designed questionnaires evaluating image quality, preparations, major problems, and overall satisfaction with each of these systems. These questionnaires, along with answer pads, were administered to 32 participants at the Seventh Asia Telemedicine Symposium, held in Bangkok, Thailand, on December 14, 2013. Of 22 (69%) valid answers on best image quality, nine (41%) chose DVTS, eight (36%) chose HD-H.323, and five (23%) chose Vidyo. Of 27 (84%) valid responses on ease of preparation, 21 (78%) picked Vidyo, six (22%) picked HD-H.323 and none picked DVTS. The biggest problems with DVTS were sound (11/29, 38%) and ease of preparation (8/29, 28%), the biggest problem with HD-H.323 was cost (18/28, 64%), and the biggest problems with Vidyo were sound (8/29, 28%) and cost (8/29, 28%). Overall satisfaction rates were 70% (14/20) for DVTS, 86% (18/21) for HD-H.323, and 77% (20/26) for Vidyo. In conclusion, the three technologies currently used for remote medical education were all satisfactory. Because each has its own advantages and disadvantages, the choice of the most appropriate system should depend on the program being broadcast and the availability of equipment and network at participating stations.
Cite this paper
Kudo, K. , Shimizu, S. , Chiang, T. , Antoku, Y. , Hu, M. , Houkabe, Y. and Nakashima, N. (2014) Evaluation of Videoconferencing Systems for Remote Medical Education. Creative Education, 5, 1064-1070. doi: 10.4236/ce.2014.512120
 

[1] Cao, M. D., Shimizu, S., Antoku, Y., Torata, N., Kudo, K., Okamura, K. et al. (2012). Emerging Technologies for Telemedicine. Korean Journal of Radiology, 13, S21-S30.
http://dx.doi.org/10.3348/kjr.2012.13.S1.S21
[2] Carati, C., Shimizu, S., Okamura, K., Lomanto, D., Tanaka, M., & Toouli, J. (2006). High Definition Digital Video Links for Surgical Training. Journal of Telemedicine and Telecare, 12, S26-S28.
http://dx.doi.org/10.1258/135763306779380237
[3] Eto, M., Lee, T. Y., Gill, I. S., Koga, H., Tatsugami, K., Shimizu, S. et al. (2007). Broadcast of Live Endoscopic Surgery from Korea to Japan Using the Digital Video Transport System. Journal of Endourology, 21, 1517-1520.
http://dx.doi.org/10.1089/end.2007.9886
[4] Hahm, J. S., Lee, H. L., Choi, H. S., & Shimizu, S. (2009). Telemedicine System Using a High-Speed Network: Past, Present, and Future. Gut and Liver, 3, 247-251.
http://dx.doi.org/10.5009/gnl.2009.3.4.247
[5] Huang, K. J., Qiu, Z. J., Fu, C. Y., Shimizu, S., & Okamura, K. (2008). Uncompressed Video Image Transmission of Laparoscopic or Endoscopic Suregery for Telemedicine. Telemedicine and E-Health, 14, 479-485.
http://dx.doi.org/10.1089/tmj.2007.0088
[6] Huang, K. J., Cen, G., Qiu, Z. J., Jiang, T., Cao, J., & Fu, C. Y. (2014). Application of International Videoconferences for Continuing Medical Education Programs Related to Laparoscopic Surgery. Telemedicine and E-Health, 20, 157-160.
http://dx.doi.org/10.1089/tmj.2013.0070
[7] Kaltenbach, T., Muto, M., Soetikno, R., Dev, P., Okamura, K., Hahm, J. et al. (2009).Teleteaching Endoscopy: The Feasibility of Real-Time, Uncompressed Video Transmission by Using Advanced-Network Technologies. Gastrointestinal Endoscopy, 70, 1013-1017.
http://dx.doi.org/10.1016/j.gie.2009.05.016
[8] Jennings, D. M., Landweber, L. H., Fuchs, I. H., Farber, D. J., & Adrion, W. R. (1986). Computer Networking for Scientists. Science, 231, 943-950.
http://dx.doi.org/10.1126/science.231.4741.943
[9] Kwon, S., Tamhankar, A., & Rao, K. R. (2006). Overview of H.264/MPEG-4 Part 10. Journal of Visual Communication and Image Representation, 17, 186-216.
http://dx.doi.org/10.1016/j.jvcir.2005.05.010
[10] Lee, S. P., Lee, H. L., Hahm, J. S., Choi, H. S., Joe, I., & Shimizu, S. (2012). International Live Endoscopic Multichannel Demonstration Using Superfast Broadband Internet Connections. Clinical Endoscopy, 45, 73-77.
http://dx.doi.org/10.5946/ce.2012.45.1.73
[11] Reid, M. (1999). Multimedia Conferencing over ISDN and IP Networks Using ITU-T H-Series Recommendations: Architecture, Control and Coordination. Computer Networks, 31, 225-235. http://dx.doi.org/10.1016/S0169-7552(98)00264-5
[12] Ogawa, A., Kobayashi, K., Sugiura, K., Nakamura, O., & Murai, J. (1999). Design and Implementation of DV Stream over Internet. Proceedings of the Internet Workshop IWS '99, 255-260.
[13] Rabenstein, T., Maiss, J., Naegele-Jackson, S., Liebl, K., Hengstenberg, T., Radespiel-Troger, M. et al. (2002). Tele-Endos-copy: Influence of Data Compression, Bandwidth and Simulated Impairments on the Usability of Real-Time Digital Video Endoscopy Transmissions for Medical Diagnoses. Endoscopy, 34, 703-710.
http://dx.doi.org/10.1055/s-2002-33568
[14] Rafiq, A., Moore, J. A., Zhao, X., Doarn, C. R., & Merrell, R. C. (2004). Digital Video Capture and Synchronous Consultation in Open Surgery. Annals of Surgery, 239, 567-573. http://dx.doi.org/10.1097/01.sla.0000118749.24645.45
[15] Shimizu, S., Nakashima, N., Okamura, K., Hahm, J. S., Kim, Y. W., Moon, B. I. et al. (2006). International Transmission of Uncompressed Endoscopic Surgery Images via Superfast Broadband Internet Connections. Surgical Endoscopy, 20, 167-170. http://dx.doi.org/10.1007/s00464-005-0282-7
[16] Shimizu, S., Nakashima, N., Okamura, K., & Tanaka, M. (2009). One Hundred Case Studies of Asia-Pacific Telemedicine Using a Digital Video Transport System over a Research and Education Network. Telemedicine and E-Health, 15, 112-117. http://dx.doi.org/10.1089/tmj.2008.0067
[17] Shimizu, S., Okamura, K., Nakashima, N., Kitamura, Y., Torata, N., Yamashita, T. et al. (2011). High-Quality Telemedicine Using Digital Video Transport System over Global Research and Education Network. In G. Graschew, & T. A. Roelefs (Eds.), Advances in Telemedicine: Technologies, Enabling Factors and Scenarios (pp. 87-110). Rijeka, Croatia: InTech.
[18] Shimizu, S., Antoku, Y., Min, H., Okamura, K., & Nakashima, N. (2014). Ten-Year Experience of Remote Medical Education in Asia. Telemedicine and E-Health, in Press.                                      eww141106lx

评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...