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ICT for collaborative health care in the Mediterranean area

ICT for collaborative health care in the Mediterranean area. Alessandro Taddei DIT 108La,  Lions Club Pescia National Research Council of Italy. Telemedicine. Information and Communication Technology allowing collaborative health care “ anywhere - anytime ”

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ICT for collaborative health care in the Mediterranean area

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  1. ICT for collaborative health care in the Mediterranean area Alessandro Taddei DIT 108La,  Lions Club Pescia National Research Council of Italy

  2. Telemedicine Information and CommunicationTechnology allowing collaborative health care “anywhere - anytime” Tele-diagnosis, Tele-monitoring, Tele-assistance, … Developing telemedicine networks forinternationalmulti-centercooperation in medicaldecisionmaking and care planning

  3. Off-line tele-consulting • Open-sourcetechnology • DICOM server • www.dcm4che.org/ • DICOM viewer/processor • www.osirix-viewer.com/ MedicalImage Standard (DICOM) PACS technology Exchange ofmultimodaldiagnosticexaminations (US, XA, RX, CT, MR, …) “STORE-and-FORWARD” Transmitting DICOM imagesthrough network (Internet) 2nd opinion reviewfromreference specialized clinical center

  4. Live tele-consulting Needfor real-time interaction betweenoperators and specialists isoftencrucialduringimagingexamination for scanning ofanatomy Tele-echocardiography is the typicalapplication

  5. Tele-consultingforearlydiagnosisofcongenitalheartmalformationsTele-consultingforearlydiagnosisofcongenitalheartmalformations Today echography equipment allow to recognize cardiac abnormalities, even in the foetus Actually less than 20% of diseases are detected in the prenatal period because often experience and training are not adequate Thus newborns, suffering by critical cardiac disorders, are often transferred urgently to specialized and remote cardiac units while early care planning, before delivery, would limit both risks and costs

  6. Collaborative Diagnosis and Care of Congenital Heart MalformationsProject by Heart Hospital of CNR / Tuscany Region “G. Monasterio” Foundation, supported by “Un Cuore un Mondo” Association” and Tuscany Region, for medical cooperation with Balkan Countries • 2008-2009 “Progetto per il cuore dei bambini dei Balcani” ClinicalCentre, BanjaLuka, BIH - KantridaPediatric Hospital, Rijeka, KR • 2009-2010 “Progetto cuore Balcani / Albania” GynaecologyUniversity Hospital "KocoGlozheni", Tirana • Next projects (Bosnia, Montenegro …)

  7. Cooperationissues Developing telemedicine network for both • collaborative diagnosis and care planning of heart malformations by tele-echocardiography • training of remote health care teams by videoconferencing Supporting local organizations for improving health care of congenital heart diseases Supporting patient transfers to specialized centers for surgery intervention

  8. Video Video INTERNET audio Tele-consulting Echo equipment - Live Tele-consulting Videoconference equipment (25 fps, criptography) Upload Internet bandwidth > 512 Kbps

  9. t Tele-echocardiographyin neonatesfromClinical Center BanjaLuka (BIH)

  10. Tele-ecocardiographyfromPediatricClinical CenterRijeka (KR)

  11. Fetaltele-echocardiographyfromGynecology HospitalTirana (AL)

  12. PACS Workstation at remote specialized center Video streaming on-line teleconsulting INTERNET DICOM data transfer Workstation at diagnostic examination site Open-Sourcesolutionforlow-costmedicaltele-consulting

  13. Open-Source Tele-consulting System • ON-LINE teleconsulting (live session) • OFF-LINE teleconsulting (Storage/Forward) • DICOM • not DICOM (archived studies) • videoconferencing for on-line interaction • web-based user interface over Internet (reserved access by data encryption)

  14. Conclusions ICT & medical standards allow implementation of tele-consulting systems for collaborative diagnosis and care planning of medical pathologies Tele-echocardiography was applied successfully in the project for clinical cooperation with Balkan Countries in heart malformations Low-cost technology (open-source) solutions for tele-consulting (live, off-line) are challenging for promoting diffusion anywhere, potentially in any medical field

  15. Conclusions • While technology offers affordable solutions for collaborative medical decision making, it is crucial to set up projects for collaboration between health-care institutions • Given their international and distributed organization, the Lions have a potential rolein promoting and supporting important initiatives for collaborative health-care along the path to integration of Countries

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