COVID-19 and beyond: development of a comprehensive telemedical diagnostic framework
Purpose During the COVID-19 pandemic, a threatening bottleneck of medical staff arose due to a shortage of trained caregivers, who became infected while working with infectious patients. While telemedicine is rapidly evolving in the fields of teleconsultation and telesurgery, proper telediagnostic s...
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Veröffentlicht in: | International journal for computer assisted radiology and surgery 2021-08, Vol.16 (8), p.1403-1412 |
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container_title | International journal for computer assisted radiology and surgery |
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creator | Fuchtmann, Jonas Krumpholz, Roman Berlet, Maximilian Ostler, Daniel Feussner, Hubertus Haddadin, Sami Wilhelm, Dirk |
description | Purpose
During the COVID-19 pandemic, a threatening bottleneck of medical staff arose due to a shortage of trained caregivers, who became infected while working with infectious patients. While telemedicine is rapidly evolving in the fields of teleconsultation and telesurgery, proper telediagnostic systems are not yet available, although the demand for contactless patient–doctor interaction is increasing.
Methods
In this project, the current limitations were addressed by developing a comprehensive telediagnostic system. Therefore, medical examinations have been assessed in collaboration with medical experts. Subsequently, a framework was developed, satisfying the relevant constraints of medical-, technical-, and hygienic- aspects in order to transform in-person examinations into a contactless procedure. Diagnostic steps were classified into three groups: assisted procedures carried out by the patient, teleoperated examination methods, and adoptions of conventional methods.
Results
The Telemedical Diagnostic Framework was implemented, resulting in a functional proof of concept, where potentially infectious patients could undergo a full medical examination. The system comprises, e.g., a naso-pharyngeal swab, an inspection of the oral cavity, auscultation, percussion, and palpation, based on robotic end-effectors. The physician is thereby connected using a newly developed user-interface and a lead robot, with force feedback control, that enables precise movements with the follower robot on the patient’s side.
Conclusion
Our concept proves the feasibility of a fully telediagnostic system, that consolidates available technology and new developments to an efficient solution enabling safe patient-doctor interaction. Besides infectious situations, this solution can also be applied to remote areas. |
doi_str_mv | 10.1007/s11548-021-02424-y |
format | Article |
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During the COVID-19 pandemic, a threatening bottleneck of medical staff arose due to a shortage of trained caregivers, who became infected while working with infectious patients. While telemedicine is rapidly evolving in the fields of teleconsultation and telesurgery, proper telediagnostic systems are not yet available, although the demand for contactless patient–doctor interaction is increasing.
Methods
In this project, the current limitations were addressed by developing a comprehensive telediagnostic system. Therefore, medical examinations have been assessed in collaboration with medical experts. Subsequently, a framework was developed, satisfying the relevant constraints of medical-, technical-, and hygienic- aspects in order to transform in-person examinations into a contactless procedure. Diagnostic steps were classified into three groups: assisted procedures carried out by the patient, teleoperated examination methods, and adoptions of conventional methods.
Results
The Telemedical Diagnostic Framework was implemented, resulting in a functional proof of concept, where potentially infectious patients could undergo a full medical examination. The system comprises, e.g., a naso-pharyngeal swab, an inspection of the oral cavity, auscultation, percussion, and palpation, based on robotic end-effectors. The physician is thereby connected using a newly developed user-interface and a lead robot, with force feedback control, that enables precise movements with the follower robot on the patient’s side.
Conclusion
Our concept proves the feasibility of a fully telediagnostic system, that consolidates available technology and new developments to an efficient solution enabling safe patient-doctor interaction. Besides infectious situations, this solution can also be applied to remote areas.</description><identifier>ISSN: 1861-6410</identifier><identifier>EISSN: 1861-6429</identifier><identifier>DOI: 10.1007/s11548-021-02424-y</identifier><identifier>PMID: 34091871</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Computer Imaging ; Computer Science ; Coronaviruses ; COVID-19 ; Diagnostic systems ; End effectors ; Feedback control ; Health Informatics ; Imaging ; Inspection ; Medical personnel ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Pattern Recognition and Graphics ; Percussion ; Physical examinations ; Radiology ; Robot control ; Surgery ; Telemedicine ; Telesurgery ; Vision</subject><ispartof>International journal for computer assisted radiology and surgery, 2021-08, Vol.16 (8), p.1403-1412</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-a906295667fc7246dd73b76bbd8e6e0cda8748b5a7f0775ee1f582c6b64e63213</citedby><cites>FETCH-LOGICAL-c451t-a906295667fc7246dd73b76bbd8e6e0cda8748b5a7f0775ee1f582c6b64e63213</cites><orcidid>0000-0003-0257-1571</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11548-021-02424-y$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11548-021-02424-y$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids></links><search><creatorcontrib>Fuchtmann, Jonas</creatorcontrib><creatorcontrib>Krumpholz, Roman</creatorcontrib><creatorcontrib>Berlet, Maximilian</creatorcontrib><creatorcontrib>Ostler, Daniel</creatorcontrib><creatorcontrib>Feussner, Hubertus</creatorcontrib><creatorcontrib>Haddadin, Sami</creatorcontrib><creatorcontrib>Wilhelm, Dirk</creatorcontrib><title>COVID-19 and beyond: development of a comprehensive telemedical diagnostic framework</title><title>International journal for computer assisted radiology and surgery</title><addtitle>Int J CARS</addtitle><description>Purpose
During the COVID-19 pandemic, a threatening bottleneck of medical staff arose due to a shortage of trained caregivers, who became infected while working with infectious patients. While telemedicine is rapidly evolving in the fields of teleconsultation and telesurgery, proper telediagnostic systems are not yet available, although the demand for contactless patient–doctor interaction is increasing.
Methods
In this project, the current limitations were addressed by developing a comprehensive telediagnostic system. Therefore, medical examinations have been assessed in collaboration with medical experts. Subsequently, a framework was developed, satisfying the relevant constraints of medical-, technical-, and hygienic- aspects in order to transform in-person examinations into a contactless procedure. Diagnostic steps were classified into three groups: assisted procedures carried out by the patient, teleoperated examination methods, and adoptions of conventional methods.
Results
The Telemedical Diagnostic Framework was implemented, resulting in a functional proof of concept, where potentially infectious patients could undergo a full medical examination. The system comprises, e.g., a naso-pharyngeal swab, an inspection of the oral cavity, auscultation, percussion, and palpation, based on robotic end-effectors. The physician is thereby connected using a newly developed user-interface and a lead robot, with force feedback control, that enables precise movements with the follower robot on the patient’s side.
Conclusion
Our concept proves the feasibility of a fully telediagnostic system, that consolidates available technology and new developments to an efficient solution enabling safe patient-doctor interaction. Besides infectious situations, this solution can also be applied to remote areas.</description><subject>Computer Imaging</subject><subject>Computer Science</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Diagnostic systems</subject><subject>End effectors</subject><subject>Feedback control</subject><subject>Health Informatics</subject><subject>Imaging</subject><subject>Inspection</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Pattern Recognition and Graphics</subject><subject>Percussion</subject><subject>Physical examinations</subject><subject>Radiology</subject><subject>Robot control</subject><subject>Surgery</subject><subject>Telemedicine</subject><subject>Telesurgery</subject><subject>Vision</subject><issn>1861-6410</issn><issn>1861-6429</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><recordid>eNp9kUtvFDEQhC1ERB7wBzhZ4sJlgtvv4YCEllekSLkErpbH7tlMmBkv9uyi_fcxbBREDjm03JK_KlWrCHkN7BwYM-8KgJK2YRzqSC6b_TNyAlZDoyVvnz_swI7JaSm3jEllhHpBjoVkLVgDJ-R6dfXj4lMDLfVzpB3u0xzf04g7HNNmwnmhqaeehjRtMt7gXIYd0gVHnDAOwY80Dn49p7IMgfbZT_g75Z8vyVHvx4Kv7t8z8v3L5-vVt-by6uvF6uNlE6SCpfEt07xVWps-GC51jEZ0RnddtKiRheitkbZT3vTMGIUIvbI86E5L1IKDOCMfDr6bbVfzhBo3-9Ft8jD5vHfJD-7_n3m4ceu0cxZMa4WuBm_vDXL6tcWyuGkoAcfRz5i2xXElLJOaganom0fobdrmuZ5XqYoJaI2tFD9QIadSMvYPYYC5P6W5Q2mulub-lub2VSQOolLheY35n_UTqjskapk9</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Fuchtmann, Jonas</creator><creator>Krumpholz, Roman</creator><creator>Berlet, Maximilian</creator><creator>Ostler, Daniel</creator><creator>Feussner, Hubertus</creator><creator>Haddadin, Sami</creator><creator>Wilhelm, Dirk</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0257-1571</orcidid></search><sort><creationdate>20210801</creationdate><title>COVID-19 and beyond: development of a comprehensive telemedical diagnostic framework</title><author>Fuchtmann, Jonas ; Krumpholz, Roman ; Berlet, Maximilian ; Ostler, Daniel ; Feussner, Hubertus ; Haddadin, Sami ; Wilhelm, Dirk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-a906295667fc7246dd73b76bbd8e6e0cda8748b5a7f0775ee1f582c6b64e63213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Computer Imaging</topic><topic>Computer Science</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Diagnostic systems</topic><topic>End effectors</topic><topic>Feedback control</topic><topic>Health Informatics</topic><topic>Imaging</topic><topic>Inspection</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Pattern Recognition and Graphics</topic><topic>Percussion</topic><topic>Physical examinations</topic><topic>Radiology</topic><topic>Robot control</topic><topic>Surgery</topic><topic>Telemedicine</topic><topic>Telesurgery</topic><topic>Vision</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fuchtmann, Jonas</creatorcontrib><creatorcontrib>Krumpholz, Roman</creatorcontrib><creatorcontrib>Berlet, Maximilian</creatorcontrib><creatorcontrib>Ostler, Daniel</creatorcontrib><creatorcontrib>Feussner, Hubertus</creatorcontrib><creatorcontrib>Haddadin, Sami</creatorcontrib><creatorcontrib>Wilhelm, Dirk</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal for computer assisted radiology and surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fuchtmann, Jonas</au><au>Krumpholz, Roman</au><au>Berlet, Maximilian</au><au>Ostler, Daniel</au><au>Feussner, Hubertus</au><au>Haddadin, Sami</au><au>Wilhelm, Dirk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>COVID-19 and beyond: development of a comprehensive telemedical diagnostic framework</atitle><jtitle>International journal for computer assisted radiology and surgery</jtitle><stitle>Int J CARS</stitle><date>2021-08-01</date><risdate>2021</risdate><volume>16</volume><issue>8</issue><spage>1403</spage><epage>1412</epage><pages>1403-1412</pages><issn>1861-6410</issn><eissn>1861-6429</eissn><abstract>Purpose
During the COVID-19 pandemic, a threatening bottleneck of medical staff arose due to a shortage of trained caregivers, who became infected while working with infectious patients. While telemedicine is rapidly evolving in the fields of teleconsultation and telesurgery, proper telediagnostic systems are not yet available, although the demand for contactless patient–doctor interaction is increasing.
Methods
In this project, the current limitations were addressed by developing a comprehensive telediagnostic system. Therefore, medical examinations have been assessed in collaboration with medical experts. Subsequently, a framework was developed, satisfying the relevant constraints of medical-, technical-, and hygienic- aspects in order to transform in-person examinations into a contactless procedure. Diagnostic steps were classified into three groups: assisted procedures carried out by the patient, teleoperated examination methods, and adoptions of conventional methods.
Results
The Telemedical Diagnostic Framework was implemented, resulting in a functional proof of concept, where potentially infectious patients could undergo a full medical examination. The system comprises, e.g., a naso-pharyngeal swab, an inspection of the oral cavity, auscultation, percussion, and palpation, based on robotic end-effectors. The physician is thereby connected using a newly developed user-interface and a lead robot, with force feedback control, that enables precise movements with the follower robot on the patient’s side.
Conclusion
Our concept proves the feasibility of a fully telediagnostic system, that consolidates available technology and new developments to an efficient solution enabling safe patient-doctor interaction. Besides infectious situations, this solution can also be applied to remote areas.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>34091871</pmid><doi>10.1007/s11548-021-02424-y</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0257-1571</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Computer Imaging Computer Science Coronaviruses COVID-19 Diagnostic systems End effectors Feedback control Health Informatics Imaging Inspection Medical personnel Medicine Medicine & Public Health Original Original Article Pattern Recognition and Graphics Percussion Physical examinations Radiology Robot control Surgery Telemedicine Telesurgery Vision |
title | COVID-19 and beyond: development of a comprehensive telemedical diagnostic framework |
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