title: Real-time transmission of pediatric echocardiograms using a single ISDN line.
abstract: We tested the adequacy of a videoconferencing system using a single integrated systems digital network (ISDN) line (128 kilobits per second) for the remote diagnosis of children with suspected congenital heart disease (CHD). Real-time echocardiogram interpretation was compared to subsequent videotape review in 401 studies with concordance in 383 (95.5%) studies. A new diagnosis of CHD was made in 98 studies. Immediate patient transfer was arranged based upon a real-time diagnosis in five studies. In 300 studies, a normal diagnosis obviated further evaluation. A single ISDN line is adequate for transmission of pediatric echocardiograms and it allows for remote management of patients with CHD.
authors.affiliation: Pediatric Cardiovascular Program, Duke University Medical Center, Box 3090, Durham, NC 27710, USA. angelo.milazzo@duke.edu
authors.forename: Angelo S
authors.initials: AS
authors.lastname: Milazzo
authors.forename: J René
authors.initials: JR
authors.lastname: Herlong
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Li
authors.forename: Stephen P
authors.initials: SP
authors.lastname: Sanders
authors.forename: Mary
authors.initials: M
authors.lastname: Barrington
authors.forename: A Resai
authors.initials: AR
authors.lastname: Bengur
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003195:Computer Communication Networks / Q000295:instrumentation*; D016287:Computer Peripherals; D004452:Echocardiography / Q000295:instrumentation*; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008838:Microcomputers; D010348:Patient Care Team; D019114:Remote Consultation / Q000295:instrumentation*; D014743:Videotape Recording / Q000295:instrumentation*