title: Evaluation of compressed video-images for emergency telemedicine work with trauma patients.
abstract: Video-encoders in telemedicine systems need to adjust their coding methods for operation on heterogeneous networks on which bandwidth fluctuates. We evaluated MPEG-4 compressed video-pictures of three trauma patients. We compared the original video-frames with compressed video-frames in terms of the peak signal-to-noise ratio (PSNR). In a qualitative evaluation, three emergency specialists scored the quality of the video-images blind, on a five-point scale (1= bad to 5 = excellent). The PSNR increased as the bit rate increased from 0.2 to 6 Mbit/s. When the bit rate was fixed, in other words at a given network bandwidth, a higher PSNR was obtained at the expense of spatial resolution and frame rate. The video quality was highly affected by the amount of camera shake. Emergency telemedicine systems require a high bit rate, high spatial resolution and a high frame rate to achieve optimum video quality. However, if the bandwidth is limited (i.e. the bit rate is fixed), temporal resolution becomes more important than spatial resolution.
authors.affiliation: Graduate School of Biomedical Engineering, Yonsei University, Seoul, Korea.
authors.forename: Dong-Keun
authors.initials: DK
authors.lastname: Kim
authors.forename: Sun K
authors.initials: SK
authors.lastname: Yoo
authors.forename: Ho-Hyun
authors.initials: HH
authors.lastname: Kang
authors.forename: In-Cheol
authors.initials: IC
authors.lastname: Park
authors.forename: Yoo S
authors.initials: YS
authors.lastname: Youn
authors.forename: Seung H
authors.initials: SH
authors.lastname: Kim
mesh_terms: D044962:Data Compression; D004630:Emergencies; D006801:Humans; D019114:Remote Consultation / Q000379:methods / Q000592:standards*; D016037:Single-Blind Method; D014743:Videotape Recording / Q000379:methods / Q000592:standards*; D014947:Wounds and Injuries / Q000175:diagnosis*