title: A health insurance portability and accountability act-compliant ocular telehealth network for the remote diagnosis and management of diabetic retinopathy.
abstract: In this article, we present the design and implementation of a regional ocular telehealth network for remote assessment and management of diabetic retinopathy (DR), including the design requirements, network topology, protocol design, system work flow, graphics user interfaces, and performance evaluation. The Telemedical Retinal Image Analysis and Diagnosis Network is a computer-aided, image analysis telehealth paradigm for the diagnosis of DR and other retinal diseases using fundus images acquired from primary care end users delivering care to underserved patient populations in the mid-South and southeastern United States.
authors.affiliation: Hamilton Eye Institute, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA.
authors.forename: Yaqin
authors.initials: Y
authors.lastname: Li
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Karnowski
authors.forename: Kenneth W
authors.initials: KW
authors.lastname: Tobin
authors.forename: Luca
authors.initials: L
authors.lastname: Giancardo
authors.forename: Scott
authors.initials: S
authors.lastname: Morris
authors.forename: Sylvia E
authors.initials: SE
authors.lastname: Sparrow
authors.forename: Seema
authors.initials: S
authors.lastname: Garg
authors.forename: Karen
authors.initials: K
authors.lastname: Fox
authors.forename: Edward
authors.initials: E
authors.lastname: Chaum
mesh_terms: D003195:Computer Communication Networks / Q000331:legislation & jurisprudence / Q000458:organization & administration / Q000592:standards; D016494:Computer Security / Q000331:legislation & jurisprudence / Q000592:standards; D003930:Diabetic Retinopathy / Q000175:diagnosis* / Q000628:therapy*; D003936:Diagnosis, Computer-Assisted / Q000379:methods / Q000592:standards; D019468:Disease Management; D020408:Health Insurance Portability and Accountability Act; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods* / Q000592:standards; D008922:Mississippi; D009657:North Carolina; D009885:Ophthalmology / Q000379:methods / Q000458:organization & administration* / Q000592:standards; D017216:Telemedicine / Q000331:legislation & jurisprudence / Q000379:methods* / Q000592:standards; D013714:Tennessee; D014481:United States