Optimizing and validating the technical infrastructure of a novel tele-cystoscopy system.
BACKGROUND
Bladder cancer is the most costly malignancy to manage per capita due to the technical nature and intensity of follow-up. There are few urologists in rural areas, often necessitating that patients travel hours to receive follow-up care multiple times per year. We plan to train registered nurses and allied health professionals to perform cystoscopies which are monitored and interpreted in real-time by board-certified urologists. The key is to ensure optimal picture resolution to guarantee this technology is not inferior to traditional cystoscopy. Our objective was to develop the technical infrastructure needed for a tele-cystoscopy system through assessment of the transmitted video quality using expert reviewers and crowd-sourcing.


METHODS
All combinations of the tele-cystoscopy system were systematically tested using a single Thiel cadaver. The videos were reviewed by expert urologists and general reviewers using a crowd-sourcing website. The video quality responses were assessed to determine concordance between each set of reviewers, and to determine the optimal equipment that should be selected for the tele-cystoscopy system.


RESULTS
Of eight equipment combinations, only two were of high enough quality to be appropriate for medical use. We found there to be strong concordance of responses between the expert and crowd-sourced responses. The trade-offs between cost and tele-cystoscopy system component quality were compared with efficiency frontiers to elucidate the optimal system.


CONCLUSIONS
We created and tested the feasibility of a tele-cystoscopy system that was deemed suitable for medical diagnosis by a group of experts. We further validated tele-cystoscopy video quality using both experts and recently validated crowd-sourcing.
Urology, University of Virginia, USA.
Helen Y
HY
Hougen
Public Health Sciences, University of Virginia, USA.
Jennifer M
JM
Lobo
Telehealth, University of Virginia, USA.
Thomas
T
Corey
School of Nursing, University of Virginia, USA.
Randy
R
Jones
Telehealth, University of Virginia, USA.
Karen
K
Rheuban
Urology, University of Virginia, USA.
Noah S
NS
Schenkman
Urology, University of Virginia, USA tlk6f@virginia.edu.
Tracey L
TL
Krupski
D003362:Cost-Benefit Analysis; D063045:Crowdsourcing; D003558:Cystoscopy / Q000379:methods; D006801:Humans; D019035:Rural Health Services / Q000458:organization & administration; D017216:Telemedicine / Q000295:instrumentation / Q000379:methods / Q000458:organization & administration*; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D049269:Videoconferencing / Q000295:instrumentation / Q000458:organization & administration / Q000592:standards
Cost benefits; crowd-sourcing; tele-oncology; telesurgery