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Published on: 9/19/2008
Last Visited: 9/19/2008
At Oregon Health Sciences University, Dr. David Sahn leads a team of pediatric cardiologists who are conducting real-time telemedicine consults.Sahn is a pioneer in the field who did the first 2-D echocardiogram on a baby in 1971 while a fellow at the University of California-San Diego.Dr. Sahn and his team use Picturetel systems running at 384 kbps to guide medical technicians and physicians while they are doing the echo. "The only way to do cardiac images is with moving images, because the heart moves," according to Dr. Sahn."In contrast, to view a radiology image of a liver or a kidney, a still image is fine."
While OHSU is currently using real-time video, Dr. Sahn believes that store-and-forward will replace some of the real-time consults."The major disadvantage of real time is that both people have to be there," he notes.
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what he's looking at and have him capture the video," explains Dr. Sahn."Tight protocols have to be established."
The DICOM international standard
Once the protocols are in place for store-and-forward pediatric cardiology, Dr. Sahn believes that stored clips can become a useful part of a medical record.He also says that the ability to annotate and sift
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Dr. Sahn adds that ultimately store-and-forward telemedicine should
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