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Telemedicine allows patients to visit with physicians through video conferencing for immediate care or send medical images and data to physicians for diagnosis and treatment. It provides access to healthcare for remote populations and enables a single radiologist to provide services to multiple hospitals around the world through electronic transmission of medical images. Key requirements for teleradiology include medical imaging systems, radiology information systems, and secure high-speed connectivity between sites.

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eMedicine Amy Biondi COM 300, Winter 2007

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Dr Sanjoy Sanyal, then Associate Professor, presented this at a seminar on 27 July2007 in Seychelles medical college. It talks about the technology behind Teleradiology (Bandwidth, Network, Image Resolution, DICOM, PACS etc), the Healthcare Applications, Telemammography, and limitations. Educational value of this material is multi-dimensional involving Information Technology, Healthcare, Administration, Medical Professionals, Radiologists, Medical Informaticians, Technology Marketing Specialists

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Medical imaging is part of a changing medical environment, a changing patient environment and consequently a new medical world. In the recent decennium one of the most important changes in radiology is the conversion from analogue to digital. In no time medical images have become interchangeable through the digital highway and could be postprocessed in a different location. Teleradiology has become a reality since then. We have seen the maturation of commercial international teleradiology companies offering a wide portfolio of services. Another aspect is the availability of image data for all medical specialties beyond radiology and beyond the regular medical disciplines. An increasing number of surgical or oncological specialties and even pharmaceutical companies increasingly use image data to prepare a strategy for operative procedures, to choose the right therapy, to decide which prosthesis to the best to use, for follow-up or for post-processing purposes. They are supported by many new techniques and software. An increasing number of medical computer applications such as complex navigation and visualisation tools based upon digital images is already in clinical use or under development. Another trend is the increasing interest in E-health and telemedicine in Europe, also among European policy makers. Now we see mobile health that brings care directly into the patient environment. The purpose of this presentation is to give a comprehensive overview of and insight into these new developments and to create awareness among radiologists of the increasing importance of integration of medical imaging in a multidisciplinary environment.

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In this thesis the impact of digitisation on radiology is analysed based upon diverse initiatives and research projects that were conducted in the period between the early days and now. Various topics such as web-based sharing of radiological images, teleradiology, digital communication and advanced processing of medical data, are discussed. Based on these findings the author formulates his vision and advises about the future role of the radiologist. In the dissertation The impact of information technology on radiology services the author describes the most important changes that took place in the field of information technology since the end of past century, and their impact on radiology. A real revolution has been provoked in radiology by the complete digitisation of medical imaging and the deep integration of Internet in both society and healthcare. Digital archiving, processing and distribution of radiological images, as well as the development of various types of teleradiology, are an important part of this change. Radiology is facing many new challenges and opportunities due to the on-going exchangeability, integration and automated analysis of medical data and images. Other major trends such as the increasing personalisation of medicine and growing engagement of patients in their healthcare process are also significantly influencing this turnaround in radiology.

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Medsynaptic’s teleradiology solution is a highly sophisticated solution for quick imaging results, image transfer, and image retrieval. It proves to be highly useful in rural areas, where patients or radiologists do not have access to resources that enable the physical transport of medical images to cities. Some features of Teleradiology include the following. • Uploading both DICOM and non-DICOM images • Authorized and remote access to the worklist and images • High-level image processing with features like W/L, zoom, pan, and measurements • Report creation on the server from templates

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Telemedicine is an upcoming field in health science arising out of the effective fusion of Information and Communication Technologies (ICT) with Medical Science having enormous potential in meeting the challenges of healthcare delivery to rural and remote areas . Telemedicine is an upcoming field in health science arising out of the effective fusion of Information and Communication Technologies (ICT) with Medical Science having enormous potential in meeting the challenges of healthcare delivery to rural and remote areas .

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1. eMedicine Amy Biondi COM 300, Winter 2007

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E Medicine

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