Delivering Diagnostic Quality Video over Mobile Wireless Networks for Telemedicine

In real-time remote diagnosis of emergency medical events, mobility can be enabled by wireless video communications. However, clinical use of this potential advance will depend on definitive and compelling demonstrations of the reliability of diagnostic quality video. Because the medical domain has...

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Main Authors: Sira P. Rao, Nikil S. Jayant, Max E. Stachura, Elena Astapova, Anthony Pearson-Shaver
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:International Journal of Telemedicine and Applications
Online Access:http://dx.doi.org/10.1155/2009/406753
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author Sira P. Rao
Nikil S. Jayant
Max E. Stachura
Elena Astapova
Anthony Pearson-Shaver
author_facet Sira P. Rao
Nikil S. Jayant
Max E. Stachura
Elena Astapova
Anthony Pearson-Shaver
author_sort Sira P. Rao
collection DOAJ
description In real-time remote diagnosis of emergency medical events, mobility can be enabled by wireless video communications. However, clinical use of this potential advance will depend on definitive and compelling demonstrations of the reliability of diagnostic quality video. Because the medical domain has its own fidelity criteria, it is important to incorporate diagnostic video quality criteria into any video compression system design. To this end, we used flexible algorithms for region-of-interest (ROI) video compression and obtained feedback from medical experts to develop criteria for diagnostically lossless (DL) quality. The design of the system occurred in three steps-measurement of bit rate at which DL quality is achieved through evaluation of videos by medical experts, incorporation of that information into a flexible video encoder through the notion of encoder states, and an encoder state update option based on a built-in quality criterion. Medical experts then evaluated our system for the diagnostic quality of the video, allowing us to verify that it is possible to realize DL quality in the ROI at practical communication data transfer rates, enabling mobile medical assessment over bit-rate limited wireless channels. This work lays the scientific foundation for additional validation through prototyped technology, field testing, and clinical trials.
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spelling doaj-art-1740cdc3842a49d4bf4ede4ef77d78fa2025-08-20T02:04:54ZengWileyInternational Journal of Telemedicine and Applications1687-64151687-64232009-01-01200910.1155/2009/406753406753Delivering Diagnostic Quality Video over Mobile Wireless Networks for TelemedicineSira P. Rao0Nikil S. Jayant1Max E. Stachura2Elena Astapova3Anthony Pearson-Shaver4AEC Automotive, Texas Instruments Inc. Stafford, TX 77477, USASchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA 30332, USACenter for Telehealth, School of Medicine, Medical College of Georgia, Augusta, GA 30912, USACenter for Telehealth, School of Medicine, Medical College of Georgia, Augusta, GA 30912, USADepartment of Pediatrics, School of Medicine, Medical College of Georgia, Augusta, GA 30912, USAIn real-time remote diagnosis of emergency medical events, mobility can be enabled by wireless video communications. However, clinical use of this potential advance will depend on definitive and compelling demonstrations of the reliability of diagnostic quality video. Because the medical domain has its own fidelity criteria, it is important to incorporate diagnostic video quality criteria into any video compression system design. To this end, we used flexible algorithms for region-of-interest (ROI) video compression and obtained feedback from medical experts to develop criteria for diagnostically lossless (DL) quality. The design of the system occurred in three steps-measurement of bit rate at which DL quality is achieved through evaluation of videos by medical experts, incorporation of that information into a flexible video encoder through the notion of encoder states, and an encoder state update option based on a built-in quality criterion. Medical experts then evaluated our system for the diagnostic quality of the video, allowing us to verify that it is possible to realize DL quality in the ROI at practical communication data transfer rates, enabling mobile medical assessment over bit-rate limited wireless channels. This work lays the scientific foundation for additional validation through prototyped technology, field testing, and clinical trials.http://dx.doi.org/10.1155/2009/406753
spellingShingle Sira P. Rao
Nikil S. Jayant
Max E. Stachura
Elena Astapova
Anthony Pearson-Shaver
Delivering Diagnostic Quality Video over Mobile Wireless Networks for Telemedicine
International Journal of Telemedicine and Applications
title Delivering Diagnostic Quality Video over Mobile Wireless Networks for Telemedicine
title_full Delivering Diagnostic Quality Video over Mobile Wireless Networks for Telemedicine
title_fullStr Delivering Diagnostic Quality Video over Mobile Wireless Networks for Telemedicine
title_full_unstemmed Delivering Diagnostic Quality Video over Mobile Wireless Networks for Telemedicine
title_short Delivering Diagnostic Quality Video over Mobile Wireless Networks for Telemedicine
title_sort delivering diagnostic quality video over mobile wireless networks for telemedicine
url http://dx.doi.org/10.1155/2009/406753
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