Research on Establishing Quality Control Standard of 5G Ultrasonic Remote Diagnosis System
Objective To establish the quality control standard of 5G ultrasonic remote diagnosis system,standardize the medical behavior of consultation physicians and physicians in primary hospitals,promote the improvement of diagnosis and treatment techniques of primary sonographers,improve the quality of remote ultrasound consultation and diagnosis,and provide reference and reference basis for the formulation of 5G telemedicine related norms and guidelines.Methods From October 2021 to May 2023,223 cases of ultrasonic consultation using 5G remote ultrasonic consultation system in Hainan Province were selected and included in the study.The quality control contents such as ultrasonic scan process,inspection section,dynamic and static image acquisition and transmission stability,whether the measurement section is standard,whether the reporting term is standardized and accurate,whether the critical value report is timely and effective,and the positive rate of examination were summarized,analyzed and compared for each case of remote ultrasonic consultation data.Results Among 223 patients,the consultation time of each patient was 10-25 min,with an average of(15.65±2.28)min;During the examination,the 5G network was stable and smooth without obvious delay,and the consultation doctors communicated smoothly with the patients and medical staff at the video end.In terms of the operation of doctors at the grass-roots end(inviting consultation end),most of the basic doctors'inspection operation is not standard enough,and it is gradually standardized after the guidance of the consultant.However,in some cases,because the consultant can't feel the real touch of the probe and the patient's body surface,it is difficult to guide the primary doctors to adjust the scanning method in time,and it is difficult to achieve subtle observation;Inspection section,dynamic and static image acquisition and transmission stability is good,but the quality of some images is slightly decreased after compression,the clarity of audio image information can be,and some images are not clear due to the operation of the inspection doctor at the operation end,personal experience and other reasons.In addition,due to the impact of scanning speed and patient breathing,some images of the inspection section have delays and reduced resolution.The results of consultation showed that the detection rate of 223 patients was 92.83%,the rate of missing and misdiagnosis was 7.17%,the positive rate was 81.16%,and the negative rate was 18.84%.Conclusion The establishment of quality control standards for 5G ultrasonic remote diagnosis system can effectively ensure the unobstructed of the network during remote examination,the smooth communication between the consultation physician and the video patients and the primary medical staff,and ensure the inspection process specifications,section standards,dynamic and static image acquisition specifications and transmission stability,which is helpful to improve the detection rate and reduce the incidence of missed diagnosis and misdiagnosis.
5G ultrasonic remote diagnosis systemQuality control standardsUltrasound consultation
万方数据
维普
