Objective To establish a portable gastrointestinal endoscopy telemedicine platform that enables the realtime transmission of endoscopy audio and video data to the consulting physicians through 5G communication technol...Objective To establish a portable gastrointestinal endoscopy telemedicine platform that enables the realtime transmission of endoscopy audio and video data to the consulting physicians through 5G communication technology,and to evaluate the effectiveness of this platform.Methods From October 10 to October 20,2023,30 cases(16 cases from Sanya,Hainan Province,and 14 cases from Zhanjiang,Guangdong Province)from primary health institutions were selected for portable gastrointestinal endoscopy telemedicine consultations with a tertiary hospital in Shanghai.5G network transmission parameters were recorded,and the lesion detection rate of the examination side and the consultation side,as well as the quality of the videos and images were compared.Results The 5G network transmission parameters for telemedicine from Sanya and Zhanjiang to Shanghai included download network speeds of 168.3 Mbps and 160.4 Mbps,upload network speeds of 75.1 Mbps and 72.4 Mbps,and delays of 28 ms and 25 ms,respectively.There was no significant difference in the lesion detection rate[43.3%(13/30)VS 36.7%(11/30),X^(2)=0.792,P=0.598]between the physicians on the examination side and the consultation side.The endoscopic video quality(2.92±0.59 points VS 2.88±0.64 points,t=0.302,P=0.763)and picture quality(3.10±0.57 points VS 3.05±0.53 points,t=0.424,P=0.622)were compared by two senior endoscopists between the examination side and the consultation side,indicating no significant difference.Conclusion The utilization of portable gastrointestinal endoscopy for telemedicine based on 5G network technology is effective in enabling telemedicine consultations and providing operational guidance.This approach enhances the procedural skills and diagnostic capabilities of physicians in primary healthcare settings,facilitating the equitable distribution of high-quality medical resources.展开更多
文摘Objective To establish a portable gastrointestinal endoscopy telemedicine platform that enables the realtime transmission of endoscopy audio and video data to the consulting physicians through 5G communication technology,and to evaluate the effectiveness of this platform.Methods From October 10 to October 20,2023,30 cases(16 cases from Sanya,Hainan Province,and 14 cases from Zhanjiang,Guangdong Province)from primary health institutions were selected for portable gastrointestinal endoscopy telemedicine consultations with a tertiary hospital in Shanghai.5G network transmission parameters were recorded,and the lesion detection rate of the examination side and the consultation side,as well as the quality of the videos and images were compared.Results The 5G network transmission parameters for telemedicine from Sanya and Zhanjiang to Shanghai included download network speeds of 168.3 Mbps and 160.4 Mbps,upload network speeds of 75.1 Mbps and 72.4 Mbps,and delays of 28 ms and 25 ms,respectively.There was no significant difference in the lesion detection rate[43.3%(13/30)VS 36.7%(11/30),X^(2)=0.792,P=0.598]between the physicians on the examination side and the consultation side.The endoscopic video quality(2.92±0.59 points VS 2.88±0.64 points,t=0.302,P=0.763)and picture quality(3.10±0.57 points VS 3.05±0.53 points,t=0.424,P=0.622)were compared by two senior endoscopists between the examination side and the consultation side,indicating no significant difference.Conclusion The utilization of portable gastrointestinal endoscopy for telemedicine based on 5G network technology is effective in enabling telemedicine consultations and providing operational guidance.This approach enhances the procedural skills and diagnostic capabilities of physicians in primary healthcare settings,facilitating the equitable distribution of high-quality medical resources.
