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
Background:At present,no commercially available endoscopic system is specifically designed for use in the battlefield,disaster relief,or unique environments with biosafety concerns.Therefore,this limitation stems from...Background:At present,no commercially available endoscopic system is specifically designed for use in the battlefield,disaster relief,or unique environments with biosafety concerns.Therefore,this limitation stems from challenges such as limited portability,reliance on stable power,complex disinfection processes,and the risk of incomplete sterilization.To address these challenges,we developed a novel portable endoscopic system and evaluated its safety and effectiveness in both routine settings and specialized scenarios,including the global pandemic caused by a novel coronavirus,which represents an environment with biosafety concerns.Methods:After sample size calculation,30 patients underwent esophagogastroduodenoscopy(EGD)or colonoscopy using the YunSendo(the experimental group)and Olympus systems(the control group)in a randomized order.Operation time,image quality,operational performance,lesion detection,and safety were assessed.Ten emergency patients with suspected upper gastrointestinal bleeding received bedside treatment using the YunSendo system during the global pandemic caused by a novel coronavirus.Clinical outcomes in emergency endoscopic treatment were assessed.Results:No significant differences were observed between the YunSendo and Olympus groups in terms of image quality,lesion detection,and overall procedural performance.YunSendo facilitated biopsy and colonic polyp removal;no adverse endoscopy events were reported.YunSendo successfully executed diagnostic and therapeutic procedures in emergencies,with no observed mortality at 1,7,or 30 d,no rebleeding at 1 or 30 d,and no cross-infection rates.Conclusions:The performance of the YunSendo portable endoscopic system was comparable to the Olympus system in terms of key metrics,demonstrating its utility in urgent scenarios.This novel system is particularly promising for medical rescue and military missions and for addressing battlefield and biosafety concerns.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.
基金supported by the Twelfth Five-Year Key Project(WS13C027)the Extended Trial Project of Medical and Health Achievements(19WKS10)+6 种基金the Major Science and Technology Program of Hainan Province(ZDKJ2019012)the Clinical Research Supporting Fund of the Chinese PLA General Hospital(2018FC-WJFWZX-2-15)the Research on Health Beneficial Bacteria and Metabolites to Enhance Military Operational Capability(GCCRC-2024-002)the Innovation Laboratory of Terahertz Biophysics(23-163-00-GZ-001-001-02-03)the Special Health Care Project of Logistics Scientific Research Project(23BJZ03)the Hospital’s"3+1"Innovative Talent ProgramNational Natural Science Foundation of China(32170898)。
文摘Background:At present,no commercially available endoscopic system is specifically designed for use in the battlefield,disaster relief,or unique environments with biosafety concerns.Therefore,this limitation stems from challenges such as limited portability,reliance on stable power,complex disinfection processes,and the risk of incomplete sterilization.To address these challenges,we developed a novel portable endoscopic system and evaluated its safety and effectiveness in both routine settings and specialized scenarios,including the global pandemic caused by a novel coronavirus,which represents an environment with biosafety concerns.Methods:After sample size calculation,30 patients underwent esophagogastroduodenoscopy(EGD)or colonoscopy using the YunSendo(the experimental group)and Olympus systems(the control group)in a randomized order.Operation time,image quality,operational performance,lesion detection,and safety were assessed.Ten emergency patients with suspected upper gastrointestinal bleeding received bedside treatment using the YunSendo system during the global pandemic caused by a novel coronavirus.Clinical outcomes in emergency endoscopic treatment were assessed.Results:No significant differences were observed between the YunSendo and Olympus groups in terms of image quality,lesion detection,and overall procedural performance.YunSendo facilitated biopsy and colonic polyp removal;no adverse endoscopy events were reported.YunSendo successfully executed diagnostic and therapeutic procedures in emergencies,with no observed mortality at 1,7,or 30 d,no rebleeding at 1 or 30 d,and no cross-infection rates.Conclusions:The performance of the YunSendo portable endoscopic system was comparable to the Olympus system in terms of key metrics,demonstrating its utility in urgent scenarios.This novel system is particularly promising for medical rescue and military missions and for addressing battlefield and biosafety concerns.
