Mobile Diagnostic Imaging for Telestroke and More

Telestroke Imaging

• Telestroke diagnostic imaging needs set the bar for efficient access

• First phase of our program includes solidifying efficient access to time sensitive images from any mobile location using a mobile device

Defining the Needs

• Define physician/organizational needs

• Find the solution that meets the defined needs

• Find the most appropriate way to implement the solution

• Define sustainability needs

Telestroke Physician Needs

• Evaluating and observing the physicians needs

• Need to view CT and MR images quickly and reliably

• Mobile access (not just wifi, the ultimate in mobility)

• Solve access at its most difficult state of connectivity

Organizational Needs

• Resource evaluation for sustainability

• Image enable multiple initiatives with a single solution

Aneurysm

An aneurysm is a weak spot in the blood vessel that bulges out and fills with blood. This bulge puts pressure on surrounding tissues and nerves. It may leak or rupture (hemorrhage), spilling blood into surrounding areas of the brain.

Subarachnoid Hemorrhage

Uncontrolled bleeding into the space between the middle and innermost membranes. The blood within the arachnoid space can displace cerebrospinal fluid (CSF) and block delivery of nutrients to the brain cells. Ruptured aneurysms are the most common cause of SAH.

Intraventricular Hemorrhage

Intraventricular hemorrhage is uncontrolled bleeding into one or more of the brain’s ventricles. The ventricles are spaces in the brain that make and store cerebrospinal fluid which nourishes the brain. Blood in the ventricles can displace the CSF fluid and cause increased pressure within the brain.

Subdural Hematoma

A subdural hematoma occurs when vessels rupture or leak into the space between the two outermost membranes. The hematoma (mass of blood) compresses the brain and prevents the proper flow of nutrients. Trapped blood may clot, increasing the pressure even more.

The Value of Normal

3D Reconstruction

3D Reconstruction allows vessels to be mapped with spatial dimensions and gives a the specialist the ability to determine the best approach from a surgical perspective

Devices for Mobile Access

• Thin clients and tablets vs. • Thick clients

– The good, the bad, and the ugly

Methods of Image Rendering

1. Bring data to device for interpretation, local processing

2. Interpret and manipulate data remotely

Source Rendering Image data

Mobile Access Conclusion

Beyond Access

• The most secure way to share information is? • The most effective way to promote image based

HIE is? • The most cost effective way to share images is? • One device to support vs. multiple devices to

support • Commitment to useful thin client • One screen size fits all with centralized rendering

Implementation Options

• Hosted solution in a cloud environment

– Costs are tied to patient volumes

– Support resources required are minimal

• On premise location in local datacenter

– Local IT resources to support

– Minimally scalable

Lessons for Health Care in Retrievable Data Evolution

Media Access That Makes Cent$

Three Reasons to Accept the Cloud

Cloud Vendor Conclusion

• We chose a vendor that has experience in the federal sector

– Provides technology solutions for VA, DOD, and Armed Forces

– Implemented digital dental radiography solution to 80 Air Force sites worldwide

More Than Just Telestroke

• Radiologists evaluating use of mobile devices to extend their availability

• Academic needs

• Collaborative image sessions for virtual tumor boards

• Research initiatives that include diagnostic imaging

Ophthalmology Imaging and Population Health

Bringing it All Together

Guess The Yearly Cost for Mobile Image Access….. And Win!

Contact

Kyle Hall

402-559-4996

khall@nebraskamed.com