医疗数据的实时流-用于远程患者监测的Fontane架构及其实验评估

Alexander Schacht, Robert Wierschke, Martin Wolf, M. V. Löwis, A. Polze
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引用次数: 7

摘要

人口结构的转变和农村地区医疗专家数量的减少使得对远程病人监测的远程医疗系统的需求不断增长。特别是在心脏病的背景下,以流模式传输心电图(ECG)数据的可能性引起了人们的高度关注。然而,现有的带有GPRS、EDGE或UMTS等协议的蜂窝网络由于频繁的连接中断和数据流量的高带宽变化而非常不可靠。在本文中,我们提出了一个适合于在UMTS上进行实时心电流传输的系统。我们在柏林马拉松比赛的背景下描述了该系统的可用性实验,这是一个有40000名参与者的大型活动,其中5人携带装有我们的软件的设备进行实时ECG流。该系统成功地演示了在电子医疗保健设备和家庭经纪人之间使用近场蓝牙通信,并通过UMTS进行移动通信。即将推出的Fontane系统建立在当前原型收集的经验基础上。我们介绍了这些经验,并讨论了在不可靠的异构网络上实时传输医疗数据的一些挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Live Streaming of Medical Data - The Fontane Architecture for Remote Patient Monitoring and Its Experimental Evaluation
Demographic transition and the decreasing number of medical experts in rural areas create a growing demand for tele-medicine systems that allow remote patient monitoring. Especially in the context of heart diseases, the possibility to transmit electrocardiograph (ECG) data in a streaming mode is of high interest. However, available cellular networks with protocols like GPRS, EDGE or UMTS are highly unreliable due to frequent connection interruptions and high bandwidth variations for data traffic. In this paper, we present a system suitable for live ECG-streaming over UMTS. We describe a usability experiment of the system within the context of the Berlin-Marathon, a huge event with 40.000 participants - 5 of them carrying devices with our software for live ECG streaming. The systems successfully demonstrated the use of near-field Bluetooth communication between electronic health care devices and a home broker in conjunction with mobile communication via UMTS. The forthcoming Fontane system builds upon experiences collected with the current prototype. We present these experiences and discusses some of the challenges of live streaming of medical data across unreliable heterogeneous networks.
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