A Comparison of WebRTC and Conventional Videoconferencing for Synchronized Remote Medical Image Presentation.

DICOM viewers must fulfill roles beyond primary diagnostic interpretation, including serving as presentation tools in teaching and multidisciplinary conferences, thereby enabling multiple individuals to review images collaboratively in real time. When in-person gathering is not possible, a variety o...

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Publicado en:Journal of Digital Imaging Vol. 35; no. 1; pp. 68 - 77
Autores principales: Patel, Vishal, Li, Charles H., Rye, Van, Liu, Chia-Shang J., Lerner, Alexander, Acharya, Jay, Rajamohan, Anandh G.
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature Feb2022
Acceso en línea:Ver este registro en EBSCOhost
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          Patel, Vishal
          Li, Charles H.
          Rye, Van
          Liu, Chia-Shang J.
          Lerner, Alexander
          Acharya, Jay
          Rajamohan, Anandh G.
        affil: Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, 2025 Zonal Ave, 90033, Los Angeles, CA, USA
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          DICOM
          Data Display
          Videoconferencing
          Communication Methods
          Human
          Female
          Male
          Diagnostic Imaging Standards
          Quality Assessment
          Radiologists
          Descriptive Statistics
          Female
          Male
      ab: DICOM viewers must fulfill roles beyond primary diagnostic interpretation, including serving as presentation tools in teaching and multidisciplinary conferences, thereby enabling multiple individuals to review images collaboratively in real time. When in-person gathering is not possible, a variety of solutions have been deployed to maintain the ability for spatially separated users to view medical images simultaneously. These approaches differ in their backend architectures, utilization of application-specific optimizations, and ultimately in their end user satisfaction. In this work, we systematically compare the performance of conventional screensharing using a videoconferencing application with that of a custom, synchronized DICOM viewer linked using Web Real Time Communications (WebRTC) technology. We find superior performance for the WebRTC method with regard to image quality and latency across a range of simulated adverse network conditions, and we show how increasing the number of conference participants differentially affects the bandwidth requirements of the two viewing solutions. In addition, we compare these two approaches in a real-world teaching scenario and gather the feedback of trainee and faculty radiologists, who we found to favor the WebRTC method for its decreased latency, improved image quality, ease of setup, and overall experience. Ultimately, our results demonstrate the value of application-specific solutions for the remote synchronized viewing of medical imaging, which, given the recent increase in reliance on remote collaboration, may constitute a significant consideration for future enterprise viewer procurement decisions.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
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        Journal Article
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    language: English
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