Diagnostico Diagnostico perinatal perinatal y y TELEMEDICINA TELEMEDICINA Prof.Dr.O.Ferrer-Roca Prof.Dr.O.Ferrer-Roca UNESCO Chair UNESCO Chair Telemedicine Telemedicine Congreso Nacional Congreso Nacional AEDP AEDP 6-7 Nov 2008 6-7 Nov 2008 Chair of Pathology Transforming Healthcare through Technology
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DiagnosticoDiagnostico perinatalperinatal y y
TELEMEDICINATELEMEDICINA
Prof.Dr.O.Ferrer-RocaProf.Dr.O.Ferrer-Roca
UNESCO Chair UNESCO Chair TelemedicineTelemedicine
Moore’s Law Moore’s Law Bell’s Corollary on Computer Class FormationBell’s Corollary on Computer Class FormationU
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Nanosensor sprays
El viaje fantastico
2004
Glucowatch
Foglet 5μ
CreationLevitationManipulationTeleportation
Hitachi 50μ RFIDTIN
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ters
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Bell´s law Bell´s law toto
CyberspacCyberspacee
New computer classesNew computer classes require new platforms, require new platforms, networks, and cyberization.networks, and cyberization.
New computer platformsNew computer platforms based on chip based on chip density evolution density evolution
New New apps and contentapps and content around each new around each new classclass
Each classEach class becomes a vertically becomes a vertically disintegrateddisintegrated industry based on industry based on hardware and hardware and software standards software standards ,, after it after it FLAILS FLAILS around 5-10 YEARSaround 5-10 YEARS
imageimage time-lapsed imagestime-lapsed images space is intended to emulate that of a spa.space is intended to emulate that of a spa. view images of your baby on a bubble-like screenview images of your baby on a bubble-like screen
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VIRTUAL SONOGRAPHYVIRTUAL SONOGRAPHY20002000
Ultrasound in Obs & GynecologyUltrasound in Obs & Gynecology 2000 16:102,. Ferrer-Roca et al.16:102,. Ferrer-Roca et al.
Three dimensional ultrasound reconstruction Three dimensional ultrasound reconstruction and telemedicine. Image analysis.and telemedicine. Image analysis.
J Med Internet ResJ Med Internet Res 20012001, June 22; 3 (2): e21. , June 22; 3 (2): e21.
Ferrer-Roca et al.Ferrer-Roca et al.Virtual Sonography through the Internet: Virtual Sonography through the Internet:
New ICT-tools New ICT-tools Health-GRID (2008)Health-GRID (2008)
GRID TECHNOLOGY IN TELEPATHOLOGY AND PERSONALIZED TREATMENTGRID TECHNOLOGY IN TELEPATHOLOGY AND PERSONALIZED TREATMENTFerrer-Roca OFerrer-Roca O. et al (2008). et al (2008)
In: Grid Technologies for eHealth: Applications for Telemedicine Services & Delivery
Editor: Dr. Ekaterina Kldiashvili. Georgian Telemedicine Union, Georgia
IGI Global Publ. Philadelphia. USA
Text Mining
Literature Based Discovery (LBD) technique that use annotations and data in existing biomedical sources to discover associations.
Image Mining
ISO 19115/19139 standard on image metadata ontologies,
new image technology new image technology & real-time capability & real-time capability
to mergeto merge an ongoing an ongoing ultrasound exam with ultrasound exam with previously acquired previously acquired CT, MR or US images. CT, MR or US images.
Photoacoustic Photoacoustic microscopy at super microscopy at super
depthsdepths3D tomographic photoacoustic microscopy (PAM) 3D tomographic photoacoustic microscopy (PAM)
• LightLight & & ultrasoundultrasound hybrid technology hybrid technology HIGH HIGH RESOLUTION IMAGING SUPER-DEPTH image. RESOLUTION IMAGING SUPER-DEPTH image.
•1. 1. Short-pulsed laserShort-pulsed laser light absorbed light absorbed causes an causes an increase in pressure via increase in pressure via thermoelastic expansionthermoelastic expansion. . •2. The increased pressure propagates through the tissue 2. The increased pressure propagates through the tissue as an ultrasonic wave, known as a as an ultrasonic wave, known as a photoacoustic wavephotoacoustic wave, , •3. The wave is detected by an 3. The wave is detected by an ultrasonic transducerultrasonic transducer that that produces electrical signals. produces electrical signals. •4. The signals are then 4. The signals are then amplified, digitizedamplified, digitized, and , and transferred to a computer, where an image is formed. transferred to a computer, where an image is formed.
PAM PAM optical irradiation, ultrasonic optical irradiation, ultrasonic detection, and image formation detection, and image formation
LLimited to imaging 1 to 2 mm below the surface in biological tissueimited to imaging 1 to 2 mm below the surface in biological tissue OCT OCT echo techniqueecho technique similar similar to UltraSound image
Depending on high-brightness and wide-spectrum light sources such as superluminescent diodes or ultrashort pulse lasers, OCT has achieved sub-micrometre resolution (with very wide-spectrum sources emitting over a ~100 nm wavelength range).
Resolution : EQUIVALENT TO LOW POWER MICROSCOPE.
OCT high resolution based on light
Optical Ultrasound: imaging reflections from tissue to provide cross-sectional images.
UH-resolution OCTSpectroscopic OCT- melanocytes Red
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OCT Microscope - OCT Microscope - EX1301 EX1301
Gloucestershire Royal Hospital and University College London Hospital (UCLH) are to trial Gloucestershire Royal Hospital and University College London Hospital (UCLH) are to trial MDL’s Optical Coherence Tomography (OCT) scanner for research into rapid in-vivo MDL’s Optical Coherence Tomography (OCT) scanner for research into rapid in-vivo identification of cancers affecting the cervix, oesophagus, skin, lung and other organs.identification of cancers affecting the cervix, oesophagus, skin, lung and other organs.
http://www.md-ltd.co.uk/
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OCT & Embrion OCT & Embrion developmentdevelopment
Animal development in vivoAnimal development in vivo
No hay razón, mas que los plazos éticos y de autorización para no hacerlo en humanos
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MEDICINE AT DISTANCEMEDICINE AT DISTANCE
Standardization Standardization & interoperability& interoperability Quality assurance Quality assurance Risk management & consumer/user confidenceRisk management & consumer/user confidence Plug & play Plug & play easy to use / easy to integrate easy to use / easy to integrate Portability & Mobility.Portability & Mobility.
La TM debe realizarse con criterio de calidad.La TM debe realizarse con criterio de calidad. La TM debe implantarse en PERINATOLOGIA.La TM debe implantarse en PERINATOLOGIA. La SONOGRAFIA VIRTUAL es de gran utilidad.La SONOGRAFIA VIRTUAL es de gran utilidad. Las NUEVAS MODALIDADES imagen la acercan Las NUEVAS MODALIDADES imagen la acercan
a la Anatomía Patológica.a la Anatomía Patológica.
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THANK YOU FOR YOUR THANK YOU FOR YOUR ATTENTIONATTENTION
““Who's who in the World”,Who's who in the World”, 1996- 1996-actact
““Who's who in Medicine and Healthcare”, 1999-act.Who's who in Medicine and Healthcare”, 1999-act. ““Who's who in Technology”, Who's who in Technology”, 1999-act. 1999-act. ““Who’s who of Professionals”, Who’s who of Professionals”, 2000-act. 2000-act. ““Who’s who in Science and Engineering”, 2001-act.Who’s who in Science and Engineering”, 2001-act.