<s>
Remote	B-Application
guidance	I-Application
,	O
in	O
the	O
medical	O
context	O
,	O
refers	O
to	O
the	O
supervision	O
or	O
guidance	O
of	O
a	O
medical	O
task	O
,	O
usually	O
a	O
procedure	O
or	O
test	O
,	O
from	O
a	O
remote	O
location	O
.	O
</s>
<s>
This	O
falls	O
in	O
the	O
realm	O
of	O
real	B-General_Concept
time	I-General_Concept
telemedicine	B-Application
applications	O
.	O
</s>
<s>
By	O
way	O
of	O
example	O
,	O
a	O
radiologist	O
may	O
guide	O
an	O
ultrasound	B-Application
examination	O
from	O
a	O
remote	O
location	O
.	O
</s>
<s>
In	O
the	O
previous	O
example	O
,	O
a	O
diagnostic	O
quality	O
ultrasound	B-Application
can	O
be	O
accomplished	O
by	O
non-medically	O
trained	O
individuals	O
manipulating	O
an	O
ultrasound	B-Application
device	O
located	O
with	O
the	O
patient	O
under	O
guidance	O
from	O
a	O
remote	O
location	O
.	O
</s>
<s>
This	O
is	O
an	O
example	O
of	O
teleradiology	B-Application
If	O
appropriately	O
configured	O
,	O
the	O
remote	B-Application
guidance	I-Application
can	O
originate	O
from	O
another	O
room	O
or	O
floor	O
in	O
the	O
same	O
building	O
,	O
too	O
as	O
far	O
away	O
as	O
another	O
continent	O
or	O
even	O
planet	O
.	O
</s>
<s>
NASA	O
researchers	O
have	O
successfully	O
demonstrated	O
remote	B-Application
guidance	I-Application
of	O
diagnostic	O
level	O
cardiac	O
ultrasonography	O
using	O
ultrasound	B-Application
on	O
the	O
space	O
station	O
,	O
non-medical	O
astronauts	O
performing	O
the	O
exam	O
as	O
guided	O
by	O
a	O
terrestrially	O
located	O
expert	O
.	O
</s>
<s>
Remote	O
diagnostics	O
refers	O
to	O
a	O
real	B-General_Concept
time	I-General_Concept
telemedical	O
application	O
that	O
achieves	O
diagnostic	O
level	O
quality	O
and	O
information	O
exchange	O
.	O
</s>
<s>
In	O
the	O
telemedical	O
context	O
specific	O
to	O
radiologic	O
images	O
these	O
images	O
often	O
are	O
consistent	O
with	O
the	O
DICOM	B-Algorithm
standard	O
.	O
</s>
<s>
Given	O
bandwidth	O
issues	O
universally	O
plaguing	O
the	O
healthcare	O
environment	O
imagery	O
beyond	O
still	O
images	O
and	O
brief	O
video	O
has	O
not	O
yet	O
become	O
standard	O
expectation	O
of	O
care	O
environments	O
or	O
PACS	B-Application
systems	O
.	O
</s>
<s>
Ultrasound	B-Application
scanning	I-Application
commonly	O
utilized	O
for	O
abdomen	O
,	O
musculoskeletal	O
,	O
pelvis	O
,	O
gynecologic	O
,	O
cardiac	O
and	O
vascular	O
evaluations	O
has	O
shown	O
potential	O
for	O
remote	O
diagnosis	O
only	O
of	O
late	O
.	O
</s>
<s>
Recent	O
improvements	O
in	O
scanning	O
devices	O
,	O
for	O
example	O
ultrasound	B-Application
machines	I-Application
has	O
facilitated	O
this	O
new	O
capability	O
.	O
</s>
<s>
The	O
inclusion	O
of	O
the	O
VGA	B-Protocol
output	O
gives	O
the	O
opportunity	O
for	O
frame	B-Device
grabber	I-Device
devices	O
to	O
stream	O
such	O
outputs	O
to	O
the	O
internet	O
.	O
</s>
