Application analysis of 5G in the diagnosis of patients with congenital heart disease in Tibet, China

Abstract

Abstract Objective To explore the value of 5G in remote diagnosis of congenital heart disease in patients in Nagqu area of Tibet. Methods A retrospective analysis was performed for 51 patients with congenital heart disease who underwent 5G remote diagnosis in Nagqu area of Tibet, and the results of expert consultation, other imaging examinations (CT, MRI, etc.) and follow-up results were used as reference diagnostic criteria to evaluate the accuracy of 5G remote ultrasound diagnosis, and the images of physicians' operating experience on the examination duration were analyzed, and the differences in application experience between doctors and patients were evaluated. Results The duration of remote ultrasound examination in each patient was 10-27 min, with an average of (19.21±4.76) min, according to the reference standard, among the 51 cases, 46 cases were positive, 5 cases were negative, 41 cases were positive and 10 cases were negative in 5G, 46 cases were correctly diagnosed, and 5 cases were missed, including 1 case of ventricular septal defect subtrunk type, 2 cases of patent ductus arteriosus and 1 case of others, and the accuracy of the diagnosis of congenital heart disease was 90.19%, the sensitivity was 89.13%, and the specificity was 100% The missed diagnosis rate was 10.86%. All 51 cases were examined by the same physician when they had primary, intermediate and advanced experience, 20, 14 and 17 cases were examined, 3 cases, 1 case and 1 case were missed, and the examination duration was (20.71±3.32) min, (17.30±2.56) min and (14.11±3.01) min, respectively, and the overall comparison and the difference between the two comparisons were statistically significant (P<0.05）。Compared with traditional bedside ultrasound, the tension score of patients in 5G remote ultrasound examination was lower (P<0.05), but the latter's probe compression comfort and privacy protection satisfaction scores were higher (all P<0.05). Conclusions 5G remote ultrasound examination can be used to quickly and real-time diagnose congenital heart disease in areas with scarce medical resources such as Nagqu, and the performance is better.