The Nature and the Limitations of the Technology used for Telemedicine in Neurology

Authors

  • Blanka Mitera M.D. University of Warsaw, The School of Medical Law,Krakowskie Przedmieście 26/28, 00-927 Warsaw - Poland
  • Karolina Harasimowicz L.LD, University of Warsaw, The School of Medical Law, Krakowskie Przedmieście 26/28, 00-927 Warsaw - Poland
  • Marcin Donovan L.LM - University of Warsaw, The School of Medical Law,Krakowskie Przedmieście 26/28, 00-927 Warsaw– Poland

DOI:

https://doi.org/10.37506/bekd4q28

Keywords:

AI in neurology, medical algorithms, public health, telemedicine, e-monitoring.

Abstract

The pandemic fundamentally changed our lives and accelerated the adoption of artificial intelligence in the medical field. Despite the undeniable contribution of artificial intelligence, medical experiments and human knowledge are still necessary. The aim of this study is to compare the use of AI and ML in neurology as an effective method for screening, detection, evaluation, monitoring and development of neurological diseases. This article review was conducted on databases correlating the application of ML and AI techniques to the health law. It also addresses some of the disadvantages of applying medical algorithms to real-world and difficulties from a health law perspective. The study also considers the recommendations of researchers, clinical experts and policy makers for a model strategy to explore technology in the future. Current improvements in AI and ML have significantly improved neurological treatment - but also detection, evaluation and at the same time reduced human intervention in medical practice. Article seeks sustained and organised effort to treat neurological patients faster with the cultural, political, and economic pressures under which medicine functions.

Author Biographies

  • Blanka Mitera, M.D. University of Warsaw, The School of Medical Law,Krakowskie Przedmieście 26/28, 00-927 Warsaw - Poland

    M.D  University of Warsaw, The School of Medical Law,Krakowskie Przedmieście 26/28, 00-927 Warsaw - Poland 

  • Karolina Harasimowicz, L.LD, University of Warsaw, The School of Medical Law, Krakowskie Przedmieście 26/28, 00-927 Warsaw - Poland

    L.LD, University of Warsaw, The School of Medical Law, Krakowskie Przedmieście 26/28, 00-927 Warsaw - Poland   

  • Marcin Donovan, L.LM - University of Warsaw, The School of Medical Law,Krakowskie Przedmieście 26/28, 00-927 Warsaw– Poland

    L.LM - University of Warsaw, The School of Medical Law,Krakowskie Przedmieście 26/28, 00-927 Warsaw– Poland

References

López-Blanco R, Rodriguez AS, Cubo E, Gabilondo Í, Ezpeleta D, Labrador-Espinosa MÁ, Sánchez-Ferro Á, Tejero C, Matarazzo M, SEN's New Technologies Ad-Hoc Committee. Impact of new technologies on neurology in Spain. Review by the New Technologies Ad-Hoc Committee of the Spanish Society of Neurology. Neurología (English Edition). 2022 Jul 13. https://doi.org/10.1016/j.nrleng.2020.10.011

Chirra M, Marsili L, Wattley L, Sokol LL, Keeling E, Maule S, Sobrero G, Artusi CA, Romagnolo A, Zibetti M, Lopiano L. Telemedicine in neurological disorders: opportunities and challenges. Telemedicine and e-Health. 2019 Jul 1;25(7):541-50. https://doi.org/10.1089/tmj.2018.0101

Lo MD, Gospe Jr SM. Telemedicine and child neurology. Journal of child neurology. 2019 Jan;34(1):22-6. https://doi.org/10.1177/0883073818807516

Sakamaki T, Furusawa Y, Hayashi A, Otsuka M, Fernandez J. Remote patient monitoring for neuropsychiatric disorders: a scoping review of current trends and future perspectives from recent publications and upcoming clinical trials. Telemedicine and e-Health. 2022 Sep 1;28(9):1235-50. https://doi.org/10.1089/tmj.2021.0489

Tu CC, Weng SY, Hsieh NC, Cheng WC, Alizargar J, Chang KS. Increasing Use of Telemedicine for Neurological Disorders During the COVID-19 Pandemic: A Mini-Review. Journal of Multidisciplinary Healthcare. 2023 Dec 31:411-8. https://doi.org/10.2147/jmdh.s390013

Motolese F, Magliozzi A, Puttini F, Rossi M, Capone F, Karlinski K, Stark-Inbar A, Yekutieli Z, Di Lazzaro V, Marano M. Parkinson's disease remote patient monitoring during the COVID-19 lockdown. Frontiers in neurology. 2020 Oct 7;11:567413. https://doi.org/10.3389/fneur.2020.567413

Cubo E, Delgado-López PD. Telemedicine in the Management of Parkinson’s Disease: Achievements, Challenges, and Future Perspectives. Brain Sciences. 2022 Dec 19;12(12):1735.https://doi.org/10.3390/brainsci12121735

Gajarawala SN, Pelkowski JN. Telehealth benefits and barriers. The Journal for Nurse Practitioners. 2021 Feb 1;17(2):218-21. https://doi.org/10.1016/j.nurpra.2020.09.013

Liu JK, Kang R, Bilenkin A, Prorok R, Whiting J, Patel KB, Beer-Furlan A, Naso C, Rogers A, Castro XB, Peguero E. Patient satisfaction and cost savings analysis of the telemedicine program within a neuro-oncology department. Journal of Neuro-Oncology. 2022 Nov;160(2):517-25. https://doi.org/10.1007/s11060-022-04173-7

Gonçalves AS, Mayer I, Schulz RS, Flöel A, von Podewils F, Angermaier A, Wainwright K, Kurth T. Protocol for an economic evaluation of a tele-neurologic intervention alongside a stepped wedge randomised controlled trial (NeTKoH). BMC Health Services Research. 2023 Sep 22;23(1):1021. https://doi.org/10.1186/s12913-023-09985-5

Alenoghena CO, Ohize HO, Adejo AO, Onumanyi AJ, Ohihoin EE, Balarabe AI, Okoh SA, Kolo E, Alenoghena B. Telemedicine: a survey of telecommunication technologies, developments, and challenges. Journal of Sensor and Actuator Networks. 2023 Mar 2;12(2):20. https://doi.org/10.3390/jsan12020020

Jafarzadeh F, Rahmani F, Azadmehr F, Falaki M, Nazari M. Different applications of telemedicine-assessing the challenges, barriers, and opportunities-a narrative review. Journal of Family Medicine and Primary Care. 2022 Mar;11(3):879. https://doi.org/10.4103/jfmpc.jfmpc_1638_21

Abdul-Rahim S, Alshahrani S. Ethical Considerations in Telemedicine and Remote Healthcare. Saudi J Nurs Health Care. 2023;6(7):241-6. https://doi.org/10.36348/sjnhc.2023.v06i07.009

Knox L, McDermott C, Hobson E. Telehealth in long-term neurological conditions: the potential, the challenges and the key recommendations. Journal of Medical Engineering & Technology. 2022 Aug 18;46(6):506-17. https://doi.org/10.1080/03091902.2022.2040625

Algahtani HA, Shirah BH. Rapid implementation of telemedicine in Neurology during the COVID-19 pandemic: Challenges in King Abdulaziz Medical City-Jeddah. Neurosciences Journal. 2022 Jan 1;27(1):4-9. https://doi.org/10.17712/nsj.2022.1.20210080

Domingues RB, Mantese CE, Aquino ED, Fantini FG, Prado GF, Nitrini R. Telemedicine in neurology: current evidence. Arquivos de neuro-psiquiatria. 2020 Dec 7;78:818-26. https://doi.org/10.1590/0004-282x20200131

Gatter S, Brukamp K, Adolf D, Zerth J, Lorenzl S, Weck C. Neurological consultations via telemedicine for specialized outpatient palliative care (SOPC) at home and in hospice (TANNE project): study protocol for a randomized controlled trial. BMC Palliative Care. 2022 Dec;21(1):1-2. https://doi.org/10.1186/s12904-022-01088-y

Simpson, A., Doarn, C., & Garber, S. A Brief History of NASA's Contributions to Telemedicine. 2020. https://history.nasa.gov/NASAtelemedicine-briefhistory.pdf

Simpson AT, Doarn CR, Garber SJ. Interagency cooperation in the twilight of the great society: telemedicine, NASA, and the Papago nation. Journal of policy history. 2020 Jan;32(1):25-51. https://doi.org/10.1017/S0898030619000265

Achenbach SJ. Telemedicine: benefits, challenges, and its great potential. Health L. & Pol'y Brief. 2020;14:1.https://core.ac.uk/download/pdf/288206664.pdf

Alwood JS, Mulavara AP, Iyer J, Mhatre SD, Rosi S, Shelhamer M, Davis C, Jones CW, Mao XW, Desai RI, Whitmire AM. Circuits and Biomarkers of the Central Nervous System Relating to Astronaut Performance: Summary Report for a NASA-Sponsored Technical Interchange Meeting. Life. 2023 Aug 31;13(9):1852. https://doi.org/10.3390/life13091852

Childress SD, Williams TC, Francisco DR. NASA Space Flight Human-System Standard: enabling human spaceflight missions by supporting astronaut health, safety, and performance. npj Microgravity. 2023 Apr 3;9(1):31. https://doi.org/10.1038/s41526-023-00275-2

Downloads

Published

2024-07-04

How to Cite

The Nature and the Limitations of the Technology used for Telemedicine in Neurology. (2024). Indian Journal of Public Health Research & Development, 15(3), 7-11. https://doi.org/10.37506/bekd4q28