Abstract
The amount of medical video data that has to be securely stored has been growing exponentially. This rapid expansion is mainly caused by the introduction of higher video resolution such as 4K and 8K to medical devices and the growing usage of telemedicine services, along with a general trend toward increasing transparency with respect to medical treatment, resulting in more and more medical procedures being recorded. Such video data, as medical data, must be maintained for many years, resulting in datasets at the exabytes scale that each hospital must be able to store in the future. Currently, hospitals do not have the required information and communications technology infrastructure to handle such large amounts of data in the long run. In this paper, we discuss the challenges and possible solutions to this problem. We propose a generic architecture for a holistic, end-to-end recording and storage platform for hospitals, define crucial components, and identify existing and future solutions to address all parts of the system. This paper focuses mostly on the recording part of the system by introducing the major challenges in the area of bioinformatics, with particular focus on three major areas: video encoding, video quality, and video metadata.
Highlights
In recent years, technologies and services in the areas of electronic health and telemedicine have been evolving more and more rapidly
In many European countries, the law is being changed so that remote medical treatments conducted using information and communications technology (ICT) systems are recognized as valid medical procedures
There is a general trend toward increasing transparency when it comes to medical treatment, and to improve the quality of services provided to the patient
Summary
Technologies and services in the areas of electronic health (eHealth) and telemedicine have been evolving more and more rapidly. An end-to-end solution for the recording, secure storage, and access to records of medical procedures conducted locally in hospitals and health care centers is needed along with using telemedicine systems This requires new approaches to video coding, image quality, transmission, and security. The high-level scenarios that need medical video recording (marked with green in Figure 1) are: (1) patient eHealth, involving telemedical situations in which the patient is connected with the doctor using the web or mobile solutions providing videoconferencing services; (2) surgery and procedures, which include scenarios in which the hospital or health care center needs to record medical procedures or surgeries; and (3) real-time telemedicine, which includes https://biomedeng.jmir.org/2020/1/e18139. Based on this experience and activity, PSNC can become the first operator to introduce secure cloud storage services on the Polish market
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