Abstract Details

Title "Tele-EEG": Can the iPad Improve Accessibility for a New Frontier of EEG Interpretation?

Topic Clinical Neurophysiology

Presentation(s) P07 - (-)

Poster/Presentation
Number 187

Objective

Background BACKGROUND: Although the fundamental principles of recording an EEG have been unchanged for decades, the advances in digital technology has greatly advanced the field. The latest frontier of technology has been the invention of wireless technology and mobile devices (i.e. the iPad).

Design/Methods DESIGN/METHODS: Mayo Clinic Arizona epilepsy division offers EEG reading services at four different institutions across the state of Arizona, termed "tele-EEG," where they have remote access for intrepretation to all locations. There are two different EEG acquisition systems (Natus and Nihon-Koden) and two different methods to provide remote access (VMWare and Citrix). The iPad was compared to a standard laptop (HP EliteBook 2540p) and on-campus desktop access.

Results RESULTS: The cost of the iPad was significantly less than the laptop with a lighter weight and comporable screen resloution. The greatest disadvantage to the iPad over the laptop is screen size. "Boot-up" time was significantly longer for the laptop and desktop (2:19 and 3:38 versus 0:40). When remoting into all four insitiutions, the iPad was the same or faster as compared to the laptop or desktop, with the exception of being physically on-campus to open an EEG study. When comparing the laptop versus the iPad over a wifi network, there was no significant difference in performance when reading EEG. Of note, the 4G LTE nework had comporable performance as compared to wifi.

Conclusions CONCLUSIONS: With high volumes of EEGs, and multiple systems and facilities to read from, the efficiency of technology is essential to many physician practices. Despite the marginally smaller screen size; the ease of use, accessibility, and reliability make the use of the iPad a viable option for its integration into the tele-EEG practice.

Authors/Disclosures
Matthew T. Hoerth, MD, FAAN (Mayo Clinic Arizona) PRESENTER	Dr. Hoerth has a non-compensated relationship as a Epilepsy.com Editorial Board member with the Epilepsy Foundation of America that is relevant to AAN interests or activities.
Joseph F. Drazkowski, MD, FAAN (Mayo Clinic)	Dr. Drazkowski has nothing to disclose.
Katherine H. Noe, MD, PhD, FAAN (Mayo Clinic)	Dr. Noe has a non-compensated relationship as a committe member, Epilepsy MOC article review pilot with American Board of Psychiatry and Neurology that is relevant to AAN interests or activities.
Michael Levy, MD, PhD, FAAN (Massachusetts General Hospital/Harvard Medical School)	Dr. Levy has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Mitsubishi Pharma. Dr. Levy has received personal compensation in the range of $500-$4,999 for serving as a Consultant for UCB Pharma. Dr. Levy has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Sanofi. Dr. Levy has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Alexion. Dr. Levy has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Horizon. Dr. Levy has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Genentech. Dr. Levy has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Elsevier. Dr. Levy has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for Various law firms. The institution of Dr. Levy has received research support from National Institutes Health.
Joseph I. Sirven, MD, FAAN (Mayo Clinic)	Dr. Sirven has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for UCB. Dr. Sirven has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Neurelis. Dr. Sirven has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Neurona. Dr. Sirven has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for AAN. Dr. Sirven has received publishing royalties from a publication relating to health care. Dr. Sirven has received personal compensation in the range of $10,000-$49,999 for serving as a Host/ Co producer with WJCT Public Media. Dr. Sirven has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant with Federal Aviation Administration .

��ɫ��

��ɫ��