A real-time telemedicine system.


Francesca Frexia, Vittorio Meloni, Mauro Del Rio, Gianluigi Zanetti. E-mail:


Tele-health, when supported by solid economic and organizational design, can promote new care models (like hub-and-spoke distribution or home monitoring), fostering a rational and effective use of investments. Standard telemedicine technology proves its validity in several contexts, but is generally unsuitable to situations involving operator-dependent diagnostic techniques – it is not sufficient simply to store and send images, it also needs the timely application of specific expertise in order to complete the examination. Real-time solutions are usually proprietary and expensive and requires dedicated networks.


This real-time low cost telemedicine platform is able to support clinicians with the tele-presence of a specialist in real-time during echocardiographic evaluations. The developed platform allows echocardiographic exams to be performed remotely, without physical interaction between the patient and the specialist. The ultrasound analysis is operated by a third doctor who physically visits the patient, while the specialist guides the operator directly, viewing the echographic output and the examination scene at the same time. The system has proven its diagnostic value in trials in Sardinia and in Friuli Venezia Giulia. Also an AR (Augmented Reality) support has been introduced in the system to guide operators during examinations.

Innovative features

  • Open-source platform realised with commercial-off-the-shelf components that can be used also with older ultrasound devices, as the only requirement for the device is the presence of a video output. The platform has two versions, desktop (apple based) and mobile (android based).

Potential users

Researchers, developers, medical / paramedical and technical personnel in health care facilities, teachers and students in clinical / health disciplines, company professionals engaged in clinical information technology.

Impact sectors

Health - ICT

Other resources

  4. M. Del Rio, V. Meloni, F. Frexia, F. Cabras, R. Tumbarello, S. Montis, A. Marini, G. Zanetti, Augmented Reality for Supporting Real Time Telementoring: An Exploratory Study Applied to Ultrasonography. Proceedings of the 2nd International Conference on Medical and Health Informatics, page 218--222 - 2018.
  5. F. Zennaro, E. Neri, F. Nappi, D. Grosso, R. Triunfo, F. Cabras, F. Frexia, S. Norbedo, P. Guastalla, M. Gregori, E. Cattaruzzi, E. Barbi, M. Lazzerini, Real-Time Tele-Mentored Low Cost “Point-of-Care US” in the Hands of Paediatricians in the Emergency Department: Diagnostic Accuracy Compared to Expert Radiologists. PLoS ONE, Volume 11, Number 10, page 1-14 - october 2016.
  6. F. Zennaro, F. Nappi, E. Barbi, E. Neri, S. Norbedo, P. Guastalla, D. Grosso, F. Frexia, F. Cabras, G. Zanetti, R. Triunfo, Third level remote consulting to support FAST echography in pediatric emergency assistance by the use of COTS technology (Commercial Off The Shelf). Proceedings of IMIT (International Medical Informatics and Telemedicine) Conference 2014.
  7. F. Frexia, R. Triunfo, F. Cabras, C. Mascia, G. Zanetti, S. Montis, R. Tumbarello, Preliminary Cost-Benefit Analysis of a Real-Time Telemedicine System. eTELEMED 2014, The Sixth International Conference on eHealth, Telemedicine, and Social Medicine, page 257--262 - march 2014
  8. R. Triunfo, F. Frexia, F. Cabras, C. Buttu, V. Lecca, S. Gessa, S. Montis, P. Neroni, R. Tumbarello, Realtime Telemedicine in Pediatric Cardiology. eTELEMED 2013, The Fifth International Conference on eHealth, Telemedicine, and Social Medicine, page 320 --326 - february 2013
  9. F. Frexia, R. Triunfo, F. Cabras, S. Montis, P. Neroni and R. Tumbarello, Real-time tele-echocardiography to enable neonatal consultative services in remote districts. EUROPEAN HEART JOURNAL 33, 252-252, OXFORD UNIV PRESS 2012

Questo sito utilizza cookie tecnici e assimilati. Possono essere presenti anche cookie profilazione di terze parti. Se vuoi saperne di più o negare il consenso a tutti o ad alcuni cookie leggi l'informativa completa. Proseguendo nella navigazione (anche con il semplice scrolling) acconsenti all'uso dei cookie. This site uses technical and anonymized analytics cookies only. There may also be profiling third-party cookies. Please read the cookie information page to learn more about how we use cookies or blocking them. more information

The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this.