Abstract: Congenital heart disease is infrequent and often isapparent in the immediate newborn period. Accuratediagnosis delivered in real-time or near-real-time isimportant to provide appropriate care to avoid patientmorbidity and mortality. Color-flow Dopplerechocardiograms are an essential part of the diagnosticassessment of the newborn, however, few hospitals havethe staff to interpret these studies appropriately.Transmission of these studies to a regional center withsubspecialists will allow interpretation of the studiesby physicians with expertise in this subspecialty.Transmission of these studies to a regional center withsubspecialists will allow interpretation of the studiesby physicians to appropriately and rapidly triageneonates with high-risk congenital heart disease. Tomake a teleradiology service affordable in the nearfuture, the 73 million bit per second transmissionspeed must be reduced to affordable bandwidths usingcompression. The purpose of this study is to evaluatethe impact of motion JPEG on the diagnostic quality ofpediatric echocardiograms. !7
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