Original ArticlesTeleconferencing Using Multimedia Messaging Service (MMS) for Long-Range Consultation of Patients With Neurosurgical Problems in an Acute SituationWaran, Vicknes FRSC; Selladurai, Benedict M. FRCS; Bahuri, Nor Faizal Ahmad MBBS; George, George John K. Thomas MS; Lim, Grace P.S. MS; Khine, Myo MBBSAuthor Information From the Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Kuala Lumpur, Malaysia. Submitted for publication November 10, 2006. Accepted for publication April 13, 2007. Presented at the 40th Malaysian–Singapore Congress of Medicine 2006, 24th to 26th August 2006. Address for reprints: Vicknes Waran, Division of Neurosurgery, Department of Surgery, Faculty of Medicine, 50603 Kuala Lumpur, Malaysia; email: [email protected]. The Journal of Trauma: Injury, Infection, and Critical Care: February 2008 - Volume 64 - Issue 2 - p 362-365 doi: 10.1097/TA.0b013e318070cc88 Buy Metrics Abstract Background: We present our initial experience using a simple and relatively cost effective system using existing mobile phone network services and conventional handphones with built in cameras to capture carefully selected images from hard copies of scan images and transferring these images from a hospital without neurosurgical services to a university hospital with tertiary neurosurgical service for consultation and management plan. Methods: A total of 14 patients with acute neurosurgical problems admitted to a general hospital in a 6 months period had their images photographed and transferred in JPEG format to a university neurosurgical unit. This was accompanied by a phone conference to discuss the scan and the patients' condition between the neurosurgeon and the referring physician. All images were also reviewed by a second independent neurosurgeon on a separate occasion to asses the agreement on the diagnosis and the management plan. Results: There were nine patients with acute head injury and five patients with acute nontraumatic neurosurgical problems. In all cases both neurosurgeons were in agreement that a diagnosis could be made on the basis of the images that were transferred. With respect to the management advice there were differences in opinion on three of the patients but these were considered to be minor. Conclusion: Accurate diagnosis can be made on images of acute neurosurgical problems transferred using a conventional camera phone and meaningful decisions can be made on these images. This method of consultation also proved to be highly convenient and cost effective. © 2008 Lippincott Williams & Wilkins, Inc.