Multiple Video Delivery in m-Health Emergency Applications

M-health services are expected to become increasingly relevant in the management of emergency situations by enabling real-time support of remote medical experts. In this context, the transmission of multiple health-related video streams from an ambulance to a remote hospital can improve the efficacy of the teleconsultation service, but requires a large bandwidth to meet the desired quality, not always guaranteed by the mobile network. In order to deliver the multiple streams over a single bandwidth-limited wireless access channel, in this paper we propose a novel optimization framework that enables to classify the available video sources and to automatically select and adapt the best streams to transmit. The camera ranking algorithm jointly works with a cross-layer adaptation strategy for multiple scalable streams to achieve different objectives and/or tradeoffs in terms of number and target quality of the transmitted videos. The final goal of the optimization is to dynamically adjust the overall transmitted throughput to meet the actual available bandwidth, while being able to provide high quality to diagnostic video sequences and lower quality to less critical ambient videos. Numerical simulations considering a realistic emergency scenario with long term evolution advanced (LTE-A) connectivity show that the proposed content/context-aware solution is able to automatically select the best sources of information from a visual point of view and to achieve optimal end-to-end video quality for both the diagnostic and the ambient videos.