Mobile Ultrasound Systems as a Modern Tool for the Doctor

  • 1 National Medical Research Center for Preventive Medicine of the Ministry of Healthcare, Russian Federation

Abstract

Miniaturisation of ultrasound equipment in the form of a tablet- or smartphone-sized scanner is the result of rapid development of modern medical technology. Availability of mobile ultrasound devices has changed our approach to diagnostics of many cardiovascular diseases. Mobile visualisation can be performed at the patient’s bedside and is simple in use. The information obtained from mobile visualisation, despite being incomplete, is of undoubtable value for rapid diagnosis which leads to early treatment onset. These devices possess unique characteristics: low cost, wide availability, safety, and precision. These characteristics make them usable in different clinical scenarios by operators of different specialties and expertise. Visualisation and interpretation of the images is done fast and provides useful diagnostic, prognostic and treatment data for each situation. This review devotes main attention to the regulation of application of mobile ultrasound devices, the notion of “focus cardiac ultrasound” and its differences from emergency and elective expert echocardiography protocols as well as limitations and numerous advantages related to usage of mobile ultrasound systems.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1. Cardim N, Dalen H, Voigt JU, Ionescu A, Price S, Neskovic AN, et al. The use of handheld ultrasound devices: A position statement of the European Association of Cardiovascular Imaging (2018 update). Eur Heart J Cardiovasc Imaging. 2019;20(3):245–52. https://doi.org/10.1093/ehjci/jey145

  • 2. Mitchell C, Rahko PS, Blauwet LA, Canaday B, Finstuen JA, Foster MC, et al. Guidelines for Performing a Comprehensive Transthoracic Echocardiographic Examination in Adults: Recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2019;32(1):1–64. https://doi.org/10.1016/j.echo.2018.06.004

  • 3. Douglas PS, Khandheria BJ, Stainback RF. ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 appropriateness criteria for transthoracic and transesophageal echocardiography: A report of the American College of Cardiology Foundation Quality strategic directions committee appropriateness criteria working group, American Society of Echocardiography, American College of Emergency Physicians, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and the Society for Cardiovascular Magnetic Resonance. Endorsed by the American College of Chest Physicians and the Society of Critical Care Medicine. J Am Coll Cardiol. 2007;50(2):187–204. https://doi.org/10.1016/j.jacc.2007.05.003

  • 4. Picard MH, Adams D, Bierig SM, Dent JM, Douglas PS, Gillam LD, et al. American Society of Echocardiography Recommendations for Quality Echocardiography Laboratory Operations. J Am Soc Echocardiogr. 2011;24(1):1–10. https://doi.org/10.1016/j.echo.2010.11.006

  • 5. Razaak M, Martini MG, Savino K. A Study on Quality Assessment for Medical Ultrasound Video Compressed via HEVC. IEEE J Biomed Health Inform. 2014;18(5):1552–9. https://doi.org/10.1109/JBHI.2014.2326891

  • 6. Martini MG, Iacobelli L, Bergeron C, Hewage CT, Panza G, Piri E, et al. Real-time multimedia communications in medical emergency—The CONCERTO project solution. In: Proceedings of the 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Milan, Italy, 25–29 August 2015. Milan; 2015:7324–7. https://doi.org/10.1109/EMBC.2015.7320083

  • 7. Di Bello V, La Carruba S, Conte L, Fabiani I, Posteraro A, Antonini-Canterin F, et al. Incremental value of pocket-sized echo-cardiography in addition to physical examination during inpatient cardiology evaluation: A multicenter Italian study (SIEC). Echocardiography. 2015;32:1463–70. https://doi.org/10.1111/echo.12910

  • 8. Chamsi-Pasha MA, Sengupta PP, Zoghbi WA. Handheld Echo-cardiography: Current State and Future Perspectives. Circulation. 2017;136(22):2178–88. https://doi.org/10.1161/CIRCULATIONAHA.117.026622

  • 9. Spencer KT, Kimura BJ, Korcarz CE, Pellikka PA, Rahko PS, Siegel RJ. Focused Cardiac Ultrasound: Recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2013;26(6):567–81. https://doi.org/10.1016/j.echo.2013.04.001

  • 10. Nesković AN, Skinner H, Price S, Via G, De Hert S, Stankovic I, et al. Focus cardiac ultrasound core curriculum and core syllabus of the European Association of Cardiovascular Imaging. Eur Hear J Cardiovasc Imaging. 2018;19(5):475–81. https://doi.org/10.1093/ehjci/jey006

  • 11. Fukuda S, Shimada K, Kawasaki T, Fujimoto H, Maeda K, Inanami H, et al. Pocket-Sized Transthoracic Echocardiography Device for the Measurement of Cardiac Chamber Size and Function. Circ J. 2009;73(6):1092–6. https://doi.org/10.1253/circj.cj-08-1076

  • 12. Culp BC, Mock JD, Chiles CD, Culp WC. The Pocket Echo-cardiograph: Validation and Feasibility. Echocardiography. 2010;27(7):759–64. https://doi.org/10.1111/j.1540-8175.2009.01125.x

  • 13. Douglas PS, Garcia MJ, Haines DE, Lai WW, Manning WJ, Patel AR, et al. ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 Appropriate use criteria for echocardiography. J Am Soc Echocardiogr. 2011;24(3):229–67. https://doi.org/10.1016/j.echo.2010.12.008

  • 14. Panoulas VF, Daigeler AL, Malaweera AS, Lota AS, Baskaran D, Rahman S, et al. Pocket-size hand-held cardiac ultrasound as an adjunct to clinical examination in the hands of medical students and junior doctors. Eur Heart J Cardiovasc Imaging. 2013;14(4):323–30. https://doi.org/10.1093/ehjci/jes140

  • 15. Alexander JH, Peterson ED, Chen AY, Harding TM, Adams DB, Kisslo JA. Feasibility of point-of-care echocardiography by internal medicine house staff. Am Hear J. 2004;147(3):476–81. https://doi.org/10.1016/j.ahj.2003.10.010

  • 16. Ryan T, Berlacher K, Lindner JR, Mankad SV, Rose GA, Wang A. COCATS 4 task force 5: Training in echocardiography: Endorsed by the American Society of Echocardiography. J Am Soc Echocardiogr. 2015;28(6):615–27. https://doi.org/10.1016/j.echo.2015.04.014

OPEN ACCESS

Journal + Issues

Search