News | January 15, 2015

Tele-Echo Training Employed for Physicians in India

Training with American Society of Echocardiography yields increased confidence in point-of-care echocardiography

StatVideo, EchoBox, GE, Vivid, India, tele-echo, telecardiology, teleradiology

January 15, 2015 — At Medanta Hospital in Gurgaon, India, five EchoBox devices were connected to five GE Vivid ultrasound systems, streaming live echo images over the Web to experienced sonographers located in the United States. The sonographers were members of the American Society of Echocardiography, and were able to view the images in real-time as they were being scanned. This novel approach enabled remote imaging training for eight Indian physicians during live patient examinations.

"The bigger problem in India is that many of the physicians performing echocardiography don’t have any means to verify their findings, and as a result, inaccurate diagnosis and inappropriate treatment are common problems. EchoBox is a great solution to overcome this challenge and it will allow the physicians to get instant expert advice from cardiac centers across the globe,” said Manish Bansal, M.D. FASE, consultant cardiologist, Medanta Hospital, India

“The EchoBox system worked just fine. The image quality was acceptable for a live feed from India thousands of miles away, and I was able to accurately correct views and discuss anatomy verbally as I watched the live feed," said Brad Roberts, RDCS FASE, Baylor College of Medicine

Point-of-care (POC) echocardiography may be helpful for mass triage, but such a strategy requires adequately trained sonographers at the remote site. The aim of this study was to test the feasibility of using a novel tele-echo training program for improving physicians’ imaging skills during preanesthetic cardiac evaluations performed in a community camp organized for treating cataract blindness.

Seventeen physicians were provided six hours of training in the use of POC echocardiography; nine were taught on site and eight were taught online through a transcontinental tele-echo system. The trained physicians subsequently scanned elderly patients undergoing cataract surgery. The quality of images was graded, and agreement between local physicians’ interpretations and tele-echo interpretations by worldwide experts was compared.

A total of 968 studies were performed, with 660 used for validating physicians’ competence. Major cardiac abnormalities were seen in 136 patients (14.2 percent), with 32 (3.3 percent) deemed prohibitive to surgery in unmonitored settings. Although good quality images were obtained more frequently by physicians trained on-site rather than with tele-echo (P = .03), there were no differences between the two groups in agreement with expert interpretations. The majority of physicians (70.6 percent) expressed satisfaction with the training (average Likert-type scale score, 4.24 of 5), with no difference seen between the two groups. The training resulted in significant improvements in self-perceived competence in all components of POC echocardiography (P < .001 for all).

For more information: www.stat-video.com

Related Content

ASNC Announces Multisocietal Cardiac Amyloidosis Imaging Consensus
News | Cardiac Imaging | September 09, 2019
September 9, 2019 — The American Society of Nuclear Cardiology (ASNC) published a new expert consensus document along
Philips Debuts Cardiac Ultrasound and Enterprise Informatics Offerings at ESC 2019
News | Cardiac Imaging | August 30, 2019
Philips will showcase its latest cardiac care innovations at the European Society of Cardiology (ESC) Congress 2019,...
Terason Partners With DiA Imaging Analysis for Point-of-care Cardiac Ultrasound AI
News | Cardiovascular Ultrasound | August 26, 2019
Ultrasound imaging company Terason has partnered with DiA Imaging Analysis, provider of artificial intelligence (AI)-...
Contrast Use in First Transthoracic Echocardiogram for Heart Failure Reduces Repeat Testing
News | Cardiovascular Ultrasound | August 07, 2019
Heart failure is the fourth most common cause for all admission to U.S. hospitals, and it is the most common reason for...
Digital Health Devices Used at Point of Care May Improve Diagnostic Certainty
News | Cardiovascular Ultrasound | August 05, 2019
A West Virginia-based rural medical outreach event showcased the use of point-of-care technology in an ambulatory...
360 Photos | Ultrasound Imaging | July 11, 2019
This 360 degree photo shows a basic, point-of-care cardiac echocardiogram being performed using a smartphone turned i
360 Photos | Ultrasound Imaging | July 09, 2019
A view of a mitral valve on a GE Healthcare Vivid E95 ...
360 Photos | Ultrasound Imaging | July 08, 2019
This is a 360 degree view of a live cardiac echo demonstration for the Siemens Healthineers Acuson SC2000...
3D Auto RV application image courtesy of Philips Healthcare

3D Auto RV application image courtesy of Philips Healthcare

Technology | Cardiovascular Ultrasound | July 02, 2019
Philips recently announced new advanced automation capabilities on its Epiq CVx and Epiq CVxi cardiac ultrasound...
Konica Minolta Healthcare Partners With DiA Imaging Analysis for AI-based Cardiac Ultrasound Analysis
News | Cardiovascular Ultrasound | July 02, 2019
DiA Imaging Analysis has partnered with Konica Minolta Healthcare Americas Inc. to expand analysis capabilities of...