Studycast Is Playing A Part In Changing The Way The World Uses Ultrasound

Hand Held Cardiac Ultrasound performed by Primary Care Physicians

Core Sound Imaging supported a research project led by Arturo Evangelista.

The study focused on the benefits for well-trained family doctors to be able to use hand-held cardiac ultrasound devices in their office with the patients. The ability to upload the exams to Studycast for feedback from the trained cardiologist improved the process. The hand-held cardiac ultrasound would be used to triage the patient versus sending them to see a cardiologist or requesting a conventional echocardiographic (ECG).

The study population consisted of 1312 patients that were seen in a primary care setting. Patients included in the study had symptoms like shortness of breath or chest pain, a heart murmur detected in the physical examination, or abnormal ECG but had no previous diagnosis of heart disease and evaluation by conventional echocardiogram.

After being trained, the participating family doctors used the Vscan device by GE to perform the hand-held cardiac ultrasounds which were recorded in MP3 format.

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Studycast Mobile Ultrasound Images Help Cardiac Project in India

An international cardiac health project spearheaded by The American Society of Echocardiography (ASE) will utilize the latest in mobile technological innovations to bring cardiovascular ultrasound to rural India. In late January, ASE will sponsor the travel of cardiovascular sonographers to a remote field in India, where an estimated 12 million people will assemble for health screenings.

The project is called ‘ASE Global: Focus on India’ and its mission it to elevate cardiovascular ultrasound to the next level of excellence, taking it out of the lab and to the doorsteps of people anywhere in the world.

The sponsored sonographers and their Indian physician counterparts will use hand-held echocardiography units to provide free imaging services to as many as 1,000 pre-screened people. ASE is bringing trained, registered experts to assist the procedures, mimicking the state of the practice in the US, where the medical system relies on the expertise of the sonographer scanning to assure that the images are correctly acquired.

Studycast, a web-based ultrasound imaging solution, will then be used to transmit the ultrasound images electronically across the globe to numerous hospitals in the United States. ASE-member physicians will then be able to read the ultrasound studies and transmit their reports back to physicians in India for follow-up and care.

“Remote assessment in real time allows you to do many things, such as teaching sonographers how to improve the quality of their images or focus on certain aspects of a particular examination, leading to better quality,” said the Director of Clinical Echocardiography at Massachusetts General Hospital and Past President of ASE, Michael H. Picard, MD. “The real excitement generated by this project is around the fact that echocardiographic exams can be performed at almost any site in the world, and experts recruited to weigh in on complicated cases that some may only see once in a lifetime.”

‘ASE Global: Focus on India’ is intended as a cross-cultural educational project to showcase the possibilities offered by breakthroughs in hand-held echocardiography technology and cloud-based transmission, while offering participants a unique opportunity to learn from one another and be part of a humanitarian effort to benefit an underserved population.

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Medical Mission Project in India Uses NC Telemedicine Technology

An exciting collaboration between two North Carolina based firms, The American Society of Echocardiography (ASE) and Core Sound Imaging, utilized the latest telemedicine technology to bring cardiovascular ultrasound to rural India.

In late January, ASE sponsored the travel of cardiovascular sonographers to a remote field in India, where an estimated 12 million people gathered for a meditation camp. These sonographers and their Indian physician counterparts used hand-held echocardiography units provided by GE Healthcare in combination with Core Sound Imaging’s web-based ultrasound transmission solution, Studycast®, to provide free cardiac medical services to more than 1,000 pre-screened people.

“In this unique medical mission project, echocardiograms performed over the course of 2 days by a physician-led team of sonographers were uploaded via a secure internet platform and read remotely by expert echocardiographers throughout the world,” said Dr. Patricia A. Pellikka, Echocardiography Laboratory Director at the Mayo Clinic.

“The volunteers were members of the American Society of Echocardiography. In this way, the expertise of the members of the ASE was shared with more than 1000 patients with suspected heart disease who would likely never have had access to echocardiograms. This represents a novel method of conducting a mission trip, as physicians were able to help without leaving their practices. And, sonographers from the U.S., specially trained in acquiring the images, were able to offer the one-on-one patient care that makes this technique so unique.”

The project, called “ASE Global: Focus on India,” elevated the practice of telemedicine to the next level of excellence, taking it out of the lab and to the doorsteps of an underserved population halfway around the world.

The cross-cultural educational project showcased the possibilities offered by breakthroughs in hand-held echocardiography technology and cloud-based transmission, while offering participants a unique opportunity to learn from one another and be part of a humanitarian effort.

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Cardiac Ultrasound Reporting from India

The American Society of Echocardiography (ASE) released their Spring/Summer newsletter recently and it featured the story about Studycast being used to help a record-setting medical mission project in India!

In late January, ASE sponsored the travel of cardiovascular sonographers to a remote field in India, where an estimated 12 million people gathered for a meditation camp. These sonographers and their Indian physician counterparts used hand-held echocardiography units provided by GE Healthcare in combination with Core Sound Imaging’s web-based ultrasound transmission solution, Studycast®, provided free screening echocardiograms to over 1,000 people in 2 days!

Record Attendance

An outstanding 12 million people attended a meditation celebration in Sirsa, India where over 5,000 people of all ages were pre-screened for the possibility of structural cardiac diseases. The ASE team saw over 1,000 patients in just two days.

If that wasn’t impressive enough, the trip also set a Guinness Book World Record 555 Doppler studies performed in 24 hours!

More Impressive Cardiac Ultrasound Reporting Data from India

As you may have read by now, GE Healthcare in combination with Core Sound Imaging’s web-based ultrasound reporting solution, Studycast®, provided free screening echocardiograms to over 1,000 people in rural India in just 2 days!

How did the team of cardiologists manage to screen and diagnose so many people in such a short amount of time?

The short answer: Studycast’s web-based platform allows for the safe and secure storing and sharing of ultrasound images online, accessible anywhere with internet access.

Studycast’s Mobile Medical Imaging Solutions Help Cardiac Program in Rwanda

With 16-20 million total people affected by rheumatic heart disease globally, sub-Saharan Africa has almost half of the estimated 2.4 million school-aged children newly affected by the disease. It is thought that the prevalence of rheumatic disease might equal or surpass that of HIV in Rwanda, yet it does not currently reach the agenda of health initiatives.

At the invitation of the Rwanda Heart Foundation, Team Heart began collaborating with Rwanda stakeholders to improve care available to individuals suffering from the effects of this silent disease through two initiatives: by building a program to address the burden of cardiac surgery for those critically ill from progressing disease; and by supporting initiatives to prevent and provide early intervention.

A key initiative of Team Heart’s mission is to place mobile echo machines with trained personnel in critical areas across Rwanda so individuals may be properly diagnosed. Creating a program to support and formalize a training program for sonographers is a big part of this plan.

Team heart conducted 2700 echos using GE and Sonosite ultrasound machines on children aged 9-15 and transmitted the results using Studycast, a cloud PACS offering powerful cardiac imaging reporting tools. Using Studycast, cardiologists in the United States and around the world have access to the images and will complete their echo interpretations. The data collected and analyzed will help Rwanda identify human and financial resources needed to address the leading cause of heart disease and implement preventative measures.

Ultrasound Transmission Data Collected

The following timeline shows just how fast data can be transferred. This represents the data when a study was completed in Sirsa, India until the study was read by a physician using Studycast, in cities all over the globe.

0:01 The Ohio Heart and Vascular Center, Cincinnati, OH
0:02 Louisville Cardiology, LaGrange, KY
0:02 University of Arizona, Tucson, AZ
0:05 Duke Univ Medical Center Durham, NC
0:08 UVA Charlottesville, VA
0:18 University of Southern California Los Angeles, CA
0:23 University of Chicago Medical Center, Chicago, IL
0:26 Cardiology Partners, Arlington, TX
0:34 Mayo Clinic, Rochester, MN
0:40 King Abdulaziz Cardiac Center, Riyadh, Saudi Arabia
1:02 Los Angeles, CA
1:05 Cleveland Clinic Foundation Cleveland, OH
1:06 Univ of Pennsylvania Philadelphia, PA
1:12 Hackensack University Medical Center, Hackensack, NJ
1:12 Methodist DeBakey Heart & Vascular Center, Houston, TX
1:18 Jacksonville Heart Center, Jacksonville Beach, FL
1:24 National Heart Hospital-Sofia, Sofia, Bulgaria
1:25 Comprehensive Cardiology Consultants Langhorne, PA
1:25 Echo Hawaii Faculty
1:40 Wake Forest Univ Winston-Salem, NC
1:51 University of Chicago Medical Center, Chicago, IL
2:07 Jersey City, NJ
2:12 Waldo Cardiovascular Medicine, Belfast, ME
2:15 Fort Wayne, IN
2:21 Mayo Clinic, Rochester, MN

3:13 Aversi Clinic, Rustavi, Georgia
3:20 Echo Metrics, Rochester, MN
3:24 Hygeia Hospital, Glifada, Greece
3:30 Walter Mackenzie Centre Edmonton, Alberta
3:32 Hartford Hospital, Hartford, CT
3:41 Medical Univ of SC Charleston, SC
4:36 University of Wisonsin-Madison Madison, WI
4:46 St. Francis Hospital, Roslyn, NY
4:49 MetroHealth Medical Center, Cleveland, OH
5:23 McMaster University Hamilton, Ontario
5:57 Brigham and Women’s Hospital, Boston, MA
6:04 Scottsdale,AZ
6:31 Aurora healthcare, Milwaukee, WI
6:41 Jewish General Montreal, Quebec
6:45 The Ohio State University, Columbus, OH
6:58 Geisinger Health System Danville, PA
8:17 Burbank, CA
8:29 Yale Univ. New Haven, CT
9:25 Northwestern Memorial Hospital Chicago, IL
10:58 Vanderbilt Univ Nashville, TN
11:03 MedStar HRI Washington, DC
13:35 Holston Valley Medical Center Kingsport, TN
14:49 London Health Sciences Centre London, Ontario
15:46 PMA Medical Specialists Norristown, PA
21:32 CCALLP Amarillo, TX

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