Department of Cardiology, Medical University of Lodz, Lodz, Poland.
Department of Cardiology, Medical University of Lodz, Lodz, Poland.
Adv Med Sci. 2019 Mar;64(1):157-161. doi: 10.1016/j.advms.2018.11.003. Epub 2019 Jan 25.
A microUSB ultrasound probe, which can be connected to a personal mobile device constitutes a new class of diagnostic pocket-size imaging devices (PSID). The aim of this study was to assess the feasibility and diagnostic value of brief transthoracic echocardiographic examination (bTTE) performed with the use of such equipment.
The study population comprised 87 consecutive patients (58 men, mean age 61 ± 16 years), 53 of whom were admitted to intensive cardiac care unit and 34 patients, who were referred for transthoracic echocardiography from outpatient clinic. All patients underwent bTTE performed by cardiologist with the use of personal mobile device-based PSID. Within 18 h of bTTE all subjects underwent a standard TTE (sTTE) using a full sized echocardiograph by expert echocardiographer.
In all patients, PSID imaging provided sufficient diagnostic image quality. Echocardiographic measurements were completed for both bTTE and sTTE in 98% of patients. The linear measurements obtained during bTTE showed good to excellent correlation with sTTE results (r = 0.65-0.98; p < 0.001). The agreement in detection of various pathologies between the bTTE and sTTE examination was very good (k = 0.62-0.97; p < 0.01).
Personal mobile device-based PSID allows for performing bTTE. The diagnostic value of such PSID in basic assessment of cardiac morphology and function as compared to standard echocardiography is very good.
一种可与个人移动设备连接的微型 USB 超声探头构成了一类新的诊断口袋式成像设备(PSID)。本研究旨在评估使用此类设备进行短暂经胸超声心动图检查(bTTE)的可行性和诊断价值。
研究人群包括 87 例连续患者(58 名男性,平均年龄 61±16 岁),其中 53 例患者被收入重症心脏监护病房,34 例患者从门诊转介行经胸超声心动图检查。所有患者均由心脏病专家使用基于个人移动设备的 PSID 进行 bTTE。在 bTTE 后 18 小时内,所有患者均由专家超声心动图医师使用全尺寸超声心动图仪进行标准 TTE(sTTE)。
在所有患者中,PSID 成像均提供了足够的诊断图像质量。在 98%的患者中,bTTE 和 sTTE 均完成了超声心动图测量。bTTE 获得的线性测量值与 sTTE 结果具有良好至极好的相关性(r=0.65-0.98;p<0.001)。bTTE 和 sTTE 检查对各种病变的检出具有非常好的一致性(k=0.62-0.97;p<0.01)。
基于个人移动设备的 PSID 允许进行 bTTE。与标准超声心动图相比,这种 PSID 在心脏形态和功能的基本评估中的诊断价值非常好。