Re: Interpreting Ultrasound Off-line
From: DuBose, Terry (DuboseTerryJ@uams.edu)
Sun Jun 26 20:48:33 2005
Cheryl, good to hear from you... This is interesting. I heard a talk at the AIUM 50th Conference last week about expediting and increasing case throughput by using 3D acquisitions. I wonder how the finances and lawsuits will work in countries such as the USA with a foreign interpretation? I also wonder if organizations like the WHO, ISUOG, AIUM, state medical boards, Medicare/Medicaid, and insurance companies have a strategy for international arrangements... surely they are looking at the issue.
Speaking of the AIUM 50th Conference, it was a good meeting. Lots of historical displays. They had an old ADR, the first real-time machine I ever had, with the "foot long" transducer. If I can find time in the next week or so, I'll post some photos and a bit of text here.
It was good to see many of the participants in the Ultrasound@OBGYN.net discussion group at AIUM. I can't name everyone, so won't name anyone... but it is always good to get some face-time with people it seems we have come to know well, even if it only in the ether.
Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM
Associate Professor & Director, Diagnostic Medical Sonography Program
University of Arkansas for Medical Sciences, CHRP
4301 West Markham St. Mail Slot #563
Little Rock, Arkansas, 72205 USA
501-686-6510
DuBoseTerryJ@UAMS.edu
http://www.io.com/~dubose/
http://www.uams.edu/chrp/dms/default.asp
http://www.obgyn.net/us/panel/panel.htm
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From: ultrasound@obgyn.net on behalf of Cheryl Vance
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Sent: Sun 6/26/2005 5:08 PM
To: Multiple recipients of list ULTRASOUND
Subject: Interpreting Ultrasound Off-line
Terry:
That's a very interesting concept. I haven't heard of anyone doing it (that remotely) for ultrasound yet either...but it's likely to be commonplace in ultrasound's future.
I don't mean to sound like a GE commercial, but something like this is already feasible due to GE's raw data acquisition capabilities. GE's ultrasound systems acquire their images in raw data meaning that they are fully manipulable even after the exam is completed/stored. Because of this capability, GE's ultrasound images can be sent to a LOGIQworks (type of workstation connected to PACS) for viewing/manipulating after the patient has left. In fact, GE is currently testing benefits of this technology for enhancing productivity in ultrasound departments (see attached white paper on Volume Imaging Protocol VIP). Basically VIP uses GE's raw data technology to take cine clips of anatomy, then once the patient has left manipulation can take place (viewing the anatomy in various sectional planes - sag/trans/coronal/oblique, changing the contrast resolution, etc.). This gives the int! erpreting physician the dynamic viewing capability that is just not possible on stored single frame images. The interpreting physicians feel like they are actually scanning the patient (via the cine clips), and beyond that, they can manipulate the data to view any oblique plane rather than only viewing the planes the originally sonographer saved.
But I see it going beyond routine VIP imaging at an individual hospital...taking bouthina ibrahim's proposal one step further...the manipulable ultrasound data could be sent to viewing stations across the nation/globe for interpretation thereby allowing the on-site physicians to be able to perform more "hands-on" procedures. It would also give the off-site interpreters (like bouthina ibrahim) much more confidence while they view the study on-line.
As for the legal issues...using this technology is the same within a hospital setting as it would be across the world. The only difference is how far away the interpreting physician is (which in the world of TeleRadiology doesn't pose a problem so it shouldn't in this setting either-right?).
These of course are just my opinions. Please note - I now work for GE Healthcare now so my viewpoint may be a little skewed. I am just so excited about the future of ultrasound!
Cheryl Vance, MA, RDMS, RVT
GE Applications Specialist
Terry DuBose <terrydubose@sbcglobal.net> wrote:
Humm, interesting. I think you are the first to offer outsourced sonographic interpretations here. While I am not looking for that service, personally, it does peak my interest. How do you see this working in the medical-legal situation in USA medicine? Particularly since obstetric practice is so litigious in the USA.
Interesting subject. Anyone have thoughts on this?
Thanks, Terry
bouthina ibrahim <bouthina_ibrahim@yahoo.com> wrote:
YES WITH PLEASURE I CAN DO ULTRASOUND INTERPRETATION AND REPORTING.
"DuBose, Terry" <DuboseTerryJ@uams.edu> wrote:
bouthina ibrahim
I have seen several messages from you similar to this one. I am unclear as to what you are trying to communicate. Do you want to do sonographic interpretation and reporting?
Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM
Associate Professor & Director
Diagnostic Medical Sonography Program
University of Arkansas for Medical Sciences, CHRP
4301 West Markham St. Mail Slot #563
Little Rock, Arkansas, 72205 USA
501-686-6510
DuBoseTerryJ@UAMS.edu
http://www.io.com/~dubose/
http://www.uams.edu/chrp/dms/default.asp
http://www.obgyn.net/us/panel/panel.htm
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From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of bouthina ibrahim
Sent: Thursday, June 23, 2005 11:40 AM
To: Multiple recipients of list ULTRASOUND
Subject: Re: ARDMS Earns ANSI-ISO 17024 Accreditation
bouthina ibrahim <bouthina_ibrahim@yahoo.com> wrote:
thank you so much iam consultant radiologist post frcr london and mdrd alexanderia iam interested in ultrasound general and doppleriam follow ofamerican instituteof ultrasound in medicin my no127764
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