Assessment of Diagnostic Adequacy of AI-assisted Point-of-Care Echocardiography Among Anesthesiology Trainees

NCT06548373 | Active Not Recruiting

• 1 other identifier: IRB 5240271
• Study Type: observational
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

This pilot study serves to assess the diagnostic adequacy of Artificial Intelligence (AI)-guided point-of-care. Focused echocardiography examinations will be obtained by Anesthesiology trainees and assessed by an expert Cardiologist Echocardiographer. AI-guided echocardiography examinations will be compared to each other. AI-guided and non-AI-guided echocardiography examinations will also be compared.

Conditions

Anesthesia

Keywords

echocardiography; Artificial Intelligence; AI-assisted

Outcome Measures

Primary Outcomes (1)

• Echocardiogram Evaluation

  Cardiologist will review AI-assisted echocardiogram images obtained by residents for diagnostic image quality. A rating of "Yes" will represent a diagnostically accurate result and a rating of "No" will represent an image that is not adequate for diagnostic purposes.

  Within 24 hours of AI-guided examination completion

Secondary Outcomes (2)

• Change in length of time of AI-assisted echocardiogram procedure

  Change in time of individual examination completion between the first AI-guided echocardiography examination performed and the tenth AI-guided echocardiography examination performed, typically one month post-enrollment

• Change in echocardiogram examination image quality through comparison of AI-guided and non-AI-guided echocardiogram examination

  Change in time between the tenth AI-guided echocardiography examination performed and the non-AI guided cardiography examination performed, typically two months post-enrollment

Study Arms (1)

Year 2 Residents

Loma Linda University Post-Graduate Year 2 Anesthesiology residents providing anesthetic care.

Diagnostic Test: Artificial Intelligence-assisted Point-of-Care Echocardiography

Interventions

Artificial Intelligence-assisted Point-of-Care Echocardiography DIAGNOSTIC_TEST

A wireless, AI-guided handheld ultrasound probe will be used on adult male patients who present with a clinical indication for peri-anesthesia point-of-care echocardiography examination. Residents will document personal interpretation of the completed point-of-care ultrasound (POCUS) examination, important clinical findings, and assessment of whether obtaining a formal echocardiogram is warranted on an exam assessment form. The residents will complete 11 examinations with 10 specific scans each. The first 10 examinations will be AI-guided, and the final 11th examination will be done via a standard (non-AI guided) ultrasound system to gauge the resident's growth in point-of-care echocardiography skill.

Year 2 Residents

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population includes Loma Linda University 2024 - 2025 Post-Graduate Year 2 Anesthesiology residents providing anesthetic care.

You may qualify if:

• Loma Linda University resident in Anesthesiology
• Post-Graduate Year 2

You may not qualify if:

• Residents not a part of a Loma Linda University residency program
• Residents not a part of an Anesthesiology residency program
• Loma Linda University Anesthesiology Post-Graduate Year 1 Residents
• Loma Linda University Anesthesiology Post-Graduate Year 3 Residents
• Loma Linda University Anesthesiology Post-Graduate Year 4 Residents

Sponsors & Collaborators

• Loma Linda University: lead

Study Sites (1)

Loma Linda University Troesch Medical Center

Loma Linda, California, 92354, United States

Location

Related Publications (5)

• Hofer CK, Mizuguchi AK, Popescu WM. Monitoring the patient at risk of hemodynamic instability in remote locations. Int Anesthesiol Clin. 2012 Spring;50(2):141-72. doi: 10.1097/AIA.0b013e318250ebb1. No abstract available.

  PMID: 22481561 BACKGROUND

• Kratz T, Steinfeldt T, Exner M, Dell Orto MC, Timmesfeld N, Kratz C, Skrodzki M, Wulf H, Zoremba M. Impact of Focused Intraoperative Transthoracic Echocardiography by Anesthesiologists on Management in Hemodynamically Unstable High-Risk Noncardiac Surgery Patients. J Cardiothorac Vasc Anesth. 2017 Apr;31(2):602-609. doi: 10.1053/j.jvca.2016.11.002. Epub 2016 Nov 2.

  PMID: 28089598 BACKGROUND

• Staudt GE, Shelton K. Development of a Rescue Echocardiography Protocol for Noncardiac Surgery Patients. Anesth Analg. 2019 Aug;129(2):e37-e40. doi: 10.1213/ANE.0000000000003569.

  PMID: 29916865 BACKGROUND

• Via G, Hussain A, Wells M, Reardon R, ElBarbary M, Noble VE, Tsung JW, Neskovic AN, Price S, Oren-Grinberg A, Liteplo A, Cordioli R, Naqvi N, Rola P, Poelaert J, Gulic TG, Sloth E, Labovitz A, Kimura B, Breitkreutz R, Masani N, Bowra J, Talmor D, Guarracino F, Goudie A, Xiaoting W, Chawla R, Galderisi M, Blaivas M, Petrovic T, Storti E, Neri L, Melniker L; International Liaison Committee on Focused Cardiac UltraSound (ILC-FoCUS); International Conference on Focused Cardiac UltraSound (IC-FoCUS). International evidence-based recommendations for focused cardiac ultrasound. J Am Soc Echocardiogr. 2014 Jul;27(7):683.e1-683.e33. doi: 10.1016/j.echo.2014.05.001.

  PMID: 24951446 BACKGROUND

• Shillcutt SK, Markin NW, Montzingo CR, Brakke TR. Use of rapid "rescue" perioperative echocardiography to improve outcomes after hemodynamic instability in noncardiac surgical patients. J Cardiothorac Vasc Anesth. 2012 Jun;26(3):362-70. doi: 10.1053/j.jvca.2011.09.029. Epub 2012 Jan 4.

  PMID: 22226417 BACKGROUND

Study Officials

• Richard L Applegate, MD

  Loma Linda University

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 7, 2024
• First Posted: August 12, 2024
• Study Start: August 13, 2024
• Primary Completion: April 28, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: January 30, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)