MICCAI 2018 Daily - Wednesday

Point-of-Care Ultrasound: an outstanding MICCAI modality. The Point-of-Care Ultrasound (POCUS) Workshop at MICCAI 2018 demonstrated that POCUS is an outstanding MICCAI modality. The key to POCUS system design is to realize that for their full potential to be realized, these systems must be conceptualized as new diagnostic modalities, not simply as inexpensive, portable ultrasound image systems. POCUS systems must integrate automated data analysis, rugged hardware, and specialized interfaces to guide novice users to properly place and manipulate an ultrasound probe. Furthermore, the output of a POCUS system should be quantitative measures or easy-to-understand directives, not B- mode images. It should be assumed that the expertise needed to interpret B-mode images will not be readily available at a point of care. Thus, MIC and CAI are essential to POCUS applications: from image interpretation to probe guidance and instrument placement. Additionally, as a platform, POCUS systems are low-cost, compact, use non-ionizing radiation, and can capture both anatomic form as well as function, e.g., via contrast agents and elastography; thereby providing an expansive array of potential research topics that can be pursued by individual researchers and startup companies as well as the big labs in academia and industry. The potential clinical applications for POCUS system are also extremely diverse. Example applications include detection of intra-abdominal bleeding by emergency medical services (EMS) personnel for patient triage at the scene of an accident, diagnosis of increased intra-cranial pressure by medics using computer-assisted measurement of optic nerve sheath diameter, detecting prenatal conditions and potential complications, monitoring of liver tissue health in the homes of at- risk patients, and much more. 14 Workshop: POCUS by Stephen Aylward “ The expertise needed to interpret B-mode images will not be readily available at a point of care. ” Wednesday