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AI Helps Non-Physicians Obtain Diagnostic-Quality Ultrasound Images in ED

By MedImaging International staff writers
Posted on 30 Mar 2023

The use of clinician-conducted ultrasound examinations has significantly increased in recent decades. While it was initially adopted by only a small number of physicians, it has since become a standard practice in emergency medicine, both in academic and community settings. The FAST protocol, which stands for Focused Assessment with Sonography in Trauma, has shown promise in expediting patient triage, reducing medical expenses, and shortening hospital stays. However, past studies have indicated that the protocol requires extensive training. Now, new research suggests that artificial intelligence (AI) can assist non-physicians in acquiring ultrasound images of diagnostic quality in the emergency department.

In a recent study, researchers at Kaohsiung Chang Gung Memorial Hospital (Kaohsiung, Taiwan) investigating the potential of using AI to assist novices in clinician-performed ultrasound examination found positive initial results. The study involved 30 novice operators with no prior sonography experience, split equally among registered nurses, nurse practitioners, and EMTs. The participants were randomly assigned to either receive AI assistance or not, using an application that captures ultrasound images and provides real-time feedback through deep learning-based guidance. The operators were instructed to obtain images of the body’s Morrison pouch, and three expert echocardiographers evaluated the images on a scale of 1-5. The researchers observed that AI assistance led to higher scores and rates of acceptable image quality than the group that did not receive AI support.

“The diagnostic quality score and the rate of acceptable clips were significantly higher with AI guidance,” corresponding author Chi-Yung Cheng, MD, with the Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, and colleagues concluded. “Although initially it may take longer to complete an examination with AI guidance, it is expected that the learning curve will be lower for novices practicing FAST.”

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68 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

69 (43.153762817383): SELECT fid FROM jos_deeppockets WHERE id=294796700 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294796700 AND published='1' LIMIT 1

70 (36.954879760742): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=214 ORDER BY `ordering`

71 (444.88906860352): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796700 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (272.98927307129): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796700 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (43.869018554688): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

74 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (70.095062255859): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796700 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (37.193298339844): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796700 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (40.054321289062): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

91 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

106 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

107 (63.896179199219): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294796700 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (60.081481933594): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294796700 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

110 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

111 (61.03515625): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294796700 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (612.97416687012): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294796700 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (710.96420288086): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (437.97492980957): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

115 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

116 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

117 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

118 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

119 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

120 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

121 (363.82675170898): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

122 (!!!!! 33827.781677246): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

123 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

124 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

125 (584.12551879883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796700 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796700 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 710220.09849548): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (97.036361694336): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

128 (54.836273193359): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (56.028366088867): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

130 (55.074691772461): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (34.093856811523): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

132 (33.855438232422): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (33.140182495117): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

134 (664.94941711426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (418.90144348145): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (43.869018554688): SELECT name FROM jos_deeppockets WHERE id=214

137 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=214

138 (612.02049255371): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (489.95018005371): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

141 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

142 (!!!!! 10659.93309021): TRUNCATE TABLE jos_trademed_module

143 (113.96408081055): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294796700 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (71.048736572266): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294796700 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1188.9934539795): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (73.19450378418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

148 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

149 (!!!!! 1571.8936920166): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

150 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

151 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

152 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796700 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796700 AND type='deeppockets_item' AND published='1' LIMIT 1

153 (41.007995605469): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)

154 (38.14697265625): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)

155 (40.054321289062): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

156 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

157 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796700 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796700 AND published='1' LIMIT 1

158 (46.014785766602): select jos_twitters.link from jos_twitters where cat=10

159 (33.855438232422): select jos_facebook.link from jos_facebook where cat=10

160 (33.855438232422): select jos_google_plus.link from jos_google_plus where cat=10

161 (34.093856811523): select jos_linkedin.link from jos_linkedin where cat=10

162 (304.9373626709): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

163 (!!!!! 1274.1088867188): insert into jos_banners_delta values (14615,'2025-04-30 07:28:43','3.138.174.90','view'),(14202,'2025-04-30 07:28:43','3.138.174.90','view'),(14203,'2025-04-30 07:28:43','3.138.174.90','view')

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