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

Active, not recruiting
Conditions
Anesthesia
Interventions
Diagnostic Test: Artificial Intelligence-assisted Point-of-Care Echocardiography
Registration Number
NCT06548373
Lead Sponsor
Loma Linda University
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.

Detailed Description

This pilot study will involve Post-Graduate Year 2 Anesthesiology trainees on rotation in the Loma Linda University Medical Center operating rooms. Prior to participation, the trainees will give written informed consent to participate in the study and complete a baseline questionnaire to collect information regarding prior education in point-of-care echocardiography and the number of those examinations personally performed prior to study participation. All subjects will watch a brief training video about the AI guidance platform and participate in a hands on training session to familiarize themselves with AI guidance.

When adult patients having anesthesia for procedures present with a clinical indication for peri-anesthesia point-of-care echocardiography examination, the assigned trainee will use the AI-guided system to obtain a standardized point-of-care focused cardiac examination. Subjects will be completing 11 total examinations, 10 using AI guidance, 1 without.

Images of the examination will be assessed by an expert Cardiologist Echocardiographer that is blinded to the resident involved to measure diagnostic adequacy.

A final non-AI-guided echocardiogram examination will be completed by the resident to measure and compare the time and adequacy of the images to the AI-guided examination images.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
16
Inclusion Criteria
  • Loma Linda University resident in Anesthesiology
  • Post-Graduate Year 2
Exclusion Criteria
  • 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

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Year 2 ResidentsArtificial Intelligence-assisted Point-of-Care EchocardiographyLoma Linda University Post-Graduate Year 2 Anesthesiology residents providing anesthetic care.
Primary Outcome Measures
NameTimeMethod
Echocardiogram EvaluationWithin 24 hours of AI-guided examination completion

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.

Secondary Outcome Measures
NameTimeMethod
Change in length of time of AI-assisted echocardiogram procedureChange 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

Assessment of time to complete the standardized point-of-care focused echocardiography examination will be determined by comparing time stamps on the first and last image sequence recorded. Change in this interval will be assessed between the tenth and first studies performed.

Change in echocardiogram examination image quality through comparison of AI-guided and non-AI-guided echocardiogram examinationChange in time between the tenth AI-guided echocardiography examination performed and the non-AI guided cardiography examination performed, typically two months post-enrollment

After the 10th AI-guided point-of-care focused echocardiography examination is completed, the trainee will complete a standardized point-of-care focused echocardiography examination using a standard (not AI-guided) system. Assessment of echocardiogram adequacy, time to complete the examination, and Concordance between the trainee and Cardiologist assessments will be analyzed as described above.

Trial Locations

Locations (1)

Loma Linda University Troesch Medical Center

🇺🇸

Loma Linda, California, United States

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