Thursday, September 7, 2017




The app that can give you a heart checkup in 60 seconds: Doctors reveal 'revolutionary' system to check bloodflow by analysing a patient's neck

  • App measures the bloodflow of the heart by monitoring minute changes
  • Needs just a minute or two of readings to detect bloodflow 
  • Could replace test that currently requires a 45 minute ultrasound Doctors have revealed a radical app that can use a smartphone camera to give a 'heart healthcheck' in just minutes.
Researchers have been able to use a phone held up the the patients neck for just a minute to monitor bloodflow to the heart.
It measured the tiny amount that the carotid artery displaces the skin of the neck as blood pumps through it.

Researchers have been able to use a phone held up the the patients neck for just a minute to monitor bloodflow to the heart, and say it could revolutionize health screening
Researchers have been able to use a phone held up the the patients neck for just a minute to monitor bloodflow to the heart, and say it could revolutionize health screening

HEART HEALTH CHECK 

The team developed a technique that can infer the left ventricular ejection fraction (LVEF) of the heart by measuring the amount that the carotid artery displaces the skin of the neck as blood pumps through it. 
LVEF represents the amount of blood in the heart that is pumped out with each beat. 
In a normal heart, this LVEF ranges from 50 to 70 percent. 
When the heart is weaker, less of the total amount of blood in the heart is pumped out with each beat, and the LVEF value is lower.
LVEF is a key measure of heart health, one upon which physicians base diagnostic and therapeutic decisions.
 This has the potential to revolutionize how doctors and patients can screen for and monitor heart disease both in the U.S. and the developing world,' Caltech's Mory Gharib, the senior author of the paper published in the July issue of the Journal of Critical Care Medicine, said.
In a proof-of-concept clinical trial, engineers at Caltech, Huntington Medical Research Institute, and USC demonstrated the camera on your smartphone can non invasively provide detailed information about your heart's health.
It replicates a test known as LVEF, is a key measure of heart health, one upon which physicians base diagnostic and therapeutic decisions.
To measure LVEF using the technique developed at Caltech, doctors simply held iPhones against the volunteers' necks for one to two minutes. 
'In a surprisingly short period of time, we were able to move from invention to the collection of validating clinical data,' said Gharib. 
Three of the co-authors of the study, developed this technology as students or research engineers at Caltech before teaming up with former Caltech visitor in medical engineering Marianne Razavi, another author of the study, to found a start-up named Avicena that has licensed this technology and will market the app.  
To test the app, clinical trials were conducted with 72 volunteers between the ages of 20 and 92 at an outpatient magnetic resonance imaging (MRI) facility. Afterwards, the volunteers immediately received an MRI examination, and data from both tests were compared - and found to be extremely similar. 
MRI is the gold standard in measuring LVEF but is seldom used clinically due to its high cost and limited availability. 
LVEF is most commonly measured using an ultrasound machine during a procedure known as echocardiography. 
Echocardiography, however, requires a trained technician, an expensive ultrasound machine, and up to 45 minutes of a patient's time.  
Gharib and his team are now exploring what other information about the heart can be mined from the waveform captured by the app. 
Soon, he anticipates that the technique could be used to diagnose heart valve diseases, like aortic stenosis, and coronary artery blockages.

HOW THEY DID IT 

The app works because the walls of arteries are almost completely elastic--they expand and contract with each beat of the heart. 
That expanding and contracting can be measured and described as a waveform that encodes information about the heart. 
For the study, the team used an iPhone 5, but any smartphone with a camera will work.



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