Eagleview Ultrasound Review of Detecting Gallbladder Polyp

Eagleview Ultrasound Review of Detecting Gallbladder Polyp

-From Dr. Mohamed Omer Khider Ahmed

Gallbladder Polyps – are present in 4 to 6 percent of the population.4,5 An estimated 90% are benign cholesterol polyps, less than 10 mm in size and are incidental findings. The remaining 10% are adenomatous polyps that have malignant potential.

21821 gallbladder polyps

Most polyps are spherical (attached by a pedicle to the gallbladder wall). Less common are the broad based (sessile) polyps.

Sonographically a polyp appears as a hyperechoic nodule (more echogenic than the surrounding bile) attached to the gallbladder wall. The polyp is nonmobile and remains in a fixed position regardless of changes in patient position. The polyp is non-shadowing.

We have 36years old man send to our clinic complain of right upper quadrant pain for abdominal ultrasound, the study done using handheld ultrasound devise from eagleview and gallbladder wall shows multiple immobile polypoid ingrowth into gallbladder lumen with no vascularity at color doppler which denoting  gallbladder polyp.

Image11

image (1) sagittal view of the gallbladder demonstrated non-shadowing polypoid ingrowth into gallbladder lumen by white arrow. gallbladder wall demonstrated by black arrow.

Image2

image (2) transverse view of the gallbladder demonstrated non-shadowing polypoid ingrowth into gallbladder lumen by white arrow. gallbladder lumen demonstrated by black arrow.

Image31

image (3) color doppler over the gallbladder polyp (white arrow) demonstrated no color flow.

5 Eagleview Ultrasound Cases in Whole-body Scanning from Dr. Diego Scarpetta

5 Eagleview Ultrasound Cases in Whole-body Scanning from Dr. Diego Scarpetta

“It’s an opportunity to promote the use of clinical ultrasound.”

Dr. Diego Scarpetta, an internist from Colombia in South America, ordered his ultrasound probe from geteagleview.com and shared us with some cases of clinical scans using Eagleview Ultrasound.

From: IG: dr.pocus,https://www.instagram.com/dr.pocus/

Eagleview Ultrasound Case 1: Burns by Gas Cylinder Explosion

Dr.pocus-Eagleview case-1.2
Dr.pocus-Eagleviewcase1.1

A 51-year-old male with a history of hypertension. He was admitted at 21:30 to ER for burns of 18% of the TBS (face, left hemithorax, both arms) after being exposed to a gas cylinder explosion. Nasal hair was partially burned, without burning of the oral mucosa, carbonaceous sputum, or hoarseness. It was performed a CT scan of the abdomen and thorax did not appear to have shock wave injuries (pneumothorax or pneumoperitoneum).

Infusion of intravenous fluids (Baxter, PMH) was started, and vaseline dressings with chlorhexidine were applied. He was admitted to airway surveillance in ICU. He arrived with O2 sat > 96%, stable vital signs, controlled pain, soft and depressible abdomen, preserved diuresis. Normal lab tests.

He remained stable overnight, SatO2 is ok. However, at 06:20 the patient began to complain of abdominal pain and nausea. Additionally, he looked pale, had tachycardia, and with a tendency to hypotension.

07:10 am, 50 mmHg Adrenergic vasopressors were started through a subclavian CVC.

07:20 am, He remained with a soft abdomen but complained of mild pain (3/10), an urgent control of total blood count was requested due to suspected bleeding.

07:30 am, A FAST protocol was performed, finding abundant free fluid in Morrison’s space and rectovesical pouch; no observation was made in the splenorenal recess because he had dressings in that location. The patient was evaluated by a surgeon minutes later, and despite the abdomen wasn’t painful or with peritonitis signs, massive retroperitoneal bleeding was suspected.

09:45 am, a lab call was received to report a decrease in hemoglobin from 12.9 to 8.9 g / dl.

10:00 am, Official report of CT scan: Liver: diffuse fatty infiltration. The gallbladder, bile duct, pancreas, kidneys were ok. Spleen with irregular margins with perisplenic hematoma. No pneumoperitoneum. A moderate amount of fluid with blood density in a left paracolic leak that extends into the pelvis, contacting the external iliac vessels on the left side and the urinary bladder.

10:30 am, the patient was transferred to surgery. Op findings: Drainage of 3000 ml of blood material. Splenic vessel injury was ligated.

Eagleview Ultrasound Case2: COPD

67 years-old woman with COPD (chronic obstructive pulmonary disease). She was admitted to the emergency room for exacerbation of respiratory symptoms (Anthonisen I) one week ago.

LUCI on the right side shows multiple B lines, while the left side shows a consolidation, compatible with the CT scan findings.

The patient was intubated and required vasopressors and antibiotics for little more than a week. Now she is ending her recovery in the intermediate critical care unit.

Eagleview Ultrasound Case3: Perdicardial Effusion

74 years-old man with a history of arterial hypertension and poorly controlled type 2 diabetes mellitus. Diarrhea for a week, anuria in the last 24 hours.

Blood urea nitrogen (bun) = 137 mg/dL (22.8 mmol/L), K= 8.5 mEq/L, uremic frost, and perdicardial effusion, PTH 278 pg/ml.

Hemodialysis was started, achieving a good response.

Eagleview Ultrasound Case 4: Lung Ultrasound in the Critically Ill

60 years- old man with type 2 diabetes, arterial hypertension, heart failure (AHA C NYHA II caused by coronary disease). He was transferred to ICU after consulting for 11 days of dyspnea, cough, fever, and anosmia. He refused to get the SARS-CoV-2 vaccine. The RT-PCR was positive.

Lung ultrasound in the critically ill (LUCI): B lines suggestive of the alveolar – interstitial syndrome.

CT Scan: Ground-glass opacification areas in both lung fields (greater in peripheral, and lower lobes).Some interesting publications about the relevance of ultrasonography in the early assessment of Covid 19 patients.

Eagleview Ultrasound Case5: Hypertensive Cardiomyopathy

86 years-old man with chronic arterial hypertension and heart failure consults to ED for exacerbation of dyspnea.

EagleView Ultrasound Review and Comparison with Butterfly iQ & GE Vscan

EagleView Ultrasound Review and Comparison with Butterfly iQ & GE Vscan

Masters of Ultrasound,an educational account on Youtube, focused mainly on Echo Cardiography, POCUS, and FOA Med,has just released his video of EagleView Ultrasound Complete Review recently. In his video, he showed the EagleView operation process, usage method, image quality and compared it with other portable ultrasound products on the market, and also objectively enumerate their respective advantages and disadvantages. Read his article to learn more.

UNBOXING

So this is how it came directly from the package, and as you can see, it somehow reminds me of an Apple product. So if we open it the first we see is the quick operation guide, which is a small book with instructions, then we find the probe in this translucent plastic bag. Then we find on the bottom of the box the cable which is a micro USB for the wireless charger, and finally, the wireless charger and a stand, to put the iPhone tablet or whatever or even the probe itself.
alex eagleview review1As you can see, it’s a wireless, dual-head probe, that connects to iOS 9 or later and Android 10 or later smartphones and tablets. Given it is multipurpose and has the ability to scan both very superficial structures with the linear probe and deeper ones with the curved, I will compare at the end of the video some of its most remarkable features versus the Butterfly IQ+ and Vscan Air, the two most popular multipurpose out there in the market. It doesn’t make sense to compare them with specific ones, since they are usually tailored towards a specific target and therefore they usually have higher performance in that narrower specter of situations, whereas these probes are able to handle a wider range of circumstances.

EXTERNAL

It measures 156 x 60 x 20mm (equivalent to 6.1 x 2.4 x 0.8 inches), has a glossy finish, and weights 260g equivalent to 0.6lbs, which lies in between the Butterfly which is heavier with 309g, and the Vscan Air which is lighter with 205g. It has an integrated battery of 4200 mili Amperes hour and in my case, it allowed approximately 30 minutes of continued use until it overheats, and almost 3.5 hours of total scan time before recharging it. Bear in mind this time can vary substantially based on the scan mode you use and how long the image is frozen (their official webpage states between 3 and 5 hours of total scan time). Color doppler drains the battery more quickly, then the remaining imaging modes, and finally a frozen screen while doing measurements or entering patient info and so on. As I’ve been testing it intensely I must admit I have used color doppler for quite long periods. Simply placing your EagleView portable doppler ultrasound over the wireless charger that comes in the same box will recharge the battery. In my case, it required approximately 2:30h for a full charge and it cannot be used while charging. It doesn’t have any port so everything is wireless (including charging and exporting). As mentioned initially, it has two probes integrated with the same device, with the linear end tailored towards shallow exams, such as MSK, vascular, thyroid, lung, breast, nerves, aesthetic medicine and interventionism in general and the curved end towards deeper exams such as the cardiac, abdomen, ob/GYN and urology. The footprints are the usual ones of linear and curved probes, same as Vscan but contrary to Butterfly. The only button it has, which switches on and off the device and freezes the image, also changes between both probes and the light indicates which one is being used currently. It is not fully waterproof, only 1-2cm from the footprint, video speed is 18 frames per second, the linear probe is 128 elements. Probes frequencies are: 3.5MHz and 5MHz for the curved one,  7.5MHz and 10MHz for the linear one. Scan depth: arriving up to 30cm for the curved one, arriving up to 10cm for the linear one. Bear in mind the cardiac preset concentrates all the ultrasound beams in the center to be able to go through the ribs and obtain an image. Because it’s bigger than usual PA cart machine probes, it can be tricky sometimes to obtain some views (such as apical 4 chambers for example), because of the lack of space between the bed and the patient.

SOFTWARE

Now you’ll see the bootup and pairing process. It connects via WiFi network in less than 17 seconds from pressing the power button to being ready for the scan. It has 15 presets for the different organs, 5 imaging modes (B, M, color doppler, power Doppler and pulsed wave doppler), and several advanced image settings such as TGC, DYN, Focus, Harmonic, and Denoise, as well as the typical depth and gain. It stores the images directly in your device as a .jpg or .avi and it can also use DICOM. This has some pros, such as not needing any cloud service to store your info nor pay any annual subscription as well as cons such as only having the images in the device they were taken, although you can always share them via your favorite apps, such as Whatsapp, messages, telegram, email, AirDrop and so on. Now you’re gonna see some recorded clips with the device and live demos because I could say it’s really good or bad but I prefer you assess it by yourself and obtain your own conclusions.

PROS/CONS

And, as usual, to sum up, let’s put the pros and cons all together and compare them with the Butterfly and Vscan. On the pros column, we have: – Lowest price in the market. The main one. It provides comparable results to more expensive options, and here lies its greatest value. – Great image quality and advanced imaging settings – Several imaging modes (B, M, color doppler, PDI, PWD). – Aesthetic, somehow light and not clunky. – Long battery duration and fast charging. On the other hand, on the cons column, we find: – Color doppler scale up to 40cm/s only, suboptimal for cardiac velocities. – Gain adjustment is made by buttons, not with a left or right slide, which would be easier. – Relative: (Manual image quality settings. Good for experienced people, but this can be daunting for inexperienced ones, that might prefer that an algorithm adjusted the image by itself) Size and weight:
alex eagleview review2 Battery life:
alex eagleview review3 Imaging modes: alex eagleview review4Overall:
alex eagleview review5
Overall, EagleView portable doppler ultrasound got 3 golds in this product competition with multiple imaging modes and powerful battery life.

COMPARISON

Now let’s compare the EagleView ultrasound with Butterfly iQ+ vs GE Vscan Air.

We’re gonna compare the size and weight, battery, imaging modes, image quality, advanced image settings, and price, which are the most important features for most of you. If someone wants any further detail, please let me know in the comments. 1. Size and Weight: It lies between the Vscan Air and the Butterfly IQ+ both in size and weight. 235g for the EagleView vs 205g for the VscanAir and 309g for the ButterflyIQ+. 2. Battery: This extra weight and size vs Vscan Air allow it to have a bigger battery (4200mAh). It has better than the Butterfly IQ+. 3. Imaging modes: Neither the Vscan Air nor the Butterfly IQ+ has the same amount of modes outside of the US, with Vscan Air only having B mode and color doppler, and Butterfly having B, M, color doppler, power doppler and, only in the US, pulsed wave doppler. It also has additional tools such as the auto calculator, bladder volume calculator, needle enhancer, and bi-plane tool for interventionism, that any other hand-held device has. 4. Image quality: IMHO, the Vscan Air has the best B-mode image quality, then I would say the EagleView and then the Butterfly. This applies especially to the heart, which is what I scanned the most but can relate to the rest of the body.
EagleView Ultrasound Complete Review I Dual-Head Hand-Held Pocket Multipurpose Ultrasound Device
Choose the One from All- An Objective Review of EagleView Ultrasound

Choose the One from All- An Objective Review of EagleView Ultrasound

This is an objective review of EagleView Ultrasound by Wiley, a physician specialized in pulmonology and critical care. To choose a suitable device for POCUS, he compared some ultrasound brands, such as Clarius, Butterfly, etc. Let’s see what he said as following:

POCUS Introduction

Point of care ultrasound (POCUS) is now a game changing survey for patients in emergency department or critical care unit. The traditional ultrasound machines provide good quality of images but they are heavy and expensive. Especially in the era of COVID-19, a portable, easy-to-use and easily disinfected ultrasound machine is a must for physicians.

Choose the one from all PORTABLE ULTRASOUND MACHINES

To choose a suitable device for POCUS, I did a review chart of the brands and portable devices in the market. As a physician, both convex probe for abdominal survey and linear probe for vessel evaluation are necessary. Sector probe could be replaced with convex probe in critical care condition so that is not so important. Wireless feature is necessary in the COVID-19 era. Price is also an issue if your hospital cannot buy one for you.

 

Comparison of Portable Ultrasound Machines on the Market.

Wellue Eagleview SonoQue LeSono Calrius GE Vscan Philips Lumify Butterfly Alpinion
Transducer                
Dual V V     V      
Convex  V V V V V V   V
Linear  V V V V   V   V
Sector   V   V   V V  
Signal transmission Wifi Wifi Wifi Wifi Wifi Cable Cable Cable
Price range (USD) 3200 3200 4000 4900 4495 7000* 1999* 6000

Due to the limited ability to review, some companies may not be included.

Comparison of the Convex Probe for POCUS Use.

Model EagleView C5 Vscan air LeSono LU700C Lumify C5-2 IQ/IQ+ C1-6
Company Wellue

(SonoStar)

Clarius GE Leltek Philips Butterfly Network Alpinion
Made in? China Canada US TW US US Korea
Array Dual Convex Dual Convex Convex Phased Convex
Frequency

(MHz)

3.5/5 2-6 2-5 2-5 2-5   1-6
Max depth 30 40 24 18 30 30 30
Modes              
B-mode V V V V V V V
M-mode V V V V V V
CF V V V V V V V
PD V V V   V V
PWD V 1000 USD V   US and Canada only V
Size(mm)              
Height 156 164 131 187 50 163 150
Length 60 78 64 74 30 56 62
Width 20 38 31 40 20 35 25
Weight(gm) 260 392 205 388 135 309 175
Signal transmission Wifi

802.11g

Wifi

802.11n

Wifi

802.11n

Wifi

802.11b/g

Cable Cable Cable
Charging Wireless Battery charger Wireless Wireless USB Wireless USB
Scan time 4 hours 60 min 50 min 4 hours USB 2 hours 5 hours
Price 3200 4900 4495 4000 7000 1999 6000
Warranty 1.5 years 3 years 3 years ? 5 years 3 years 1 year
Annual fee No No No No 199×12* 420 No
Additional feature Dual head   Military drop   SonoCT 4-foot drop compatibility

CF: color flow; PD: power Doppler; PWD: pulsed-wave Doppler.

*199USD per month for rental, including machine and pad.

Eagleview Ultrasound Scanner Review

Smartphone sized EagleView is compact and wireless. It is a suitable device for physicians doing POCUS every day and help doctors do sono-guided interventions, such as central venous catheter insertion, pigtail insertion or sono-guided biopsies, in critical care unit.

 

EagleView ultrasound scanner 1

The device I received was in a compact box, including a charger pad, brief manual and the EagleView itself. Then I did some scans on the patients and my self immediately.

 

Case 1: Vessel demonstration

 

Demonstration of left common carotid artery and internal jugular vein in B mode
Demonstration of left common carotid artery and internal jugular vein in doppler

Demonstration of the left common carotid artery and the internal jugular vein in B mode(left) and with color doppler(right). This picture is suitable for sono-guided needle placement.

These were the images obtained from a 95-year-old man who was admitted to ICU for septic shock and we need to place a central venous catheter for him.

Case 2: Pleural effusion

Demonstration of bilateral pleural effusion 1
Demonstration of bilateral pleural effusion 2

Demonstration of bilateral pleural effusion. The left picture shows a small amount of pleural effusion with collapsed lung, diaphragm and spleen. The right picture shows a large amount of pleural effusion, diaphragm and liver.

These images were obtained from an 80-year-old man with heart failure and general edema. Chest film showed bilateral blunt costophrenic angles. We planned to place a pigtail to drain his pleural effusion out.

Case 3: Image quality check on health subjects

To check the image quality of EagleView, we do some scans on healthy subjects.

 

  1. Thyroid survey
Thyroid and common carotid artery in B mode
Thyroid and common carotid artery with color doppler mode

Thyroid and common carotid artery in B mode and with color doppler.

Thyroid isthmus and trachea.
Sagittal view of thyroid gland.

Thyroid isthmus and trachea.

Sagittal view of the thyroid gland.

Images of thyoid scan on a 35-year-old healthy man.

2. Abdomen review

Left lobe of liver

Left lobe of liver

Portal area

Portal area

Right lobe of liver

Right lobe of liver

Hepatorenal fossa

Hepatorenal fossa

Common bile duct

Common bile duct

Gall bladder

Gall bladder

Images of abdominal scan on a 35-year-old healthy man.

Conclusion

It’s a compact, lightweight, wireless portable ultrasound scanner with good quality of linear probe and fair quality of convex probe. The boot-up is quick within 30 seconds if you boot the device first and then open the smartphone app. However, the image quality is still not good enough to do the cardiac evaluation. The machine becomes warm after working for around 10 minutes. I dare not test its durability and still trying to find a box fit for it.

 

Generally, it’s a machine worth its price and could help doctors without an ultrasound machine or with really old ultrasound machines.

Why EagleView Should Be Your First Handheld Ultrasound?

Why EagleView Should Be Your First Handheld Ultrasound?

Today’s, medical practitioners, all around the world are considering an app-based Handheld Ultrasound Scanner, often known as ultrasound system. If you are using an Android or Apple device, you can select the best one available from a range of options to befit your suit your image quality requirements, speciality as well as budget.

 If you’re new to ultrasound imaging and the prospect of spending $20,000 to $80,000 is a barrier to purchasing a system of your own, we have a better choice for you. 

Given a small clinic like ours, a portable ultrasound is important as it helps to save the space required for the storage.Pricing wise, it is way cheaper than other ultrasounds that I have seen which costs up to SGD $20,000. Dr. Wong Lin Ho explains.

Let’s explore 5 reasons we think Eagleview Ultrasound is ideal for you.

 

EAGLEVIEW™ DUAL-HEAD WIRELESS HANDHELD ULTRASOUND SCANNER

1

Suit your budget, one-time purchase for all-in-on device

 

Compared with other handheld ultrasound devices on the market, eagleview is obviously your first choice in terms of price. There is no membership,   no extra fees for any service, one-time purchase for all you need.

EAGLEVIEW™ DUAL-HEAD WIRELESS HANDHELD ULTRASOUND SCANNER

2

Easy to operate, simple to sync with Mobile/ PAD

 

Support both iOS and Android, connect to your smartphone or tablet within seconds.The mini ultrasound gives the premium quality image on your palm within few minutes.

You don’t need to worry about changing or disappearing ports on smart devices. It works with an application, and you can also connect via Bluetooth. You can connect with Wi-Fi as well to most iOS as well as Android devices.The best thing is – you never have to worry about the potential consequences of changing or disappearing your smart devices.

ONE FLIP, FROM SHALLOW TO DEEP.

3

No need to replace probes, one machine can use the whole body

 

By possessing linear and convex heads at the same time,  you can scan the whole body within one smart scanner. By simply flipping around the device, you can switch from shallow exams to deep exams. From the deep structures within the abdomen, superficial anatomy, the extremities and even to the heart.

national cancer institute KrsoedfRAf4 unsplash

4

Bring  “completely wireless” to reality,take it to the bedside of every patient

 

With Wellue Eagleview wireless handheld ultrasound scanner, you can scan in wireless, completely. Now, you can get rid of cables, chargers or wires that are really complicated to carry on the go. You don’t need any limited hand movements around the human body when you operate it. You will be amazed to see that your scanner and smart device will work together and separately, and that’s too at the same time.

With only about 260g (0.6lbs), it contains everything you need to image a full human body. Put it in your pocket and bring it to the bedside of every patient. Designed for more remotable and efficient diagnosis.

“EagleView has become our crew’s favorite gear. We carry it everywhere, on our way to emergent care or in the office. Countless shifts, it’s always in my pocket. Thanks for making this!

Seen many handheld ultrasounds on the market, Uprobe is the few able to bring  “completely wireless” to reality. Rather than paying attention to the wires which block my vision frequently, I finally can concentrate on my patient’s condition.”

超声仪使用场景 双头

5

Easy To Disinfect With Wireless.

 

To reduce contamination and encourage disinfection, wireless probes and tablets are the most suitable ultrasound equipment as they can be easily wrapped in single-use plastic covers. These devices are also less expensive than more traditional machines. Portable machines can be used if wireless equipment is unavailable, but those covid-19 patients must be strictly dedicated to patients. Maximum sterilization procedure must be followed for cases, inspection and keyboard cover.

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