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.
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.
image (1) sagittal view of the gallbladder demonstrated non-shadowing polypoid ingrowth into gallbladder lumen by white arrow. gallbladder wall demonstrated by black arrow.
image (2) transverse view of the gallbladder demonstrated non-shadowing polypoid ingrowth into gallbladder lumen by white arrow. gallbladder lumen demonstrated by black arrow.
image (3) color doppler over the gallbladder polyp (white arrow) demonstrated no color flow.
Eagleview Ultrasound Case 1: Burns by Gas Cylinder Explosion
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.
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.
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.
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.
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.
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.
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:
Overall, EagleView portable doppler ultrasound got 3 golds in this product competition with multiple imaging modes and powerful battery life.
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.
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:
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.
Price range (USD)
Due to the limited ability to review, some companies may not be included.
Comparison of the Convex Probe for POCUS Use.
US and Canada only
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.
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 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. 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.
Thyroid and common carotid artery in B mode and with color doppler.
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
Right lobe of liver
Common bile duct
Images of abdominal scan on a 35-year-old healthy man.
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.
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.
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.
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.
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.
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.”
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.
Always at High Level of Blood Pressure? Do You Snore When You Sleep? During sleep, the muscles of the whole body relax, and so do the muscles of the throat. The waves of "hoo - hoo - hooooo" sound is called snore. That's because when you are breathing, the air in and...
Heart health is a prerequisite for good health. A healthy heart pumps fresh blood and carries oxygen to nourish organs and tissues. Heart disease in our life will do harm to human body. It is mainly due to a result of some bad habits formed long time in daily life....
A number of companies are looking beyond the wrist at the next frontier in wearable technology. Few people know that the finger can provide a useful snapshot of a person’s overall health. This is because it contains arteries that can be sensed by finger-worn devices...