•Compact ultrasound use spreading to rural U.S., developing countries
• Docs outside traditional specialities now adopting ultrasound technology
• Ultrasound bounces sound waves off solid internal objects inside the body
When doctors in a remote African town warned a 20-something pregnant woman she was well past her due date, the Liberian patient agreed to have labor induced.
But Dr. Simon Kotlyar wanted to confirm the diagnosis first. So the visiting doctor performed an ultrasound test using a new system -- a machine miniaturized to the size of a laptop computer -- and discovered the Monrovia woman was only 32 weeks pregnant, not 40 weeks as anecdotal evidence had led doctors to believe.
"Having that system made a pretty big difference," said Kotlyar, chief resident in the department of emergency medicine at Yale-New Haven Hospital in Connecticut. "I told her to go home and come back in a few weeks."
As ultrasound machines become more compact and their image quality more precise, doctors have begun carrying the body-imaging technology to rural U.S. hospitals and developing countries. No longer is ultrasound available only to hospitals with reliable power supplies and room for bulky equipment. The portable battery-operated machines aren't expected to completely replace standard console-sized units, just as laptop computers haven't rendered desktop models obsolete. But industry expert Harvey Klein said the compact machines are proving popular among doctors outside the traditional areas of radiology, cardiology and prenatal care.
"There are maybe 20 specialty areas -- emergency medicine, anesthesiology -- that represent new markets," he said. "There's plenty of interest here." Ultrasound produces real-time imaging of a beating heart or developing fetus by interpreting sound waves bounced off solid internal objects.
Other common techniques for exploring inside the body without surgery include MRI -- magnetic resonance imaging -- systems that yield vivid results but whose scans require the patient to lie still for minutes. X-rays are still popular for producing images of bones, but the technology exposes a patient to potentially harmful radiation.
Ultrasound has its own drawbacks. For example, its effectiveness depends on operators knowing precisely how to position patients and where to place the imaging probes to reveal the best views.
To doctors, image quality is key. The newer compact units can now produce images comparable to those of the higher-end console units about 90 percent of the time, said Dr. Craig Sable of the Children's National Medical Center in Washington, D.C.
In 2003, Sable brought a portable unit to Uganda, where he used it to diagnose a life-threatening heart ailment in a 2-year-old girl. She later had successful surgery in the U.S.
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