Development of A Real-time POCUS Image Quality Assessment and Acquisition Guidance System

Abstract: Point-of-care ultrasound (POCUS) is one of the most commonly applied tools for cardiac function imaging in the clinical routine of the emergency department and pediatric intensive care unit. The prior studies demonstrate that AI-assisted software can guide nurses or novices without prior sonography experience to acquire POCUS by recognizing the interest region, assessing image quality, and providing instructions. However, these AI algorithms cannot simply replace the role of skilled sonographers in acquiring diagnostic-quality POCUS. Unlike chest X-ray, CT, and MRI, which have standardized imaging protocols, POCUS can be acquired with high inter-observer variability. Though being with variability, they are usually all clinically acceptable and interpretable. In challenging clinical environments, sonographers employ novel heuristics to acquire POCUS in complex scenarios. To help novice learners to expedite the training process while reducing the dependency on experienced sonographers in the curriculum implementation, We will develop a framework to perform real-time AI-assisted quality assessment and probe position guidance to provide training process for novice learners with less manual intervention.