Alternatives for improving veterinary medical students' learning of clinical sonography.

With the widespread clinical use of sonography there is a need to introduce the topic into the curriculum. A new problem-based course in clinical sonography without lectures was developed to emphasise experiential learning, and engage students actively in individual and collective acts of discovery. Four different approaches were used to deliver the new course to 141 veterinary medical students over four semesters. The physical principles of sonography were taught by computer-assisted instruction and a practical class, clinical examinations were introduced during a session with a tutor, and finally each student wrote an essay on a sonographic topic of their choice. To evaluate the new course, students' responses to a questionnaire were analyzed. Students gained reasonable understanding of the physical principles of sonography and had some confidence in conducting a sonographic examination of an animal. Of most use to student learning was discussion with the teachers. Surprisingly, half the students thought the topic should also be taught by lectures. The students learned the material and acquired the sonographic skills through processes which required more independence and self-responsibility than traditional teaching methods. The teachers' interaction with students on an individual basis, as they encountered individual problems, was the most important resource in learning about sonography. The continued request for lectures suggests an insecurity in some students caught between two different paradigms of teaching and learning (experiential, problem-based learning versus lectures).

Building the Hospital Without Walls--a CSIRO home telecare initiative.

Aging populations and rising health costs have created the need to care for more patients in their own homes. Australia's Commonwealth Scientific and Industrial Research Organization (CSIRO) is developing a project, Hospital Without Walls, which aims to provide continuous monitoring of patients in certain diagnostic categories. The key technology is a miniature, wearable, low-power radio that can transmit vital sign and activity information to a home computer, from which data may be sent by telephone line and the Internet to appropriate medical professionals. The initial clinical scenario for this work is monitoring of elderly patients who have presented to hospitals following repeated falls. Accelerometers built into the radio sets will monitor activity and detect and characterise falls. Simultaneous measurement of heart rate will provide information about abnormalities of cardiovascular physiology at the time of a fall. The system has been tested in laboratory conditions and is being adapted for initial clinical trials.

Elastography--the movement begins.

The advent of real-time ultrasound in the 1970s, together with a growing interest in tissue characterization, led to a number of investigators using the nature of tissue motion to distinguish healthy from diseased tissue. Our group at the (then) Ultrasonics Institute demonstrated the use of phase methods for detecting very small tissue motions, using natural stimuli. The method could also be applied in the lag (autocorrelation) domain to directly measure the amount of deformation to high accuracy. This method was also applied to measuring the amount of dilatation of blood vessels using both conventional and intravascular ultrasound. A basic limitation of these techniques was the poor spatial resolution, and quasistatic methods soon replaced this method of measuring tissue deformation. However, a new way of assessing the health of tissues had been established.

Students' learning of clinical sonography: use of computer-assisted instruction and practical class.

RATIONALE AND OBJECTIVES: The application of information technology to teaching radiology will profoundly change the way learning is mediated to students. In this project, the integration of veterinary medical students' knowledge of sonography was promoted by a computer-assisted instruction program and a subsequent practical class. METHODS: The computer-assisted instruction program emphasized the physical principles of clinical sonography and contained simulations and user-active experiments. In the practical class, the students used an actual sonographic machine for the first time and made images of a tissue-equivalent phantom. Students' responses to questionnaires were analyzed. RESULTS: On completing the overall project, 96% of the students said that they now understood sonographic concepts very or reasonably well, and 98% had become very or moderately interested in clinical sonography. CONCLUSIONS: The teaching and learning initiatives enhanced an integrated approach to learning, stimulated student interest and curiosity, improved understanding of sonographic principles, and contributed to an increased confidence and skill in using sonographic equipment.

Automatic vessel tracking and measurement for Doppler studies.

In this initial report, an imaging technique is described for automatically recognising the walls of a blood vessel during Doppler measurements, and hence automatically adjusting the position of the sample volume. The method reduces the inherently two-dimensional edge detection problem to a one-dimensional one, and iterates over several imaging frames to optimise the information. The orientation and diameter of the vessel are also measured. The technique has been clinically tested off-line and is particularly applicable to Doppler volumetric flow studies.

Cross sectional visualization of the normal heart by the UI Octoson.

The UI Octoson can provide accurate compound and simple scan cross sectional views of the heart. Sections taken in the transverse, sagittal, and other planes normal and parallel to the long axis of the heart are useful for providing full information that may be obtained by the examination. The views allow the visualization and measurement of most major structures of the heart, giving a more complete description of the geometry of the heart.