ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin...

17
ADUM: Advanced Diagnostic Ultrasound in Microgravity in Microgravity Smridhi, 12 th grade H lth C Hi hS h lS At i T Health Careers High School, San Antonio, T exas

Transcript of ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin...

Page 1: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

ADUM: Advanced Diagnostic Ultrasound

in Microgravityin MicrogravitySmridhi, 12th grade

H lth C Hi h S h l S A t i THealth Careers High School, San Antonio, Texas

Page 2: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

Object of the MissionObject of the MissionThe Advanced Diagnostic gUltrasound in Microgravity (ADUM) mission was designed to:designed to:

Test the accuracy of diagnosis of on-orbit injuries via ultrasound imaging.Assess the feasibility of yultrasound to monitor in-flight bone alterations.

Page 3: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

DescriptionpInvestigation includes:

Feasibility of monitoring boneFeasibility of monitoring bone density during long-duration flightsDetermining health problems in geyes, bones, sinuses, and abdominal injuries

Nonmedical crew membersNonmedical crew membersGiven instructional CD ROMS to train themselvesIntent is to establish anIntent is to establish an instructive, simple method to teach medically-untrained professionals to successfully use an ultrasound machine

Page 4: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

Principle InvestigatorPrinciple InvestigatorScott A. Dulchavsky, y,M.D., Ph.D., Henry Ford Health System, Detroit MIDetroit, MI

Co-Investigators:A h t S M DAshot Sargsyan, M.D., Wyle, Houston, TXDouglas R. Hamilton, M D Ph D W lM.D., Ph.D., Wyle, Houston, TXShannon Melton, Wyle, H t TXHouston, TX

Page 5: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

ISS MissionsISS MissionsPrevious Missions

ADUM is the first experiment to specifically test the effects of microgravity on ultrasoundof microgravity on ultrasound

However, ultrasound equipment was used during Increment 5Increment 5

Expeditions Flown: 8 – 12

Expedition Duration: October 2003 – April 2006

Page 6: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

What is Ultrasound?What is Ultrasound?Ultrasound imaging, AKA sonography

Uses high frequency sound waves to produce real timeUses high frequency sound waves to produce real-time structure and movement of the internal organsNon-invasive imaging test that enables physicians to diagnose and treat medical conditions

Ultrasound image of the gallbladder Ultrasound image of the liver

Page 7: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

Significant ImportanceSignificant ImportanceUltrasound is the only imaging device currentlyimaging device currently available on the ISS

Exploration crews need diagnostic accuracy for evaluation of 250 medical conditions

Crews working beyond Low Earth Orbit need telemedicine strategies for potential space illnessesillnesses

Page 8: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

Significant ImportanceSignificant ImportanceIn addition, this experiment tests the ability of non-medically trained crew membersmedically trained crew members

Examinations were performed with little to no guidance from trained professionals in mission control

Page 9: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

Earth ApplicationsppUsing a relatively small diagnostic machine (withoutdiagnostic machine (without the help of a health care worker)

Sa es li es and red cesSaves lives and reduces healthcare costs

Long distance communicationLong distance communication with doctors

Largely efficient way of worldwide medical diagnosisworldwide medical diagnosis

Potentially grants universal access to clinical imagingaccess to clinical imaging experts

Page 10: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

Space ApplicationsSpace ApplicationsMinimizes onboard resources

hil ffi i tl di iwhile efficiently diagnosing medical problems

Ability of astronauts to useAbility of astronauts to use ultrasound with scarce instruction

E h hEncourages thorough treatment and prevents avoidable evacuation

Enhancing the technology for telecommunication

N f l t dNecessary for long-term and long-duration exploration

Page 11: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

RequirementsRequirementsTwo crewmembers must participate in a scanp p

One serves as the “patient”The other operates the Human Research Facility (HRF) lt d hiultrasound machine

The “patient” must be restrained using the Medical O ti C M di l R t i t S tOperations Crew Medical Restraint System

Mandatory for all scans, excluding the bone scan

Required audio/video links must be in private mode for crewmember privacy

Page 12: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

Procedures1. Set up the ultrasound system

Consists of HRF laptop andConsists of HRF laptop and ultrasound keyboard, monitor, and probes

2. Scan lasts between 20 and 50 minutes

Performs four scan sets:Performs four scan sets:1. Cardiothoracic (heart/lungs)2. Abdominal (i.e. liver, spleen)3 Dental (mouth)3. Dental (mouth)4. Bone scan (bones)

3. Shut down machine and storeTotal time required: 2 hours

3. Shut down machine and store supplies

Page 13: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

ResultsThe ADUM experiment shows that minimal training and the guidance of a certified sonographer produces quality diagnostic imagesimages

Results of the analysis of the crewmembers’ pictures/videos by the NASA TeleScience Center are outstandingg

Ultrasound on the ISS requires an onboard proficiency enhancement program, visual cue cards, and guidance from trained radiological personnel on Earth.

Page 14: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

Extended ResultsExtended ResultsExpedition 8

Proved the capability of minimally trained personnel to operate an ultrasound machineGroundwork for using ultrasound as a diagnostic tool in space

Expedition 9Ultrasound images of the shoulder showed the enhancedshoulder showed the enhanced quality of this type of imaging

Page 15: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

Extended ResultsExtended ResultsExpedition 10p

Examined the eye through a closed eyelidC i ifCan signify more dangerous head trauma

ADUM ResultsADUM ResultsEstablish ultrasound as an important device for diagnosis (i.e. on future vehicles, the Moon, Mars)

Page 16: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

Future ApplicationppSuccess of ADUM

May lead to the use of ultrasound for patients in isolated areas, natural disaster sites, and the militarythe military

With guidance from an expert (potentially hundreds of miles (pote t a y u d eds o esaway), a person with minimal training could perform an ultrasound

Has the potential to expand the available tools for the medical communityProvides the ability to triage with a massive amount of patients

Page 17: ADUM: Advanced Diagnostic Ultrasound in …ADUM: Advanced Diagnostic Ultrasound in Microgravityin Microgravity Smridhi, 12th grade HlthC HihSh lS At i THealth Careers High School,

Works CitedWorks Citedhttp://www.radiologyinfo.org/en/info.cfm?pg=genus

http://www.shuttlepresskit.com/images/iss/iss_top.jpg

http://www.nasa.gov/mission_pages/station/research/experip g _p g pments/ADUM.html

http://www.usedultrasound.com/wp-content/uploads/2010/05/Philips-HD7-ultrasound-content/uploads/2010/05/Philips HD7 ultrasoundmachine.png

http://www.fchhh.com/uploads/files/54/med/earth-boy-for-webhorizontal jpgwebhorizontal.jpg

http://microgravity.grc.nasa.gov/MSD/MSD_gifs/menu_gifs/page_menus/tsc_menus/tscwideshot.jpg