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Updated: Aug 12, 2025

Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System
Published on: April 11, 2025
A wearable cardiac ultrasound imager
Hongjie Hu1, Hao Huang1, Mohan Li2
1Department of Nanoengineering, University of California San Diego, La Jolla, CA, USA.
Insights
A new wearable ultrasonic device enables continuous, real-time cardiac function monitoring. This innovation allows for direct assessment of heart performance, improving accuracy in diverse settings.
Area of Science:
- Biomedical Engineering
- Cardiovascular Imaging
- Wearable Technology
Background:
- Continuous cardiac function assessment is crucial for cardiovascular health, acute dysfunction detection, and patient management.
- Conventional non-invasive imaging lacks continuous measurement capabilities due to device bulkiness.
- Existing wearable devices capture only skin-level signals, not direct cardiac function.
Purpose of the Study:
- To develop a wearable ultrasonic device for continuous, real-time, and direct cardiac function assessment.
- To overcome limitations of conventional and existing wearable cardiac monitoring technologies.
Main Methods:
- Innovations in device design and material fabrication for improved skin coupling.
- Utilizing a deep learning model for automated left ventricular volume extraction from continuous ultrasound imaging.
- Enabling examination of the left ventricle from multiple views during patient motion.
Main Results:
- Successful development of a wearable ultrasonic device for direct cardiac assessment.
- The deep learning model accurately extracts left ventricular volume, generating waveforms for key cardiac indices.
- Demonstrated dynamic wearable monitoring of cardiac performance with enhanced accuracy across various environments.
Conclusions:
- The wearable ultrasonic device offers a novel solution for continuous, real-time cardiac monitoring.
- This technology significantly advances the capabilities of wearable cardiac assessment tools.
- Enables dynamic monitoring of stroke volume, cardiac output, and ejection fraction with improved accuracy.
Abstract:
Continuous imaging of cardiac functions is highly desirable for the assessment of long-term cardiovascular health, detection of acute cardiac dysfunction and clinical management of critically ill or surgical patients1-4. However, conventional non-invasive approaches to image the cardiac function cannot provide continuous measurements owing to device bulkiness5-11, and existing wearable cardiac devices can only capture signals on the skin12-16. Here we report a wearable ultrasonic device for continuous, real-time and direct cardiac function assessment. We introduce innovations in device design and material fabrication that improve the mechanical coupling between the device and human skin, allowing the left ventricle to be examined from different views during motion. We also develop a deep learning model that automatically extracts the left ventricular volume from the continuous image recording, yielding waveforms of key cardiac performance indices such as stroke volume, cardiac output and ejection fraction. This technology enables dynamic wearable monitoring of cardiac performance with substantially improved accuracy in various environments.
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