The International Journal of Cardiovascular Imaging

, Volume 30, Issue 2, pp 245–252

Medical iPad use in the cardiac catheterization and echo laboratories

Original Paper


The present study aims to describe a dedicated cardiac imaging application on a tablet and to assess the accuracy and reproducibility of this novel application for measurement on angiography and echocardiography data sets. Tablet devices have recently been used in radiological image interpretation and enable transfer of images. It allows the clinician to look up clinical information, search the Internet and communicate with colleagues and family. The study group consisted of 30 patients who had both echocardiographic and angiographic examinations. For each patient, a few measurements (i.e. length, area and angle) were performed using the iPad, and compared to the McKesson workstation, which is routinely used in the hospital. In order to show the equivalence between these two methods, a linear regression was fitted and the distribution of differences between measurements was examined. In addition, the variability of the measurements was compared between two different reviewers (inter-observer test) and between the measurements of the same reviewer at two different time settings (intra-observer test) by calculating the intraclass correlation coefficient (ICC). In all comparisons, the linear regression showed high correlation coefficient (r > 0.9), and the distribution of differences was around zero, implying that the two methods lead to equivalent results. The absolute mean difference between the two different observers demonstrated high agreement between the two observers’ repeated measurements. The same conclusions can be deduced from the same observer’s repeated measurements. The ICC indicates the resemblance between the two sets, and could be considered almost perfect (ICC > 0.968 for all cases). The newly developed cardiology iPad application offers the opportunity to accurately present the cardiac procedure in a visual, clear and professional manner.


iPad Cath-lab Echocardiographic Tablet 



Three dimensional


Computed tomography


Magnetic resonance imaging


Positron emission tomography


Transcatheter aortic-valve implantation


Standard deviation


Intraclass correlation coefficient


  1. 1.
    P. Mc Laughlin, S. O. Neill, N. Fanning, A. M. Garrigle, O. J. O. Connor, G. Wyse, M. M. Maher, Emergency CT brain: preliminary interpretation with a tablet device: image quality and diagnostic performance of the Apple iPad, Emerg Radiol, DOI 10.1007/s10140-011-1011-2
  2. 2.
    Richard H (2011) Savel and Cindy L. Munro, Scalpel, Stethoscope, iPad: The Future Is Now in the Intensive Care Unit, Am J Crit Care 20:275–277Google Scholar
  3. 3.
    Mashman W (2011) EDITOR’S PAGE - The iPad in Cardiology- Tool or Toy? J Am Coll Cardiol Intv 4:258–259CrossRefGoogle Scholar
  4. 4.
    Volonte′a F (2011) J. H. Roberta, O. Ratibb, F. Triponeza, Case report - Thoracic oncologic A lung segmentectomy performed with 3D reconstruction images available on the operating table with an iPad. Interactive CardioVascular and Thoracic Surgery 12:1066–1068CrossRefGoogle Scholar
  5. 5.
    Eguchia T, Takasuna K, Kitazawa A, Fukuzawa Y, Sakaue Y, Yoshida K, Matsubara M (2012) Three-dimensional imaging navigation during a lung segmentectomy using an iPad. European J Cardio-Thorac Surg 41(4):1–5Google Scholar
  6. 6.
    Newtongraphics. OsiriX iPad Stereo 3D navigation surgery. YouTube 2010. Accessed 25 Feb 2012
  7. 7.
    Apple—iPad—view the technical specifications for iPad (2011), Accessed 6 Mar 2013
  8. 8.
    Press announcements > FDA clears first diagnostic radiology application for mobile devices, Accessed 6 Mar 2013
  9. 9.

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  1. 1.Department of Cardiology, Institute of Interventional CardiologyRabin Medical CenterPetach TikvaIsrael
  2. 2.Sackler Faculty of MedicineTel Aviv UniversityTel AvivIsrael

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