What is it about?
Imaging in obstetrics gynecology and reproductive medicine warrants critical research expertise in meaningful and bias-free interpretation of data-sets involving scans of patients, primarily, women undergoing ultrasound. As an expert in reproductive medicine with an enviable publication track record in women's health research including fertility science/research as well as uro-gynaecology/gene-epidemiology, I have endeavored to highlight the essence of good clinical practice research in both high ans well as low-resource hospital-based settings catering to women-centric medical research. Psychosocial and financial distress are overlooked in patient management, and therefore patient-friendly high quality interactions are essential for tapering the overall cost of treatment, including ultrasound, Color-Doppler imaging, CT/MRI imaging modalities in pregnant women, Technical artifacts, inter-observer differences and small sample size often lead to ambiguity in accurate interpretation of the scan image; therefore, cassava flour appears as a low-cost alternative to typical commercially available gel for obstetrical ultrasound, and the future holds tremendous potential for designing technically sound and statistically significant clinical trials for addressing image-quality related issues in an eventual public health-oriented cost-effective management of women undergoing ultrasound procedure(s) in both New York, USA and/or Udaipur/Lucknow, India!
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Why is it important?
This article authored by Dr. Saumya Pandey (Ph.D.) offers critical research insights in cost-effective management of women undergoing ultrasound and/or related procedures in hospital-based settings; public health impact of my successful research contribution is immense and therefore I strongly advocate the cost-effective public health research-based design of replictive studies with a multicentric approach involving a pooled patient population cohort of women of varying genetic landscapes and socioeconomic strata so as to derive at more clinically relevant treatment options with diminished pyschosocial and/or financial distress.
Perspectives
As a globally established reputed public health research expert especially in women's health research/reproductive medicine/fertility/gynecologic oncology, my personal perspective regarding my impressive research contribution is an overwhelming mix of certain strengths/positives and negatives in women-centric research thereby providing a neutral yet honest, transparent viewpoint regarding the spectacular know!edge-pool embedded in this particular research contribution! Sample size and written informed consent including due ethical approval should be stringently considered and scientific integrity followed at each research step involving human subject research especially pregnant women or women in general so as to ensure the "inherent psychological well-being and dignity of the women" in general with diverse ethnicities and exposures, both in low-resource and high-resource settings. Cassava flour, etc appear safe and low-cost, and image quality data-sets should be studied and reviewed with expert clinical imaging physicians; the rapid exchange of emerging scientific knowledge requires a streamlined conscientious effort between the study investigator/scientific expert and the co-investigator/consulting physician, and patients should be counseled effectively so as to avoid loss to clinical follow-ups. An appreciable sample size of cases and controls from random population(s), optimally 100-200 subjects should be a modest sample size for a statistically-powered study; however, there is an exorbitant cost of imaging diagnostic modalities both in USA and India, and therefore few study subjects may be lost to follow-ups during obstetrical-imaging, and in this scenario, even a bare minimal sample size of about 50 study participants with ultrasound scan images may be studied so as to have significant comparison(s) in image quality of scans. Lastly, low-cost alternatives in ultrasound imaging may eventually prove beneficial in patient-friendly, cost-effective management of reproductive disorders and/or malignancies in women worldwide, Scan-image quality studies may be more effective by amalgamating cell/molecular/gene-epidemiology pharmacogenetic studies for an effective public health research model in women's health research/obstetrics-gynecology and gynecologic oncology/cervical cancer and infertility with a long-term clinical impact! DR. SAUMYA PANDEY PH.D. DRSAUMYAPANDEY11@GMAIL.COM Lucknow, India (author's hometown) ; December 28, 2018.
DR. SAUMYA PANDEY
Read the Original
This page is a summary of: Re: Cassava flour slurry as a low-cost alternative to commercially available gel for obstetrical ultrasound: a blinded non-inferiority trial comparison of image quality, BJOG An International Journal of Obstetrics & Gynaecology, February 2018, Wiley,
DOI: 10.1111/1471-0528.15156.
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