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CaptureProof for Neurology

THE VISUAL HEALTH RECORD^TM

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hipaa secure: photos | videos | chat | pdf | OUTCOMES

71% OF HOME VIDEOS CAN BE READ AND CONFIDENTLY DIAGNOSED BY EPILEPTOLOGISTS

Triage new Patients

See Episodes When
They Happen at home

Avoid hospital
monitoring

Check Medication

IDENTIFY URGENT PATIENTS WITH 78% MORE ACCURACY
REDUCE ER VISITS
REDUCE NON-URGENT FOLLOW UP VISITS BY 75%
90% OF PATIENTS SAY CaptureProof HELPED THEM BETTER MANAGE THEIR HEALTH

Case Studies

Triage

2 yr. male with developmental delay and autism spectrum, with new onset of abnormal movement including tonic stiffening of legs
Referred for possible new onset tonic seizures
Used CaptureProof to send videos of several events, in high chair and lying in bed prior to sleep
EEG normal

Diagnosis: Stereotypies including self-gratification disorder, confirmed by our movement disorder specialist. EMU monitoring not required.

Triage

6 week term male referred for possible emerging focal epilepsy
No risk factors for epilepsy
At 3 weeks of age, mother observed the infant having semi rhythmic multifocal jerking of the upper and lower extremities while sleeping, sent 2-3 min. video of this with CaptureProof
Otherwise feeding well, exhibiting visual fixation and excellent suck at the breast with good weight gain and no other abnormal movements observed
30 min. wake drowsy sleep deprived EEG in our office was normal
Exam in office was normal

Diagnosis: Infantile sleep myoclonus. EMU evaluation and further testing not required.

Epilepsy Management

11 yr. male has diagnosis of idiopathic focal epilepsy BRE variant versus Panayiotopoulos syndrome
Current Trileptal dose 300 mg per 5 mL 6 mL at bedtime, last level measured 2015-12-08 was in a low therapeutic range, 12
Spoke with father 15:40, discussed review of video sent by mother via CaptureProof
Episodes reveal child staring with some eyelid fluttering and poor responsiveness with some associated vomiting, appeared to be sleepy afterward
30 min. wake drowsy sleep deprived EEG in our office was normal
No missed doses of medication

Treatment: Advised father to increase Trileptal dose to 2 mL in morning and continue 6 mL at bedtime. Parents will continue to monitor seizure frequency and send video of any additional suspected seizures for review.

“CaptureProof is the tool that finally integrates important clinical media in the daily neurology practice.”

Farhad Sahebkar, MD,
Pediatric Neurologist
San Francisco, California

“Just letting you know you are changing the face of day to day medical practice.”

Harley B. Morgan, MD,
Pediatric Neurologist
Columbia, South Carolina

from users

NEUROLOGY ANALYTICS

CADENCE SYMMETRY

SHOULDER SYMMETRY

NEUROLOGY STUDIES

Outpatient Smartphone Videos for Classifying Epileptic and Nonepileptic Seizures

PRESENTED AT AMERICAN EPILEPSY SOCIETY MEETING 2017

CONCLUSION: Secure uploading, exchange, and analysis of SV data in patients with paroxysmal neurological events is feasible. Most SVs were non-convulsive though those with the highest concordance among raters were PNES almost exclusively differing from H & P. The median duration of SV was 1min 28sec vs 60 mins with routine H & P and 2.54 days with VEM (p= < 0.0001).

William O. Tatum DO¹, Larry Hirsch MD², Robert Duckrow MD², David Chen MD³, Michael Gelfand MD PhD⁴, Curt LaFrance MD⁵, Andrew Blum MD⁵, John Hixson MD⁶, Joe Drazkowski MD¹, Selim Benbadis MD⁷, Diego Carvalho MD¹, Alfonso Lopez MD¹, Erin Okazaki MD¹, Iris Marin Collazo MD¹, Ashish Ranpura MD², Scott Yuan MD², Jon Kleen MD⁶, Erin Coonan⁸, Gregory Cascino MD¹
Departments of Neurology: ¹Mayo Clinic, ²Yale University, ³Baylor University, ⁴University of Pennsylvania, ⁵Brown University, ⁶University of California San Francisco, ⁷University of South Florida, ⁸Boston College

Outpatient Smartphone Videos in Epilepsy (OSmartViE): Initial Results of Video Quality

POSTER PRESENTED AT AMERICAN EPILEPSY SOCIETY MEETING DEC 2017

CONCLUSION: Smartphone Video (SV) are highly specific for ES diagnosis and highly sensitive to PNEA diagnosis. Most SV were adequate in clarity, audio and light according to physician review. SV were mostly limited by limited bystander interaction, lack of whole body view and ictal period recorded.

Erin E. Coonan¹, Lawrence J. Hirsch MD², Robert B. Duckrow MD², David Chen MD³, Michael Gelfand MD PhD⁴, Andrew Blum MD⁵, John Hixson MD⁶, William LaFrance MD⁵, Joseph Drazkowski MD¹, Selim Benbadis MD⁷, Gregory Cascino MD¹, William O. Tatum DO¹
Departments of Neurology: ¹Mayo Clinic, ²Yale University, ³Baylor University, ⁴University of Pennsylvania, ⁵Brown University, ⁶University of California San Francisco, ⁷University of South Florida

Outpatient Smartphone Videos in Epilepsy (OSmartViE): Initial Results

POSTER PRESENTED AT AMERICAN EPILEPSY SOCIETY DEC 2016

CONCLUSION: Secure exchange of Smartphone Video (SV) information is feasible. Most SV had convulsive episodes but 70% were not ES. SV diagnosis had a level of confidence similar to History & Physical. Epileptologists (71.4% accurate sv diagnostic rate) were better in identifying ES than trainees and more confident in non-epilepsy despite similar accuracy.

William O. Tatum DO¹, Larry Hirsch MD², Robert Duckrow MD², David Chen MD³, Michael Gelfand MD PhD⁴, Curt LaFrance MD⁵, Andrew Blum MD⁵, John Hixson MD⁶, Joe Drazkowski MD¹, Selim Benbadis MD⁷, Diego Carvalho MD¹, Alfonso Lopez MD¹, Erin Okazaki MD¹, Iris Marin Collazo MD¹, Ashish Ranpura MD², Scott Yuan MD², Jon Kleen MD⁶, Erin Coonan⁸, Gregory Cascino MD¹ Departments of Neurology: ¹Mayo Clinic, ²Yale University, ³Baylor University, ⁴University of Pennsylvania, ⁵Brown University, ⁶University of California San Francisco, ⁷University of South Florida, ⁸Boston University

SEE ALL STUDIES

TESTING feasibility and utility of remote data capture technology to assess parkinson’s disease

POSTER PRESENTED AT INTERNATIONAL PARKINSON AND MOVEMENT DISORDER SOCIETY BERLIN, GERMANY JUNE 2016

CONCLUSION:

High quality of home video recordings for asynchronous video-recordings are feasible in early to mid-stage PD using a HIPAA-compliant app and cloud-based platform
Ratings from the modified “svUPDRS” are in good agreement with scores on equivalent items from the in- person UPDRS
Two independent raters did not differ significantly in ratings on the video-based visits
1 hour in-office training is adequate for most patients
Asynchronous virtual visits are a novel tool for creating an archive of rich patient data beyond the scope & scale of what can be captured in a clinical setting

CLAIRE HENCHCLIFFE, MD DPhil, cornell medical center, new york, ny

BENEFITS OF MEDICAL MEDIA IN PEDIATRIC NEUROLOGY

AWARDED “ORAL PRESENTATION” AT AAN POSTER SESSION APRIL 2013

CONCLUSION: CaptureProof EASY-TO-USE, NON-INVASIVE, SECURE SYSTEM FOR REAL-LIFE PATIENT MONITORING AT A FRACTION OF THE COST OF CURRENT STANDARDS WILL BENEFIT PATIENTS FROM THE VERY FIRST EVENT THROUGH DIAGNOSIS AND TREATMENT. THE STUDY DEMONSTRATED THE USEFULNESS OF MEDIA IN PEDIATRIC NEUROLOGY PRACTICES PROVING THAT IT: A) ALLOWS FOR FASTER AND MORE ACCURATE DIAGNOSIS, B) REDUCES THE NEED FOR COSTLY TESTS, ER/OFFICE VISISTS, AND LENGTHY HOSPITAL STAYS, C) OPTIMIZES TREATMENT MODALITIES AND D) RESULTS IN BETTER CARE AT A FRACTION OF THE COST OF THE CURRENT STANDARD OF CARE FOR PATIENTS.

FARHARD SAHEBKAR-MOGHADDAM, MD, SUTTER MEDICAL CENTER, SAN FRANCISCO, CA