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Home› Sponsors & CROs› At-Home Trials› Cardiac Solutions

Cardiac Imaging Solutions

Cardiac imaging, delivered at the patient's home.

In-home imaging with centralized cardiology interpretation, national coverage, and centralized coordination, for clinical trials and post-approval programs including REMS.

Sonographer performing an echocardiogram at a patient's home

Imaging where the patient is

When cardiac imaging is needed for a clinical trial or post-approval program, including REMS, Hawthorne's national network of cardiac imaging specialists and centralized cardiology readers can help. Conducting imaging at the patient's home or another local setting helps overcome patient access barriers and the costly study or prescription delays that come with them. Backed by a credentialed, centralized national network of cardiologist readers, we provide fast, convenient, and high-quality imaging to support your program.

A Hawthorne nurse performing an echocardiogram at a patient’s home
JACCPREVUE-VALVE

Proven at national scale

A 3,000-participant national prevalence study whose echocardiograms were performed in participants’ homes, in all 50 states.

Hawthorne Health supported the Cardiovascular Research Foundation on PREVUE-VALVE. We contacted eligible individuals to obtain informed consent and schedule the study procedures, and our sonographers performed the echocardiograms in participants’ homes, in all 50 states, to the core laboratory’s acquisition protocol.

An independent research organization (Hawthorne Health) then contacted eligible individuals to obtain informed consent and schedule the study procedures.

PREVUE-VALVE, Methods
3,000participants, each receiving a comprehensive transthoracic echocardiogram at home
50states represented, in a cohort 14.6% non-Hispanic Black and 9.4% Hispanic
8.2%weighted prevalence of moderate or greater valvular heart disease
4.7MAmericans aged 65 to 85 estimated to have it today, rising to 6.5M by 2060

Earlier prevalence studies drew on people who already had a clinical reason for an echocardiogram, or who were well enough to travel to a medical facility. This one went to the participants instead, and the authors conclude it establishes the feasibility of large-scale decentralized cardiovascular imaging.

The investigators thank Michael Arevelo, Ah’Shirae Arana, and Caroline Callison of Hawthorne Health in the paper’s acknowledgments.

Brener MI, et al. Senior author: Cohen DJ. Population Prevalence of Valvular Heart Disease in the United States: The PREVUE-VALVE Study Journal of the American College of Cardiology. J Am Coll Cardiol. 2026;87(23):3227-3239. doi:10.1016/j.jacc.2026.02.5137 (NCT05357404)

Read it in JACCPubMed Second paper from the same cohort

What the solution supports

Imaging where the patient is, read by credentialed cardiologists.

  • Completing cardiac imaging in the patient's home, eliminating the need to travel
  • Rapid image read and interpretation by credentialed cardiologists across all 50 states
  • Documentation and reporting of adverse events
  • Reduced administrative complexity through centralized coordination

How it works

One workflow from patient intake through final interpretation.

  • Centralized patient intake, scheduling, and coordination
  • Sonographers deployed based on proximity and specialty across all 50 states
  • Standardized imaging protocols and visit workflows
  • Cardiologist over-read and final interpretation for adults and pediatrics
  • Structured reporting aligned to study or program requirements

Imaging is delivered in the patient's home or other local setting as required. All visits operate under one contract and one project management structure.

Capabilities

Standardized reads. Centralized accountability. A national in-home imaging network.

Cardiac interpretation

Standardized reads. Centralized accountability.

Accurate, standardized interpretation is critical to cardiac endpoints and safety monitoring. Hawthorne supports cardiac reading through a national network of cardiologists with adult and pediatric expertise.

  • Echocardiogram interpretation (2D, color Doppler, spectral Doppler)
  • Electrocardiogram (EKG) interpretation
  • Vascular study interpretation where required
  • Pediatric and adult cardiology expertise
  • Structured reporting aligned to study requirements and defined turnaround expectations

Imaging data is collected through standardized workflows and routed to qualified cardiologists by state and specialty. Centralized reading is designed to reduce interpretation variability across sites and geographies, a common weak point in multi-site and at-home imaging.

Cardiac imaging execution

A national in-home imaging network, deployed where patients are.

Hawthorne delivers in-home cardiac imaging through experienced sonographers deployed across the country. Imaging is performed in the patient's home or other local settings, depending on program or study design and patient needs.

  • Echocardiography including 2D imaging, color Doppler, and spectral Doppler
  • Electrocardiogram (EKG) assessments
  • Custom imaging assessments aligned to protocol requirements
  • Pediatric and adult imaging capabilities

Network strength

  • Nationwide coverage reaching patients in urban and remote locations
  • Sonographers matched by geography, experience, and specialty
  • Centralized scheduling and standardized imaging protocols
  • Flexible deployment aligned to study demand

Access to imaging is often the limiting factor in cardiac studies. Expanding where and how imaging is delivered helps maintain timelines while supporting patient participation and consistent image quality.

Nurse fitting a wearable heart monitor at a patient's home

Structured like a clinical visit, delivered at home

Appointments scheduled around the patient, imaging conducted in a familiar environment.

REMS imaging support

When imaging is easier to complete, patients stay on therapy.

REMS programs depend on consistent completion of required imaging to keep patients eligible for therapy and meet regulator commitments. When imaging is delayed or inconvenient for the patient to access, patients are more likely to fall out of compliance. Hawthorne makes required imaging easier to complete while maintaining a consistent, auditable process.

At-home REMS imaging program, January to August 2026

2,099at-home echo visits
5 daysmedian intake to report delivery
49states completed
135 / 63sonographers / cardiologists, pediatric and adult

Network figures as of October 1, 2026.

93%

Intake to scheduling in 1 day

Achieved, January to July 2026

94%

Scheduling to visit in 4 days

Achieved, January to July 2026

96%

Visit to report delivery in 3 days

Achieved, January to July 2026

Care is delivered in the home but structured like a clinical visit. Appointments are scheduled around patient availability, imaging is conducted in a familiar environment, and reduced travel supports continued participation and progression through REMS requirements. Visit volume has exceeded forecast across multiple periods, with repeat utilization from prescribers and patients. Turnaround covers 346 reports delivered January to July 2026, excluding patient-directed visits. Visit counts are complete through August 2026; later months are still filling.

Review fit for your imaging requirements

If cardiac imaging or REMS monitoring is part of your protocol or program, let's walk through it.

We can show how this model aligns to your timelines, endpoints, and coverage needs.

Share your protocolSee what the network deliveredstudies@hawthornehealth.com

Let’s talk.

Hawthorne Health

Clinical research delivered in the communities where patients live and receive care.

(415) 343-2600info@hawthornehealth.com

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