Utility of tele-guidance for point-of-care ultrasound: a single center prospective diagnostic study
Background Point-of-care-ultrasound (POCUS) improves diagnostic accuracy and expedites lifesaving procedures. Remote areas disproportionately underuse ultrasound (US) due to a dearth of US trained professionals, imaging tools, and lack of quality assurance. Handheld US probes have been approved for...
Gespeichert in:
| Veröffentlicht in: | Journal of ultrasound 2024-09, Vol.27 (3), p.519-525 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 525 |
|---|---|
| container_issue | 3 |
| container_start_page | 519 |
| container_title | Journal of ultrasound |
| container_volume | 27 |
| creator | Cal, Eric M. Gunnell, Elias Olinger, Kristen Benefield, Thad Nelson, Jacob Maggioncalda, Elise McGinty, Katrina |
| description | Background
Point-of-care-ultrasound (POCUS) improves diagnostic accuracy and expedites lifesaving procedures. Remote areas disproportionately underuse ultrasound (US) due to a dearth of US trained professionals, imaging tools, and lack of quality assurance. Handheld US probes have been approved for diagnostic imaging but there have been limited studies examining their tele-guidance features. This study investigates whether physician tele-guidance improved ultrasound image acquisition by untrained scanners.
Methods
To determine the effectiveness of tele-guidance for ultrasound image acquisition, 30 participants (15 in each study arm: experimental and control) with no ultrasound or medical experience gathered images of the heart, right kidney, and gallbladder of a standardized patient using a handheld ultrasound probe (Butterfly iQ +). All participants watched a standardized ultrasound tutorial video and were randomized into the control or experimental group. A physician assisted the experimental group using ultrasound probe’s tele-guidance feature while the control group received no assistance. Time to image acquisition was recorded for both groups, and the images were graded by 3 blinded radiologists using the RACE tool to determine image and diagnostic quality.
Results
There was evidence that mean imaging time was greater in the control group for the heart, right kidney, and gallbladder (
p
|
| doi_str_mv | 10.1007/s40477-023-00860-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2925000298</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2925000298</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-7d7b1e4644806c4802a97c51cf9ae26ff49189e484241e444302dd872fa17e3d3</originalsourceid><addsrcrecordid>eNp9kUuPVCEQhYnROA_9Ay4MiRs3aPHoy8WdmahjMokbZ00YKDpMbkMLXDP972Xs8REXboCkvjqnikPICw5vOIB-2xQorRkIyQDmCdjdI3LKZz0xbSR__Nf7hJy1dguwMVLzp-REzlKB4NMp8dc9LakfaIm044Jsu6bgskcaS6X7knJnJTLvKtJ16dW1subwjjraUt4uSD3mjoOspe3R9_QdaUhum0vrydPW13B4Rp5EtzR8_nCfk-uPH75eXLKrL58-X7y_Yl5q6EwHfcNRTUrNMPlxCGe033AfjUMxxagMnw2qWQk1OKUkiBBmLaLjGmWQ5-T1UXcM823F1u0uNY_L4jKWtVlhxAYAhJkH-uof9LasNY_prARz7604H5Q4Un5s1ypGu69p5-rBcrD3EdhjBHZEYH9GYO9G08sH6fVmh-F3y68_H4A8Am2U8hbrH-__yP4AKbyR1w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3094802411</pqid></control><display><type>article</type><title>Utility of tele-guidance for point-of-care ultrasound: a single center prospective diagnostic study</title><source>MEDLINE</source><source>Springer Online Journals Complete</source><creator>Cal, Eric M. ; Gunnell, Elias ; Olinger, Kristen ; Benefield, Thad ; Nelson, Jacob ; Maggioncalda, Elise ; McGinty, Katrina</creator><creatorcontrib>Cal, Eric M. ; Gunnell, Elias ; Olinger, Kristen ; Benefield, Thad ; Nelson, Jacob ; Maggioncalda, Elise ; McGinty, Katrina</creatorcontrib><description>Background
Point-of-care-ultrasound (POCUS) improves diagnostic accuracy and expedites lifesaving procedures. Remote areas disproportionately underuse ultrasound (US) due to a dearth of US trained professionals, imaging tools, and lack of quality assurance. Handheld US probes have been approved for diagnostic imaging but there have been limited studies examining their tele-guidance features. This study investigates whether physician tele-guidance improved ultrasound image acquisition by untrained scanners.
Methods
To determine the effectiveness of tele-guidance for ultrasound image acquisition, 30 participants (15 in each study arm: experimental and control) with no ultrasound or medical experience gathered images of the heart, right kidney, and gallbladder of a standardized patient using a handheld ultrasound probe (Butterfly iQ +). All participants watched a standardized ultrasound tutorial video and were randomized into the control or experimental group. A physician assisted the experimental group using ultrasound probe’s tele-guidance feature while the control group received no assistance. Time to image acquisition was recorded for both groups, and the images were graded by 3 blinded radiologists using the RACE tool to determine image and diagnostic quality.
Results
There was evidence that mean imaging time was greater in the control group for the heart, right kidney, and gallbladder (
p
< 0.0001, all; Cohen’s DL: 2.0, 1.7, 3.0, respectively). Similarly, there was evidence that the predicted mean image quality for the heart, right kidney, and gallbladder was higher for the experimental group compared to the control group (3.46 versus 1.86, 4.49 versus 1.58, and 3.93 versus 1.5, respectively;
p
< 0.0001, all). There was also evidence that the diagnostic quality of images had a statistically higher predicted probability of meaningful interpretation for the experimental group for pericardial fluid, intraperitoneal fluid, and acute cholecystitis (
p
= 0.003,
p
< 0.0001,
p
< 0.0001, respectively).
Conclusions
Tele-guidance improves time to image acquisition and clinical applicability of ultrasound images obtained by untrained scanners.</description><identifier>ISSN: 1876-7931</identifier><identifier>ISSN: 1971-3495</identifier><identifier>EISSN: 1876-7931</identifier><identifier>DOI: 10.1007/s40477-023-00860-x</identifier><identifier>PMID: 38340216</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Female ; Gallbladder ; Gallbladder - diagnostic imaging ; Heart - diagnostic imaging ; Humans ; Image acquisition ; Image quality ; Kidney - diagnostic imaging ; Kidneys ; Male ; Medical imaging ; Medicine ; Medicine & Public Health ; Original Paper ; Physicians ; Point of care testing ; Point-of-Care Systems ; Predictive control ; Prospective Studies ; Quality assurance ; Telemedicine ; Ultrasonic imaging ; Ultrasonic scanners ; Ultrasonic testing ; Ultrasonography - methods ; Ultrasound</subject><ispartof>Journal of ultrasound, 2024-09, Vol.27 (3), p.519-525</ispartof><rights>Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c370t-7d7b1e4644806c4802a97c51cf9ae26ff49189e484241e444302dd872fa17e3d3</cites><orcidid>0009-0000-6538-2087</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40477-023-00860-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40477-023-00860-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38340216$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cal, Eric M.</creatorcontrib><creatorcontrib>Gunnell, Elias</creatorcontrib><creatorcontrib>Olinger, Kristen</creatorcontrib><creatorcontrib>Benefield, Thad</creatorcontrib><creatorcontrib>Nelson, Jacob</creatorcontrib><creatorcontrib>Maggioncalda, Elise</creatorcontrib><creatorcontrib>McGinty, Katrina</creatorcontrib><title>Utility of tele-guidance for point-of-care ultrasound: a single center prospective diagnostic study</title><title>Journal of ultrasound</title><addtitle>J Ultrasound</addtitle><addtitle>J Ultrasound</addtitle><description>Background
Point-of-care-ultrasound (POCUS) improves diagnostic accuracy and expedites lifesaving procedures. Remote areas disproportionately underuse ultrasound (US) due to a dearth of US trained professionals, imaging tools, and lack of quality assurance. Handheld US probes have been approved for diagnostic imaging but there have been limited studies examining their tele-guidance features. This study investigates whether physician tele-guidance improved ultrasound image acquisition by untrained scanners.
Methods
To determine the effectiveness of tele-guidance for ultrasound image acquisition, 30 participants (15 in each study arm: experimental and control) with no ultrasound or medical experience gathered images of the heart, right kidney, and gallbladder of a standardized patient using a handheld ultrasound probe (Butterfly iQ +). All participants watched a standardized ultrasound tutorial video and were randomized into the control or experimental group. A physician assisted the experimental group using ultrasound probe’s tele-guidance feature while the control group received no assistance. Time to image acquisition was recorded for both groups, and the images were graded by 3 blinded radiologists using the RACE tool to determine image and diagnostic quality.
Results
There was evidence that mean imaging time was greater in the control group for the heart, right kidney, and gallbladder (
p
< 0.0001, all; Cohen’s DL: 2.0, 1.7, 3.0, respectively). Similarly, there was evidence that the predicted mean image quality for the heart, right kidney, and gallbladder was higher for the experimental group compared to the control group (3.46 versus 1.86, 4.49 versus 1.58, and 3.93 versus 1.5, respectively;
p
< 0.0001, all). There was also evidence that the diagnostic quality of images had a statistically higher predicted probability of meaningful interpretation for the experimental group for pericardial fluid, intraperitoneal fluid, and acute cholecystitis (
p
= 0.003,
p
< 0.0001,
p
< 0.0001, respectively).
Conclusions
Tele-guidance improves time to image acquisition and clinical applicability of ultrasound images obtained by untrained scanners.</description><subject>Female</subject><subject>Gallbladder</subject><subject>Gallbladder - diagnostic imaging</subject><subject>Heart - diagnostic imaging</subject><subject>Humans</subject><subject>Image acquisition</subject><subject>Image quality</subject><subject>Kidney - diagnostic imaging</subject><subject>Kidneys</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Physicians</subject><subject>Point of care testing</subject><subject>Point-of-Care Systems</subject><subject>Predictive control</subject><subject>Prospective Studies</subject><subject>Quality assurance</subject><subject>Telemedicine</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonic scanners</subject><subject>Ultrasonic testing</subject><subject>Ultrasonography - methods</subject><subject>Ultrasound</subject><issn>1876-7931</issn><issn>1971-3495</issn><issn>1876-7931</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUuPVCEQhYnROA_9Ay4MiRs3aPHoy8WdmahjMokbZ00YKDpMbkMLXDP972Xs8REXboCkvjqnikPICw5vOIB-2xQorRkIyQDmCdjdI3LKZz0xbSR__Nf7hJy1dguwMVLzp-REzlKB4NMp8dc9LakfaIm044Jsu6bgskcaS6X7knJnJTLvKtJ16dW1subwjjraUt4uSD3mjoOspe3R9_QdaUhum0vrydPW13B4Rp5EtzR8_nCfk-uPH75eXLKrL58-X7y_Yl5q6EwHfcNRTUrNMPlxCGe033AfjUMxxagMnw2qWQk1OKUkiBBmLaLjGmWQ5-T1UXcM823F1u0uNY_L4jKWtVlhxAYAhJkH-uof9LasNY_prARz7604H5Q4Un5s1ypGu69p5-rBcrD3EdhjBHZEYH9GYO9G08sH6fVmh-F3y68_H4A8Am2U8hbrH-__yP4AKbyR1w</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Cal, Eric M.</creator><creator>Gunnell, Elias</creator><creator>Olinger, Kristen</creator><creator>Benefield, Thad</creator><creator>Nelson, Jacob</creator><creator>Maggioncalda, Elise</creator><creator>McGinty, Katrina</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0000-6538-2087</orcidid></search><sort><creationdate>20240901</creationdate><title>Utility of tele-guidance for point-of-care ultrasound: a single center prospective diagnostic study</title><author>Cal, Eric M. ; Gunnell, Elias ; Olinger, Kristen ; Benefield, Thad ; Nelson, Jacob ; Maggioncalda, Elise ; McGinty, Katrina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-7d7b1e4644806c4802a97c51cf9ae26ff49189e484241e444302dd872fa17e3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Female</topic><topic>Gallbladder</topic><topic>Gallbladder - diagnostic imaging</topic><topic>Heart - diagnostic imaging</topic><topic>Humans</topic><topic>Image acquisition</topic><topic>Image quality</topic><topic>Kidney - diagnostic imaging</topic><topic>Kidneys</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Physicians</topic><topic>Point of care testing</topic><topic>Point-of-Care Systems</topic><topic>Predictive control</topic><topic>Prospective Studies</topic><topic>Quality assurance</topic><topic>Telemedicine</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonic scanners</topic><topic>Ultrasonic testing</topic><topic>Ultrasonography - methods</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cal, Eric M.</creatorcontrib><creatorcontrib>Gunnell, Elias</creatorcontrib><creatorcontrib>Olinger, Kristen</creatorcontrib><creatorcontrib>Benefield, Thad</creatorcontrib><creatorcontrib>Nelson, Jacob</creatorcontrib><creatorcontrib>Maggioncalda, Elise</creatorcontrib><creatorcontrib>McGinty, Katrina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cal, Eric M.</au><au>Gunnell, Elias</au><au>Olinger, Kristen</au><au>Benefield, Thad</au><au>Nelson, Jacob</au><au>Maggioncalda, Elise</au><au>McGinty, Katrina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Utility of tele-guidance for point-of-care ultrasound: a single center prospective diagnostic study</atitle><jtitle>Journal of ultrasound</jtitle><stitle>J Ultrasound</stitle><addtitle>J Ultrasound</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>27</volume><issue>3</issue><spage>519</spage><epage>525</epage><pages>519-525</pages><issn>1876-7931</issn><issn>1971-3495</issn><eissn>1876-7931</eissn><abstract>Background
Point-of-care-ultrasound (POCUS) improves diagnostic accuracy and expedites lifesaving procedures. Remote areas disproportionately underuse ultrasound (US) due to a dearth of US trained professionals, imaging tools, and lack of quality assurance. Handheld US probes have been approved for diagnostic imaging but there have been limited studies examining their tele-guidance features. This study investigates whether physician tele-guidance improved ultrasound image acquisition by untrained scanners.
Methods
To determine the effectiveness of tele-guidance for ultrasound image acquisition, 30 participants (15 in each study arm: experimental and control) with no ultrasound or medical experience gathered images of the heart, right kidney, and gallbladder of a standardized patient using a handheld ultrasound probe (Butterfly iQ +). All participants watched a standardized ultrasound tutorial video and were randomized into the control or experimental group. A physician assisted the experimental group using ultrasound probe’s tele-guidance feature while the control group received no assistance. Time to image acquisition was recorded for both groups, and the images were graded by 3 blinded radiologists using the RACE tool to determine image and diagnostic quality.
Results
There was evidence that mean imaging time was greater in the control group for the heart, right kidney, and gallbladder (
p
< 0.0001, all; Cohen’s DL: 2.0, 1.7, 3.0, respectively). Similarly, there was evidence that the predicted mean image quality for the heart, right kidney, and gallbladder was higher for the experimental group compared to the control group (3.46 versus 1.86, 4.49 versus 1.58, and 3.93 versus 1.5, respectively;
p
< 0.0001, all). There was also evidence that the diagnostic quality of images had a statistically higher predicted probability of meaningful interpretation for the experimental group for pericardial fluid, intraperitoneal fluid, and acute cholecystitis (
p
= 0.003,
p
< 0.0001,
p
< 0.0001, respectively).
Conclusions
Tele-guidance improves time to image acquisition and clinical applicability of ultrasound images obtained by untrained scanners.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>38340216</pmid><doi>10.1007/s40477-023-00860-x</doi><tpages>7</tpages><orcidid>https://orcid.org/0009-0000-6538-2087</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1876-7931 |
| ispartof | Journal of ultrasound, 2024-09, Vol.27 (3), p.519-525 |
| issn | 1876-7931 1971-3495 1876-7931 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2925000298 |
| source | MEDLINE; Springer Online Journals Complete |
| subjects | Female Gallbladder Gallbladder - diagnostic imaging Heart - diagnostic imaging Humans Image acquisition Image quality Kidney - diagnostic imaging Kidneys Male Medical imaging Medicine Medicine & Public Health Original Paper Physicians Point of care testing Point-of-Care Systems Predictive control Prospective Studies Quality assurance Telemedicine Ultrasonic imaging Ultrasonic scanners Ultrasonic testing Ultrasonography - methods Ultrasound |
| title | Utility of tele-guidance for point-of-care ultrasound: a single center prospective diagnostic study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T01%3A54%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Utility%20of%20tele-guidance%20for%20point-of-care%20ultrasound:%20a%20single%20center%20prospective%20diagnostic%20study&rft.jtitle=Journal%20of%20ultrasound&rft.au=Cal,%20Eric%20M.&rft.date=2024-09-01&rft.volume=27&rft.issue=3&rft.spage=519&rft.epage=525&rft.pages=519-525&rft.issn=1876-7931&rft.eissn=1876-7931&rft_id=info:doi/10.1007/s40477-023-00860-x&rft_dat=%3Cproquest_cross%3E2925000298%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3094802411&rft_id=info:pmid/38340216&rfr_iscdi=true |