ObjectiveTo present a quantitative system for assessing the quality of ultrasound
examinations-SQUALUS-and to determine its reproducibility, taking into
consideration the images on file, as well as the consistency between the
images obtained and the final report.Materials and MethodsThe system includes questions related to the number of images; the
appropriateness of images in relation to the protocol established; focus
adjustment; depth; gain; and appropriateness of the measurements for B-mode
examinations. For Doppler examinations, the system includes questions
related to the appropriateness of color images, the spectral analysis, and
correction of the insonation angle. To assess the quality of the report, the
system includes questions related to the consistency between the images
obtained and the contents of the report. An overall numerical score was
assigned by averaging the scores for image quality and for the contents of
the report. Two independent examiners, each blinded to the evaluation of the
other, assessed 30 different types of ultrasound examinations.ResultsThere was statistically significant agreement between the two examiners for 8
of the 10 questions related to image quality. For the questions related to
the quality of the reports, the interexaminer agreement was almost
perfect.ConclusionThe proposed quantitative system for assessing the quality of ultrasound
examinations is a reproducible tool that can be used in audits and
accreditation programs.