Improving the quality of breast ultrasound examination performed by inexperienced ultrasound doctors with synchronous tele-ultrasound: a prospective, parallel controlled trial

Sun, Yi-Kang; Li, Xiaolong; Wang, Qiao; Zhou, Boyang; Zhu, Anqi; Qin, Chuan; Xu, Hui‐Xiong; Guo, Le‐Hang

doi:10.14366/usg.21081

Cited by 7 publications

(4 citation statements)

References 24 publications

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“…Практикант B по результатам исследования имел больше случаев совпадения характеристик выбранных лимфоузлов (5 из 9-ти характеристик, 55,6%) с мнением эксперта, в то время как результат практиканта A был 1/9 или 11,1%. Кроме того, соглашение между учеником и ментором о выбранной оценке по классификации BI-RADS было так же выше в случае практиканта B и составило в среднем 0,89 против 0,73 у практиканта A. Данная работа показала возможность применения синхронного УЗИ для обучения врачей [57].…”

Section: обучение ультразвуковой диагностикеunclassified

Untitled

2022

RJTEH

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НАУЧНАЯ СПЕЦИАЛИЗАЦИЯ -электронное здравоохранение, телемедицина, медицинская информатика и кибернетика, мобильное здоровье, организация здравоохранения, дистанционное обучение, страховая медицинская телематика, медицинская аппаратура, биомедицинская инженерия, биоинформатика.АУДИТОРИЯ -врачи всех специальностей, главные врачи ЛПУ, руководители IT-отделов ЛПУ, инженеры и разработчики медицинской техники и медицинского оборудования, руководители и сотрудники информационно-аналитических центров.

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Section: обучение ультразвуковой диагностикеunclassified

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2022

RJTEH

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“…With the development of telemedicine technology, studies have demonstrated that novices without US experience can successfully perform US examinations with the guidance of remote experts [ 8 , 9 , 10 , 11 ]. It should be noted that most studies on tele-mentored ultrasound (tele-US) were not based on HHUS.…”

Section: Introductionmentioning

confidence: 99%

Tele-Mentored Handheld Ultrasound System for General Practitioners: A Prospective, Descriptive Study in Remote and Rural Communities

Zhou,

Guo,

et al. 2023

Diagnostics

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Background: Rural general practitioners (GPs) have insufficient diagnostic information to deal with complex clinical scenarios due to the inequality in medical imaging resources in rural and remote communities. The objective of this study is to explore the value of a tele-mentored handheld ultrasound (tele-HHUS) system, allowing GPs to provide ultrasound (US) services in rural and remote communities. Methods: Overall, 708 patients underwent tele-HHUS examination between March and October 2021 and March and April 2022 across thirteen primary hospitals and two tertiary-care general hospitals. All US examinations were guided and supervised remotely in real time by US experts more than 300 km away using the tele-HHUS system. The following details were recorded: location of tele-HHUS scanning, primary complaints, clinical diagnosis, and US findings. The recommendations (referral or follow-up) based on clinical experience alone were compared with those based on clinical experience with tele-HHUS information. Results: Tele-HHUS examinations were performed both in hospital settings (90.6%, 642/708) and out of hospital settings (9.4%, 66/708). Leaving aside routine physical examinations, flank pain (14.2%, 91/642) was the most common complaint in inpatients, while chest distress (12.1%, 8/66) and flank discomfort (12.1%, 8/66) were the most common complaints in out-of-hospital settings. Additionally, the referral rate increased from 5.9% to 8.3% (kappa = 0.202; p = 0.000). Conclusions: The tele-HHUS system can help rural GPs perform HHUS successfully in remote and rural communities. This novel mobile telemedicine model is valuable in resource-limited areas.

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“…23,24 The concept of tele-ultrasound in the prehospital setting was initially devised in 2008 by Robosoft Inc. (Udupi, India) who developed a portable robot remotely controlled by physicians in France to conduct paramedic-assisted prehospital ultrasound examinations on remote patients in the Mediterranean Sea. 25 Since then, teleultrasound has been evaluated for the assessment or diagnosis of numerous clinical indications, including fetal structural abnormalities, [26][27][28] cardiac dysfunction, [29][30][31] acute trauma, 32,33 coronavirus disease 2019/COVID-19, 34 hepatic and biliary diseases, 35 thyroid nodules, 36 breast abnormalities, 37 dermatologic lesions, 38 and spinal alterations. 39 In addition, tele-ultrasound has primarily been studied in low-income rural communities 35,36 and resourceconstrained settings, 30,[39][40][41][42][43][44] but also in the intensive care unit (ICU) 45,46 and emergency department (ED).…”

Section: Introductionmentioning

confidence: 99%

Paramedic-Performed Prehospital Tele-Ultrasound: A Powerful Technology or an Impractical Endeavor? A Scoping Review

Shi,

Rosario

2023

Prehosp. Disaster med.

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Ultrasound with remote assistance (tele-ultrasound) may have potential to improve accessibility of ultrasound for prehospital patients. A review of recent literature on this topic has not been done before, and the feasibility of prehospital tele-ultrasound performed by non-physician personnel is unclear. In an effort to address this, the literature was qualitatively analyzed from January 1, 2010 – December 31, 2021 in the MEDLINE, EMBASE, and Cochrane online databases on prehospital, paramedic-acquired tele-ultrasound, and ten articles were found. There was considerable heterogeneity in the study design, technologies used, and the amount of ultrasound training for the paramedics, preventing cross-comparisons of different studies. Tele-ultrasound has potential to improve ultrasound accessibility by leveraging skills of a remote ultrasound expert, but there are still technological barriers to overcome before determinations on feasibility can be made.

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Improving the quality of breast ultrasound examination performed by inexperienced ultrasound doctors with synchronous tele-ultrasound: a prospective, parallel controlled trial

Abstract: Improving the quality of breast ultrasound examination performed by inexperienced ultrasound doctors with synchronous tele-ultrasound: a prospective, parallel controlled trial

Cited by 7 publications

References 24 publications

Untitled

Untitled

Tele-Mentored Handheld Ultrasound System for General Practitioners: A Prospective, Descriptive Study in Remote and Rural Communities

Paramedic-Performed Prehospital Tele-Ultrasound: A Powerful Technology or an Impractical Endeavor? A Scoping Review

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