Otolaryngologist-performed head and neck ultrasound: outcomes and challenges in learning the technique

Badran, Khaled; Jani, Piyush; Berman, Laurence

doi:10.1017/s0022215114000760

Cited by 8 publications

(6 citation statements)

References 22 publications

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“…Most importantly, all otolaryngologists correctly diagnosed patient H, who had metastatic lymph nodes. An average diagnostic accuracy of 88% in our study is comparable to findings of the diagnostic accuracy of 83% obtained by a single US‐trained and dedicated otolaryngologist . However, there were large variations in diagnostic accuracy—ranging from 63% to 100%—among the otolaryngologists in our study.…”

Section: Discussionsupporting

confidence: 80%

“…An average diagnostic accuracy of 88% in our study is comparable to findings of the diagnostic accuracy of 83% obtained by a single US-trained and dedicated otolaryngologist. 29 However, there were large variations in diagnostic accuracy-ranging from 63% to 100%-among the otolaryngologists in our study. A prior study also found individual variation in the diagnostic accuracy of surgeon-performed US in a trauma setting but attributed that to the differences in patient cases.…”

Section: Diagnostic Accuracy Of Surgeon-performed Hnusmentioning

confidence: 53%

“…Because experience levels are known to be a questionable measurement of surgical competence, we used the diagnostic accuracy result from our experimental setup to select the otolaryngologists who could be categorized as competent US performers. Based on a prior study—finding a diagnostic accuracy on 83% from HNUS performed by a comprehensively trained otolaryngologist—we defined the otolaryngologists who correctly US diagnosed at least seven out of the eight patients in our experimental study as competent in the standard setting analysis, whereas the US novices were included as noncompetent.…”

Section: Methodsmentioning

confidence: 99%

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Competency‐based assessment in surgeon‐performed head and neck ultrasonography: A validity study

et al. 2017

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Section: Discussionsupporting

confidence: 80%

Section: Diagnostic Accuracy Of Surgeon-performed Hnusmentioning

confidence: 53%

Section: Methodsmentioning

confidence: 99%

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Competency‐based assessment in surgeon‐performed head and neck ultrasonography: A validity study

et al. 2017

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“…1 It should be performed by experienced examiners to achieve the highest accuracy. 1,2 At our institution, all neck US examinations (including soft tissue evaluations) are performed and interpreted by radiologists, and not by US technicians. Currently, there is no consensus on whether or not the US results should be directly discussed between the radiologist and the patient at the time of the examination.…”

Section: Introductionmentioning

confidence: 99%

Radiologist-patient consultation of imaging findings after neck ultrasonography: An opportunity to practice value-based radiology

et al. 2022

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To investigate how patients experience a radiologist-patient consultation of imaging findings directly after neck ultrasonography (US), and how much time this consumes. Materials and methods: This prospective randomized study included 109 consecutive patients who underwent neck US, of whom 44 had a radiologist-patient consultation of US results directly after the examination, and 65 who had not. Results: The median ratings of all healthcare quality metrics (friendliness of the radiologist, explanation of the radiologist, skill of the radiologist, radiologist's concern for comfort during the examination, radiologist's concern for patient questions/worries, overall rating of the examination, and likelihood of recommending the examination) were either good/high or very good/very high, without any significant differences between both patient groups. Patients who did not discuss the US results with the radiologist, were significantly more worried during the examination (P = 0.040) and had significantly higher anxiety levels after completion of the US examination (P = 0.027) than patients who discussed the US results with the radiologist. Fifty-one out of 55 responding patients (92.7%) indicated a radiologist-patient consultation of US results to be important. The median duration of US examinations that included a radiologist-patient consultation of US results was 7.57 min (range: 5.15-12.10 min), while the median duration of US examinations without a radiologist-patient consultation of US results was 7.34 min (range: 3.45-14.32 min), without any significant difference (P = 0.637). Conclusion: A radiologist-patient consultation of imaging findings after neck US decreases patient anxiety, is desired by most patients, and does not significantly prolong total examination time.

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“…The examiner dependency [6] of sonographic findings highlights the need for practical experience and thus on-site training. Consequently, purely theoretical training does not seem to be sufficient in the context of education.…”

Section: Introductionmentioning

confidence: 99%

“A Head Start or a Pain in the Neck?”—Establishment and Evaluation of a Video-Based “Hands-On” Head and Neck Ultrasound Course

et al. 2022

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The COVID-19 pandemic has strongly highlighted the need for more digitalization in healthcare. Teaching ultrasound skills in online courses is a key challenge in this context. The aim of this study was to establish an online video-based head and neck ultrasound course with an evaluation of the quality, effectiveness, and feasibility of this teaching method compared to in-person teaching. Twenty-two medical students were taught head and neck ultrasound in two groups: one group in an in-person course and the other one in a video-based course. Learning success was analyzed using self-evaluation forms and external assessment by an experienced ultrasonographer. Comparing pre- and post-training self-evaluation, all participants showed statistically significant learning progress. In the external assessment, the overall scores in both groups did not differ significantly. The courses themselves were positively evaluated by all participants. Herein, we present the first feasibility study of a web-based head and neck-ultrasound course for medical students. The methodology provides the potential for future changes in telemedical education and sustainable improvements in telemedical teaching and global intra-clinical and interdisciplinary patient care.

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Otolaryngologist-performed head and neck ultrasound: outcomes and challenges in learning the technique

Abstract: Neck ultrasonography performed by an otolaryngologist is less accurate than that performed by an experienced radiologist, but is still a useful adjunct to clinical assessment, facilitating assessment in a 'one-stop' clinical setting.

Cited by 8 publications

References 22 publications

Competency‐based assessment in surgeon‐performed head and neck ultrasonography: A validity study

Competency‐based assessment in surgeon‐performed head and neck ultrasonography: A validity study

Radiologist-patient consultation of imaging findings after neck ultrasonography: An opportunity to practice value-based radiology

“A Head Start or a Pain in the Neck?”—Establishment and Evaluation of a Video-Based “Hands-On” Head and Neck Ultrasound Course

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