Who's doing your scan? A European perspective on ultrasound services

Edwards, Hazel; Sidhu, Paul S.

doi:10.1055/s-0043-117449

Cited by 28 publications

(49 citation statements)

References 7 publications

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“…US can be applied in a traditional fashion, for examination of the abdomen by gastroenterologists and surgeons [10][11][12][13][14], the pelvis by gynaecologists [15,16], the heart by cardiologists [17], the mediastinum and lung by pneumologists, and other anatomical regions examined by their respective specialists. The role of radiology depends on historical issues and traditions [18][19][20][21]. The performance of ultrasound by clinicians can be a rewarding and satisfying part of their practice, enabling the rapid delivery of a powerful diagnostic and therapeutic tool.…”

Section: The Advantages Of Ultrasoundmentioning

confidence: 99%

“…The performance of ultrasound by clinicians can be a rewarding and satisfying part of their practice, enabling the rapid delivery of a powerful diagnostic and therapeutic tool. There is no absolute need to delegate ultrasound scanning to nonphysicians, except in certain practice settings such as North America, where routine performance of US by physicians introduces logistical challenges and raises costs [20]. In such settings, it is usually necessary for routine exams to be performed by highly trained non-physician personnel (so called sonographers) under the supervision of radiologists or other physicians, while reserving physician scanning for complex exams or exams with unusual findings.…”

Section: The Advantages Of Ultrasoundmentioning

confidence: 99%

“…US can be performed by physicians, including general practitioners, medical specialists and subspecialists, as an extended physical examination as part of their practice. In this setting, services of a radiologist or sonographer are not routinely required [20,21,51,52]. This form of US is applied in many European countries including Germany, Italy, Romania and others.…”

Section: Who Should Perform Usmentioning

confidence: 99%

“…In this radiological setting, the examination can be performed by physicians or sonographers. The latter are highly specialized imaging technologists with rigorous formal training and regulatory certification in ultrasound who typically work within a radiology department under the supervision of one or more radiologists [20,51]. Despite their extensive training and high procedural skill, sonographers function as "delegated agents of the physician and do not practice independently" [53,54], according to the Society of Diagnostic Medical Sonography.…”

Section: Who Should Perform Usmentioning

confidence: 99%

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Editorial on the Current Role of Ultrasound

et al. 2019

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Ultrasound (US) is an important imaging tool and the most commonly used imaging modality worldwide. Although US requires expertise to be performed at the highest quality levels, basic US exams can be learned by most physicians and medical technologists with knowledge of human anatomy and with physical examination skills. The full potential of US is achieved when it is more than a pure “imaging modality”, but instead an integrated clinical, physical, and imaging assessment in which the examiner interacts directly and personally with the patient. Specific diagnostic US knowledge is strongly encouraged for specialist training in clinical disciplines.

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Section: The Advantages Of Ultrasoundmentioning

confidence: 99%

Section: The Advantages Of Ultrasoundmentioning

confidence: 99%

Section: Who Should Perform Usmentioning

confidence: 99%

Section: Who Should Perform Usmentioning

confidence: 99%

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Editorial on the Current Role of Ultrasound

et al. 2019

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“…The advantages of this model are: knowledge of clinical information by the physician performing the ultrasound examination; shorter period before diagnosis; less waiting time for the patient. Despite some contradictory discussions regarding this model between Anglo-Saxon/American model and German model countries [4,5], this is probably the direction of evolution of ultrasound in the future.Coming back to the title of the editorial: clinical elastography. What does this mean?…”

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confidence: 97%

Clinical elastography

Sporea

2018

Med Ultrason

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Effectiveness of ultrasound screening in right upper quadrant pain: A comparative study in a basic emergency service

Tavares

Lobo

Figueiredo

et al. 2023

Health Science Reports

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Background and Aims The use of ultrasound screening is primarily facilitated by point‐of‐care ultrasound (POCUS) and its integration into healthcare systems is a result of the versatility of this imaging technique. This study intends to compare the accuracy and pertinence of sonographic findings obtained by a sonographer in a Basic Emergency Service (BES) with that of radiologists at referral hospital (RH) in Portugal. Methods Twenty patients with right upper quadrant (RUQ) pain and suspected cholecystitis or biliary pathology underwent sonography screening using POCUS in the BES. They were then forwarded to the RH where a radiologist performed a conventional ultrasound exam on the same patients. The results of both exams were compared to determine if the findings obtained in the BES were confirmed by the radiologist in the RH. Results In our sample, 60% of cases were related to biliary pathology, 20% were liver‐related, 10% had hepatopancreatic biliary etiology, and 10% had unknown etiology. A strong association between the sonographic findings in the BES and the RH was found in the variables “Sonographic Murphy sign” ( V = 0.859; p = 0.001), “Cholelithiasis/Gallbladder sludge” ( V = 0.840; p = 0.001), and “Intrahepatic biliary tract dilatation” ( V = 0.717; p = 0.006). Adequate measures of agreement between the findings of the radiographer and radiologist were obtained for the “Sonographic Murphy sign” ( k = 0.664; p = 0.001) and the presence of “Cholelithiasis/Gallbladder sludge” ( k = 0.712; p = 0.000). Conclusion Major biliary abnormalities were detected in patients with RUQ pain in BES using sonography. The correlation between the sonographic findings obtained by the sonographers at BES and those obtained by radiologists at the RH in Portugal was strong, showing that POCUS screening could be extended to other similar settings; however, more studies are needed.

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Who's doing your scan? A European perspective on ultrasound services

Cited by 28 publications

References 7 publications

Editorial on the Current Role of Ultrasound

Editorial on the Current Role of Ultrasound

Clinical elastography

Effectiveness of ultrasound screening in right upper quadrant pain: A comparative study in a basic emergency service

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