Editorial on the Current Role of Ultrasound

Dietrich, Christoph F.; Sirlin, Claude B.; O'Boyle, M K; Dong, Yi; Jenssen, Christian

doi:10.3390/app9173512

Cited by 14 publications

(14 citation statements)

References 56 publications

(93 reference statements)

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“…Ultrasound (US) is another cross‐sectional imaging modality with an additional benefit of non‐ionizing radiation. Other advantages include real‐time (point‐of‐care), portability and cost efficiency as well as direct interaction of the examiner with the patient (Dietrich et al., 2019). Technological advances have allowed for manufacturing of high‐resolution and miniature‐sized probes suitable for superficial tissue imaging in dermatology, etc.…”

Section: Introductionmentioning

confidence: 99%

Comprehensive peri‐implant tissue evaluation with ultrasonography and cone‐beam computed tomography: A pilot study

Siqueira

Sinjab

Pan³

et al. 2021

Clinical Oral Implants Res

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Objectives The aim of the present study was to explore the feasibility of ultrasonography (US) for clinical imaging of peri‐implant tissues. Material and Methods Patients with ≥1 implant, a cone‐beam computed tomography (CBCT) scan, an US scan, and clinical photographs taken during the surgery were included. The crestal bone thickness (CBT) and facial bone level (FBL) were measured on both US and CBCT modalities, and direct FBL measurements were also made on clinical images. US measurements were compared with CBCT and direct readings. Results A total of eight implants from four patients were included. For FBL measurements, US and direct (r2 = 0.95) as well as US and CBCT (r2 = 0.85) were highly correlated, whereas CBCT correlated satisfactorily with the direct reading (r2 = 0.75). In one implant without facial bone, CBCT was not able to measure CBT and FBL accurately. The estimated bias for CBT readings was 0.17 ± 0.23 mm (p = .10) between US and CBCT. US blood flow imaging was successfully recorded and showed a wide dynamic range among patients with different degrees of clinical inflammation. Conclusion US is a feasible method to evaluate peri‐implant facial crestal bone dimensions. Additional US features, for example, functional blood flow imaging, may be useful to estimate the extent and severity of inflammation.

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Section: Introductionmentioning

confidence: 99%

Comprehensive peri‐implant tissue evaluation with ultrasonography and cone‐beam computed tomography: A pilot study

Siqueira

Sinjab

Pan³

et al. 2021

Clinical Oral Implants Res

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“…11 The position statement suggests the UK and Ireland enable non-medical ultrasound practitioners to practise ultrasound because of the funding model of state run medical care, however advocate that ultrasound examinations should be performed by medical specialists with appropriate training. Dietrich et al (2019), 17 whilst acknowledging the highly skilled role of the sonographer in the UK, highlight the controversy around the nonmedical sonographer role, advocating that ultrasound examinations should be performed by medical doctors. 17 If performed by sonographers, examinations should be reported by the medical doctor.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Dietrich et al (2019), 17 whilst acknowledging the highly skilled role of the sonographer in the UK, highlight the controversy around the nonmedical sonographer role, advocating that ultrasound examinations should be performed by medical doctors. 17 If performed by sonographers, examinations should be reported by the medical doctor. 17 As technology develops, requests for imaging investigations continue to increase and radiologists report staffing shortages.…”

Section: Literature Reviewmentioning

confidence: 99%

“…17 If performed by sonographers, examinations should be reported by the medical doctor. 17 As technology develops, requests for imaging investigations continue to increase and radiologists report staffing shortages. 2 Anecdotal evidence suggests that radiographers are keen to develop ultrasound skills across some European countries.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The role of the sonographer has been shown to be of high efficacy in previous studies, 28e34 however European publications are still suggesting that non-medical sonographers should not be reporting ultrasound examinations. 16,17 Non-medical sonographers can have an impact on patient throughput in clinical departments, 17,29 which can reduce waiting times, particularly given the reported shortage of radiologists. 2,35 Legislation was the most common response from respondents in this survey for lack of ultrasound practice amongst radiographers, in those countries where radiographers are not working within ultrasound.…”

Section: Strongly Agree Agreementioning

confidence: 99%

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The role of radiographers in ultrasound: A survey of the national societies within the European Federation of Radiographer Societies (EFRS)

et al. 2021

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Introduction: Ultrasound is one of many areas of specialism for radiographers to develop their skills in. As part of a wider suite of surveys, the European Federation of Radiographer Societies (EFRS) wanted to investigate the extent and scope of practice for radiographers practising ultrasound across Europe. This report details the results of the initial survey, exploring the views of the EFRS countries' National Radiographer Societies. Methods: An electronic survey was sent to representatives of the 43 national radiographer societies who were members of the EFRS. Questions asked about radiographer practice in ultrasound within individual countries, scope of the role, particularly report writing, in addition to investigating current ultrasound education, barriers and opinions on priorities for radiographer ultrasound practice. Results: Forty individual responses were received, from a total of 27 countries, covering 62.8% of the EFRS member societies invited to participate. Radiologists or specialised medical practitioners performed ultrasound in the majority of countries. Radiographers practise ultrasound in 48% of countries and 11% have some limited involvement in ultrasound. Countries without radiographer engagement in ultrasound reported legislative issues or lack of acceptance from the medical professions (52%) and/or limited specific ultrasound education (39%) as predominant factors. In most countries where radiographers practise ultrasound, clinical reporting is a descriptive report or checklist approved by a medical doctor/ radiologist. Conclusion: The results highlight the scope of practice and barriers faced in some EFRS countries to enabling radiographers to develop their skills and competencies in ultrasound. Implications for practice: Priorities for radiographer societies to assist in the development of ultrasound as a pathway for radiographer progression in countries, where it is not yet available, include education programmes, acceptance by medical professionals and changes to legislation.

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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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Editorial on the Current Role of Ultrasound

Cited by 14 publications

References 56 publications

Comprehensive peri‐implant tissue evaluation with ultrasonography and cone‐beam computed tomography: A pilot study

Comprehensive peri‐implant tissue evaluation with ultrasonography and cone‐beam computed tomography: A pilot study

The role of radiographers in ultrasound: A survey of the national societies within the European Federation of Radiographer Societies (EFRS)

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

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