Geriatrischer Ultraschall

Froehlich, Eckhart; Pauluschke-Froehlich, Jan; Debove, Ines; Vey, Werner; Klinger, Christoph; Dietrich, Christoph F.

doi:10.1055/s-0042-121266

Cited by 6 publications

(7 citation statements)

References 28 publications

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“…The main disadvantages and limitations are the small screen size (the CDI window cannot be changed during Vscan™ exam-ination to cover the whole area of a larger lesion) and lack of pulse-wave and continuous Doppler to evaluate the blood flow velocities. It has to be pointed out that CDI plays a crucial role in the differential diagnosis of abdominal focal lesions [2,[80][81][82][83][84].…”

Section: Discussionmentioning

confidence: 99%

EchoScopy in scanning abdominal diseases; a prospective single center study

et al. 2019

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Background and aims:The introduction of a new type of small handheld ultrasound device brings greater portability and affordability in a different setting. The basic ultrasound approach with these handheld devices has been defined by European Federation of Societies of Ultrasound in Medicine and Biology (EFSUMB) as "EchoScopy". The current study aimed to assess the image quality, indications and limitations of a portable pocket "EchoScopy" performed first compared with a high-end ultrasound system (second) in abdominal diseases.Material and methods: Three hundred consecutive patients (158 males and 142 females, age 55±19 [18-96]) years) were included. The ultrasound examinations were performed firstly by an EchoScope (Vscan™ Dual Probe) and secondly with a high-end ultrasound system (HEUS, GE Logiq E9). Compared with the always excellent image quality using HEUS, the image quality of the EchoScope was graded as good, sufficient or non-sufficient. Results: Out of all 300 patients, 221 had focal lesions, 31 patients were found with diffuse pathological findings, 20 with ascites, 25 after liver puncture and 45 without any pathological findings. The image quality of the pocket device was considered as being good or sufficient to delineate the pathology in 265/300 (88%). The detection rate of the EchoScope for abdominal focal lesion was 172/221 (78%). The higher frequency of the Dual Probe was helpful in 35/300 (12%). Conclusions: EchoScopy has proven to display sufficient image quality to answer specific questions, e.g., detection of ascites, splenomegaly, bile duct enlargement, hydronephrosis and other pathological findings which can be judged by "yes/no".

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Section: Discussionmentioning

confidence: 99%

EchoScopy in scanning abdominal diseases; a prospective single center study

et al. 2019

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“…The possible role of point-of-care ultrasound (POCUS) in geriatric patients was summarized in a review by Schumacher et al [9,10] and the limited existing literature has recently been summarized [8]. Due to the documented lack of data, we proposed that geriatric POCUS should be evaluated in a prospective study as presented here [8].…”

Section: Purposementioning

confidence: 99%

“…In contrast to the above-mentioned disciplines, evidence regarding the diagnostic impact of ultrasound examinations in geriatric patients is scarce [8]. The possible role of point-of-care ultrasound (POCUS) in geriatric patients was summarized in a review by Schumacher et al [9,10] and the limited existing literature has recently been summarized [8].…”

Section: Purposementioning

confidence: 99%

Point of Care Ultrasound in Geriatric Patients: Prospective Evaluation of a Portable Handheld Ultrasound Device

Fröhlich

Beller²,

Müller

et al. 2019

Ultraschall Med

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Purpose The aim of the current study was to evaluate point of care ultrasound (POCUS) in geriatric patients by echoscopy using a handheld ultrasound device (HHUSD, VScan) at bedside in comparison to a high-end ultrasound system (HEUS) as the gold standard. Materials and Methods Prospective observational study with a total of 112 geriatric patients. The ultrasound examinations were independently performed by two experienced blinded examiners with a portable handheld device and a high-end ultrasound device. The findings were compared with respect to diagnostic findings and therapeutic implications. Results The main indications for the ultrasound examinations were dyspnea (44.6 %), fall (frailty) (24.1 %) and fever (21.4 %). The most frequently found diagnoses were cystic lesions 32.1 % (35/109), hepatic vein congestion 19.3 % (21/109) and ascites 13.6 % (15/110). HHUSD delivered 13 false-negative findings in the abdomen resulting in an “overall sensitivity” of 89.5 %. The respective “overall specificity” was 99.6 % (7 false-positive diagnoses). HHUSD (versus HEUS data) resulted in 13.6 % (17.3 %) diagnostically relevant procedures in the abdomen and 0.9 % (0.9 %) in the thorax. Without HHUSD (HEUS) 95.7 % (100 %) of important pathological findings would have been missed. Conclusion The small HHUSD tool improves clinical decision-making in immobile geriatric patients at the point of care (geriatric ward). In most cases, HHUSD allows sufficiently accurate yes/no diagnoses already at the bedside, thereby clarifying the leading symptoms for early clinical decision-making.

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“…bubble tetrahedral complex (four air bubbles arranged in a tetrahedron formation and trapping a bugle-shaped column of fluid within), in response to insonating US, creates the RDA [11]. Morphologically, the RDA is a linear artefact in the axis of the insonated ultrasound wave that starts from the point of origin and "ringsdown" to the end of the screen without fading.…”

Section: The Comet Tail Artefact (Cta)mentioning

confidence: 99%

A common misunderstanding in lung ultrasound: the comet tail artefact

2018

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The comet tail artefact is probably one of the most commonly and imprecisely used to describe vertical artefacts found in lung ultrasound. Two distinct artefacts are commonly observed: the lung comets and the B-lines. Both artefacts differ with regard to generation mechanism and clinical significance. This review explores the current understanding and use of these two artefacts in lung ultrasound and suggests how to avoid the pitfalls related to confusing comet tail artefacts with other vertical artefacts.

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Geriatrischer Ultraschall

Cited by 6 publications

References 28 publications

EchoScopy in scanning abdominal diseases; a prospective single center study

EchoScopy in scanning abdominal diseases; a prospective single center study

Point of Care Ultrasound in Geriatric Patients: Prospective Evaluation of a Portable Handheld Ultrasound Device

A common misunderstanding in lung ultrasound: the comet tail artefact

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