Proposal for an Assessment Training Program in Dermatologic Ultrasound by the DERMUS Group

Wortsman, Ximena; Alfageme, Fernando; Roustán, Gastón; Arias‐Santiago, Salvador; Martorell, A.; Catalano, Orlando; Santolo, Maria Scotto di; Zarchi, Kian; Bouer, Márcio; Gonzalez, Claudia; Bard, Robert L.; Mandava, Anitha; Crışan, Maria; Crişan, Diana; Gaitini, Diana

doi:10.7863/ultra.15.10068

Cited by 36 publications

(35 citation statements)

References 23 publications

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“…In order to detect superficial dermal, subdermal, small vessels, the pulse repetition frequency (PRF) should be adjusted accordingly and the gain should be adjusted to reduce flare artifacts [11]. Proper training in color and spectral Doppler US should be included in dermatologic US training programs [3] (see training section).…”

Section: Position Statementmentioning

confidence: 99%

“…Operators should be trained in US imaging and have knowledge of dermatologic pathologies to be able to better perform and interpret examinations [1][2][3]. Regarding the certification required to perform dermatologic US, a physician (not a sonographer) should be the person in charge of performing examinations.…”

Section: Standard Professional Practical Issuesmentioning

confidence: 99%

“…The main reason for this statement is that the clinical dermatologic diagnosis must be determined by the operator and that is not within the scope of non-physician operators [2]. Regarding the number of examinations performed during training and competence maintenance, the DERMUS guidelines, based on expert opinion, suggest a minimum of 30 supervised examinations for assessing competence and a minimum of 300 examinations per year for competence maintenance [3].…”

Section: Standard Professional Practical Issuesmentioning

confidence: 99%

“…Theoretical and practical educational courses are needed to improve the performance and interpretation of dermatological US [3]. Two different course models should be organized to provide a minimum of two levels of complexity: basic and advanced.…”

Section: Dermatologic Ultrasound Educationmentioning

confidence: 99%

“…As it is a growing, recently developed application, guidelines and recommendations based on scientific evidence are not methodologically possible. However, a position statement from a scientific society with regards to this application of US is useful for physicians involved in dermatologic US, allowing for the foundations of present clinical practice and evidence generation to be developed [2,3].…”

Section: Introductionmentioning

confidence: 99%

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European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Position Statement on Dermatologic Ultrasound

et al. 2020

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Dermatologic ultrasound is a recent application of ultrasound for the evaluation of healthy skin and appendages and their diseases. Although the scientific literature regarding this application is still not sufficient for evidence-based guidelines, general recommendations issued by scientific societies are necessary. The EFSUMB (European Federation of Societies for Ultrasound in Medicine and Biology) steering committee for dermatologic ultrasound has developed a series of consensus position statements regarding the main fields of dermatologic ultrasound (technical requirement, normal skin and appendages, inflammatory skin diseases, tumoral skin diseases, aesthetic dermatology and practice-training requirements). This document is the foundation for future evidence-based recommendations and guidelines for dermatologic ultrasound practice.

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Section: Position Statementmentioning

confidence: 99%

Section: Standard Professional Practical Issuesmentioning

confidence: 99%

Section: Standard Professional Practical Issuesmentioning

confidence: 99%

Section: Dermatologic Ultrasound Educationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Position Statement on Dermatologic Ultrasound

et al. 2020

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Delayed Allergic Reactions to Jellyfish Stings: Usefulness of Ultrasonographic Evaluation

Giavedoni

Velasco

Morgado‐Carrasco

et al. 2018

J of Ultrasound Medicine

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Jellyfish stings often cause immediate local skin reactions, and, less frequently, the affected individuals may develop delayed allergic reactions days or months after the sting. Here, we present 4 such cases. In all cases, color Doppler ultrasonography was performed at the time of diagnosis, and in 3 of the cases, clinical follow-ups with ultrasonographic evaluations were performed. Ultrasonography initially showed dermal thickening with decreased echogenicity that progressively normalized during follow-up. Ultrasonography was useful in quantifying inflammation by measuring the thickness of the dermis and was more precise than standard clinical follow-up of cutaneous lesions in these cases.

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Dermatologic Ultrasound in Primary Care: A New Modality of Teledermatology

Alfageme

Minguela

Martínez

et al. 2020

J of Ultrasound Medicine

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Objectives This study aimed to validate dermatologic ultrasound as a complementary teledermatologic imaging modality in primary and tertiary care centers. Methods Six primary care centers and 1 tertiary care dermatology department collaborated in the program. Images were sent through the institutional teledermatologic platform to the tertiary care dermatology department. At the reference hospital, ultrasound images and clinical data were received and registered by a physician trained in dermatologic ultrasound. An in‐person consultation was scheduled to confirm the teleultrasound diagnosis. The time of response by the tertiary center, quality and size of the teledermatologic image, and concordance with the in‐person diagnosis were assessed for each dermatologic lesion. Results A total of 147 teleultrasound consultations with 143 patients (93 women and 50 men; mean age ± SD, 47 ± 23 years) were evaluated between June 2018 and January 2019. Nine teleultrasound consultations (6.1%) were not valid. Discordance between teleultrasound and the in‐person diagnosis was evident in 6 of 138 cases (4.3%). Most cases corresponded to benign skin tumors (66.7%), followed by inflammatory skin lesions (15.9%), nonmelanoma skin lesions (13%), and other skin lesions (4.3%). All malignant tumors were detected (sensitivity, 100%), although 2 cases of benign lesions were telediagnosed as malignant (specificity, 97.8%). The positive and negative predictive values of a teleultrasound diagnosis of cutaneous malignancy were 90% and 100%, respectively. Conclusions Asynchronous primary care teleultrasound combined with dermatologic ultrasound training at tertiary centers is an effective teledermatologic modality.

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Proposal for an Assessment Training Program in Dermatologic Ultrasound by the DERMUS Group

Abstract: la

Cited by 36 publications

References 23 publications

European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Position Statement on Dermatologic Ultrasound

European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Position Statement on Dermatologic Ultrasound

Delayed Allergic Reactions to Jellyfish Stings: Usefulness of Ultrasonographic Evaluation

Dermatologic Ultrasound in Primary Care: A New Modality of Teledermatology

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