Reply to Dr Seitz

Edwards, Hazel

doi:10.1055/s-0043-124590

Cited by 2 publications

(6 citation statements)

References 2 publications

(2 reference statements)

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“…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%

“…Thus, although scanning is done by sonographers, images are evaluated and results reported by radiologists [21,55]. Historically, radiologists reviewed static images selected by the sonographer as being representative of the entire exam, but it is becoming increasingly common for sonographers to capture cinematic sweeps in different planes through the organ(s) and lesion(s) of interest so that the interpreting radiologist can benefit from the wealth of information gained from the real-time study [20,21,51,52].…”

Section: Who Should Perform Usmentioning

confidence: 99%

“…In the UK, by comparison, sonographers are independent reporting practitioners in the National Health Service (NHS) [20,51,52]. In the NHS, most (about 80%) US services are performed and reported independently by sonographers.…”

Section: Who Should Perform Usmentioning

confidence: 99%

“…In the NHS, most (about 80%) US services are performed and reported independently by sonographers. The few remaining US examinations are performed by radiologists (19%) and other medically trained practitioners (<1%) [20,21,51,52]. The role of US in the UK is controversial, since non-medical sonographers intrinsically have less medical education, general knowledge and independence than medical doctors [20,21,51,52].…”

Section: Who Should Perform Usmentioning

confidence: 99%

“…The few remaining US examinations are performed by radiologists (19%) and other medically trained practitioners (<1%) [20,21,51,52]. The role of US in the UK is controversial, since non-medical sonographers intrinsically have less medical education, general knowledge and independence than medical doctors [20,21,51,52]. The non-medical sonographer is unlikely to achieve a truly independent status independent of healthcare costs [20,51,52].…”

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: Who Should Perform Usmentioning

confidence: 99%

Section: Who Should Perform Usmentioning

confidence: 99%

Section: Who Should Perform Usmentioning

confidence: 99%

Section: Who Should Perform Usmentioning

confidence: 99%

Section: Who Should Perform Usmentioning

confidence: 99%

See 3 more Smart Citations

Editorial on the Current Role of Ultrasound

et al. 2019

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Diversity of current ultrasound practice within and outside radiology departments with a vision for 20 years into the future: a position paper of the ESR ultrasound subcommittee

Sidhu,

Ewertsen,

Piskunowicz

et al. 2023

Insights Imaging

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Ultrasound practice is a longstanding tradition for radiology departments, being part of the family of imaging techniques. Ultrasound is widely practiced by non-radiologists but becoming less popular within radiology. The position of ultrasound in radiology is reviewed, and a possible long-term solution to manage radiologist expectations is proposed. An international group of experts in the practice of ultrasound was invited to describe the current organisation of ultrasound within the radiology departments in their own countries and comment on the interaction with non-radiologists and training arrangements. Issues related to regulation, non-medical practitioners, and training principles are detailed. A consensus view was sought from the experts regarding the position of ultrasound within radiology, with the vision of the best scenario for the continuing dominance of radiologists practising ultrasound. Comments were collated from nine different countries. Variable levels of training, practice, and interaction with non-radiologist were reported, with some countries relying on non-physician input to manage the service. All experts recognised there was a diminished desire to practice ultrasound by radiologists. Models varied from practising solely ultrasound and no other imaging techniques to radiology departments being central to the practice of ultrasound by radiologists and non-radiologist, housed within radiology. The consensus view was that the model favoured in select hospitals in Germany would be the most likely setup for ultrasound radiologist to develop and maintain practice. The vision for 20 years hence is for a central ultrasound section within radiology, headed by a trained expert radiologist, with non-radiologist using the facilities.Critical relevance statement The future of ultrasound within the radiology department should encompass all ultrasound users, with radiologists expert in ultrasound, managing the ultrasound section within the radiology department. The current radiology trainees must learn of the importance of ultrasound as a component of the ‘holistic’ imaging of the patient.Key points: 1. Ultrasound imaging within radiology departments precedes the introduction of CT and MR imaging and was first used over 50 years ago.2. Non-radiology practitioners deploy ultrasound examinations to either ‘problem solve’ or perform a comprehensive ultrasound examination; radiologists provide comprehensive examinations or use ultrasound to direct interventional procedures.3. Radiology does not ‘own’ ultrasound, but radiologists are best placed to offer a comprehensive patient-focused imaging assessment.4. A vision of the future of ultrasound within the radiology department is encompassing all ultrasound users under radiologists who are experts in ultrasound, positioned within the radiology department.5. The current radiology trainee must be aware of the importance of ultrasound as a component of the ‘holistic’ imaging of the patient.

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Reply to Dr Seitz

Cited by 2 publications

References 2 publications

Editorial on the Current Role of Ultrasound

Editorial on the Current Role of Ultrasound

Diversity of current ultrasound practice within and outside radiology departments with a vision for 20 years into the future: a position paper of the ESR ultrasound subcommittee

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