Home Monitoring of Ascites Using Portable Ultrasound and Telehealth Technology: A Pilot Study.

IF 1.2 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-06-30 DOI:10.1002/jcu.70004

Borna E Dabiri, Kamal Tarabine, Tina Kapur, Paul B Shyn

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引用次数: 0

Abstract

Purpose: To assess the feasibility of using portable home ultrasound technology during radiologist-led telehealth visits for monitoring ascites in patients requiring repetitive paracentesis procedures.

Methods: Seven patients with recurring ascites underwent home telehealth visits using a portable ultrasound device and tablet computer. Radiologist-led, patient-performed remote ultrasound was used to assess ascites volume and confirm or adjust paracentesis scheduling. Patient and radiologist satisfaction, impact on empiric scheduling, and comparison of ultrasound ascites assessments with volume removed during paracentesis were evaluated.

Results: Portable ultrasound during telehealth visits enabled monitoring of ascites volume, with high levels of satisfaction reported by both patients and radiologists. In 10% of the telehealth visits, empirically scheduled paracentesis procedures were deferred to a later date due to ultrasound evidence of insufficient fluid volume. This avoided patient visits ending with aborted paracentesis procedures. Portable telehealth ultrasound assessments of ascites volume appropriately stratified the volume of fluid removed during paracentesis.

Conclusion: This pilot study showed that home-based portable ultrasound under teleguidance from a radiologist is feasible in patients requiring repetitive paracentesis procedures.

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使用便携式超声和远程医疗技术的腹水家庭监测：一项试点研究。

目的：评估在放射科医生主导的远程医疗访问中使用便携式家用超声技术监测需要重复穿刺手术的患者腹水的可行性。方法：对7例复发性腹水患者采用便携式超声仪和平板电脑进行家庭远程保健。放射科医生领导，患者进行远程超声评估腹水容量，并确定或调整穿刺计划。评估患者和放射科医生的满意度，对经验安排的影响，以及超声腹水评估与穿刺时去除的体积的比较。结果：便携式超声在远程医疗访问中能够监测腹水容量，患者和放射科医生都报告了很高的满意度。在10%的远程医疗就诊中，由于超声证据显示液体容量不足，经验性安排的穿刺程序被推迟到较晚的日期。这避免了患者就诊以穿刺流产告终。便携式远程健康超声评估腹水容量适当分层在穿刺过程中取出的液体体积。结论：这项初步研究表明，在放射科医生的远程指导下，家庭便携式超声对于需要重复穿刺手术的患者是可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.