评估一个简短的标准化的产科超声培训计划,个人之前没有超声经验。

IF 0.7 4区 医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Mariah Erlick, Thomas Marini, Kathryn Drennan, Ann Dozier, Benjamin Castaneda, Timothy Baran, Marika Toscano
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引用次数: 4

摘要

摘要:产科体积扫描成像(OB VSI)是一套简单的换能器运动,由外部身体标志引导,可以教给超声新手非专家。这种方法可以增加在缺乏训练有素的超声医师的农村/低资源环境中获得超声的机会。本研究提出并评估了OB VSI的培训计划。六名之前没有正式超声经验的受训者接受了OB VSI协议的培训计划,其中包括重点教学和监督的现场超声扫描实践。然后学员独立进行194次妊娠>14周且已知产前超声异常的OB VSI检查。图像由母胎医学专家对主要结局(方案偏差率)和次要结局(检查质量和图像质量)进行审查。25.8%的病例存在方案偏差,但这些错误中只有7.7%影响超声的诊断潜力。差错率差异在8.6% ~ 53.8%之间(P < 0.0001)。图像质量优良或可接受的占88.2%,96.4%的图像质量能够产生诊断解释。在大多数受训者中,方案偏差的频率随着时间的推移而减少,表明培训计划随着时间的推移而保持不变。这个简短的OB VSI培训计划为超声新手非专家提供了能够在3小时的培训后产生能够诊断解释的高质量图像的操作员。这一培训计划可以适用于资源匮乏/农村地区的当地社区成员,以增加获得产科超声的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of a Brief Standardized Obstetric Ultrasound Training Program for Individuals Without Prior Ultrasound Experience.

Abstract: Obstetric volume sweep imaging (OB VSI) is a simple set of transducer movements guided by external body landmarks that can be taught to ultrasound-naive non-experts. This approach can increase access to ultrasound in rural/low-resources settings lacking trained sonographers. This study presents and evaluates a training program for OB VSI. Six trainees without previous formal ultrasound experience received a training program on the OB VSI protocol containing focused didactics and supervised live hands-on ultrasound scanning practice. Trainees then independently performed 194 OB VSI examinations on pregnancies >14 weeks with known prenatal ultrasound abnormalities. Images were reviewed by maternal-fetal medicine specialists for the primary outcome (protocol deviation rates) and secondary outcomes (examination quality and image quality). Protocol deviation was present in 25.8% of cases, but only 7.7% of these errors affected the diagnostic potential of the ultrasound. Error rate differences between trainees ranged from 8.6% to 53.8% ( P < 0.0001). Image quality was excellent or acceptable in 88.2%, and 96.4% had image quality capable of yielding a diagnostic interpretation. The frequency of protocol deviations decreased over time in the majority of trainees, demonstrating retention of training program over time. This brief OB VSI training program for ultrasound-naive non-experts yielded operators capable of producing high-quality images capable of diagnostic interpretation after 3 hours of training. This training program could be adapted for use by local community members in low-resource/rural settings to increase access to obstetric ultrasound.

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来源期刊
Ultrasound Quarterly
Ultrasound Quarterly RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.50
自引率
7.70%
发文量
105
审稿时长
>12 weeks
期刊介绍: Ultrasound Quarterly provides coverage of the newest, most sophisticated ultrasound techniques as well as in-depth analysis of important developments in this dynamic field. The journal publishes reviews of a wide variety of topics including trans-vaginal ultrasonography, detection of fetal anomalies, color Doppler flow imaging, pediatric ultrasonography, and breast sonography. Official Journal of the Society of Radiologists in Ultrasound
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