提高腹部活组织检查中造影剂增强超声波的使用率:教育培训计划的影响。

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Journal of Ultrasound Pub Date : 2024-06-01 Epub Date: 2024-02-08 DOI:10.1007/s40477-023-00862-9
Lisa M Ho, James Ronald, Benjamin Wildman-Tobriner
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引用次数: 0

摘要

理论依据和目标:在超声引导下进行肝脏靶向活检时提高造影剂增强超声(CEUS)的使用率:为提高CEUS的使用率,进行了两次教育培训干预。首先,14 名放射科医生(接受过腹部成像专业的研究员培训)就 CEUS 的使用进行了说教和病例展示。第二,向同组人员提供如何使用 CEUS 的实践教学。为确定这两项干预措施的效果,放射科医生填写了匿名调查问卷,以确定在 CEUS 培训前和培训 6 个月后对使用 CEUS 的理解和接受程度。此外,还比较了培训前 6 个月和培训后 6 个月 CEUS 辅助肝活检的百分比:11名放射科医生完成了培训前调查,9名放射科医生完成了培训后调查。培训前,11% 的受访者常规使用 CEUS,而 89% 的受访者从未或很少使用 CEUS。培训后,54% 的受访者成为新用户,100% 的受访者表示他们计划将来使用 CEUS。不熟悉(71%)是不使用的主要原因。培训后,25% 的受访者表示不熟悉 CEUS 是不使用 CEUS 的主要原因。在培训前的六个月中,有6%(10/172)的肝脏活组织检查使用了CEUS。培训六个月后,CEUS的使用率几乎是培训前的两倍(10%,16/160,P = 0.09,单侧Boschloo检验)。培训后使用CEUS的放射科医生增至57%(8/14),而培训前为20%(3/14,P = 0.03,单侧Boschloo检验):结论:教育培训干预提高了在超声引导下进行肝脏靶向活检时 CEUS 的使用率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Increasing utilization of contrast-enhanced ultrasound during abdominal biopsies: impact of an educational training program.

Rational and objectives: To increase utilization of contrast-enhanced ultrasound (CEUS) during ultrasound-guided targeted liver biopsies.

Material and methods: Two educational training interventions performed to increase use of CEUS. First, 14 radiologists (fellowship-trained in Abdominal Imaging) given didactic teaching and case presentations on the use of CEUS. Second, hands-on teaching on how to use CEUS provided to the same group. To determine the efficacy of these two interventions, radiologists completed anonymous surveys to determine the level of understanding and acceptability of using CEUS before and 6 months after CEUS training. In addition, the percentage of CEUS assisted liver biopsies was compared for the 6 months before and 6 months after the training.

Results: Pre-training survey completed by 11 radiologists and post-training survey completed by 9 radiologists. Before training, 11% survey responders use CEUS routinely, whereas 89% never or rarely used it. After training, 54% of respondents were new users and 100% reported they planned to use CEUS in the future. Unfamiliarity (71%) was the main reason for not using it. After training, 25% reported lack of comfort with using CEUS as the main reason for not using CEUS. During six months before training, CEUS was administered in 6% (10/172) of targeted liver biopsies. Six months after training, CEUS was used nearly twice as often (10%, 16/160, P = 0.09, 1-sided Boschloo test). The number of radiologists using CEUS increased to 57% (8/14) after training compared to 20% (3/14, P = 0.03, 1-sided Boschloo) before training.

Conclusion: Educational training intervention increases use of CEUS during ultrasound-guided targeted liver biopsies.

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来源期刊
Journal of Ultrasound
Journal of Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
4.10
自引率
15.00%
发文量
133
期刊介绍: The Journal of Ultrasound is the official journal of the Italian Society for Ultrasound in Medicine and Biology (SIUMB). The journal publishes original contributions (research and review articles, case reports, technical reports and letters to the editor) on significant advances in clinical diagnostic, interventional and therapeutic applications, clinical techniques, the physics, engineering and technology of ultrasound in medicine and biology, and in cross-sectional diagnostic imaging. The official language of Journal of Ultrasound is English.
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