Nurul Adliah Gazali , Rafidah Abu Bakar , Celia Ia Choo Tan , Jiang Bo , Sally Hsueh Er Lee , Hui Ping Ho , Sze Ying Lim , Wei Kiong Cheong , Suet Ching Jennifer Liaw , Chin Chin Ooi
{"title":"传统腹部超声扫描与机器人辅助超声造影系统（ROBUST）的比较","authors":"Nurul Adliah Gazali , Rafidah Abu Bakar , Celia Ia Choo Tan , Jiang Bo , Sally Hsueh Er Lee , Hui Ping Ho , Sze Ying Lim , Wei Kiong Cheong , Suet Ching Jennifer Liaw , Chin Chin Ooi","doi":"10.1016/j.wfumbo.2024.100040","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Work-related musculoskeletal disorders (WRMSD) among sonographers is a major problem with a high prevalence rate of more than 80% in North America and United Kingdom. In Singapore, this is particularly relevant because statistics have showed WRMSD accounted for 60% of all confirmed occupational diseases cases. The ROBotic UltraSonography sysTem (ROBUST) was developed to overcome the WRMSD challenges sonographers faced in their daily clinical practice and, more importantly, increase their career longevity and productivity.</p></div><div><h3>Objectives</h3><p>To evaluate the effectiveness of ROBUST in producing diagnostic images equivalent to conventional ultrasound (US) scans and to assess its clinical feasibility and receptiveness.</p></div><div><h3>Methods</h3><p>A total of 50 adult patients from two tertiary hospitals underwent conventional abdominal US followed by ROBUST scans. Six sonographers performed the US scans using the standard protocol. Four expert readers, blinded to the scanning methods, graded the image quality of 2,218 images (1,317 conventional, 901 ROBUST). Surveys were distributed immediately after the scan to assess the patient’s and sonographers’ opinions on maneuverability, pain, and comfort.</p></div><div><h3>Results</h3><p>Wilcoxon signed rank test showed no significant difference between conventional US and ROBUST for image quality (<em>p</em> = 0.317). Sixteen (16/50 = 32%) patients responded feeling slight to moderate pain when scanned by ROBUST (<em>p</em> = 0.251). All the sonographers felt that the imaging task using ROBUST was not physically strenuous. One sonographer felt that the ROBUST was easy to manipulate; two were neutral (<em>p</em> = 0.007), and three experienced difficulties manipulating the ROBUST.</p></div><div><h3>Conclusion</h3><p>ROBUST can produce diagnostic images equivalent to conventional scans. It is feasible in clinical settings with good acceptance by sonographers and patients. Adoption of this innovation in clinical practice could potentially increase career longevity and productivity by alleviating pain and discomfort experienced by sonographers.</p></div>","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"2 1","pages":"Article 100040"},"PeriodicalIF":0.0000,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949668324000089/pdfft?md5=bab49dd49d0a6248007158278e30adf4&pid=1-s2.0-S2949668324000089-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Comparing conventional abdominal ultrasound scanning versus a ROBotic assisted UltraSonography sysTem (ROBUST)\",\"authors\":\"Nurul Adliah Gazali , Rafidah Abu Bakar , Celia Ia Choo Tan , Jiang Bo , Sally Hsueh Er Lee , Hui Ping Ho , Sze Ying Lim , Wei Kiong Cheong , Suet Ching Jennifer Liaw , Chin Chin Ooi\",\"doi\":\"10.1016/j.wfumbo.2024.100040\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Work-related musculoskeletal disorders (WRMSD) among sonographers is a major problem with a high prevalence rate of more than 80% in North America and United Kingdom. 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Surveys were distributed immediately after the scan to assess the patient’s and sonographers’ opinions on maneuverability, pain, and comfort.</p></div><div><h3>Results</h3><p>Wilcoxon signed rank test showed no significant difference between conventional US and ROBUST for image quality (<em>p</em> = 0.317). Sixteen (16/50 = 32%) patients responded feeling slight to moderate pain when scanned by ROBUST (<em>p</em> = 0.251). All the sonographers felt that the imaging task using ROBUST was not physically strenuous. One sonographer felt that the ROBUST was easy to manipulate; two were neutral (<em>p</em> = 0.007), and three experienced difficulties manipulating the ROBUST.</p></div><div><h3>Conclusion</h3><p>ROBUST can produce diagnostic images equivalent to conventional scans. It is feasible in clinical settings with good acceptance by sonographers and patients. 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引用次数: 0
摘要
背景超声技师中与工作相关的肌肉骨骼疾病（WRMSD）是一个主要问题，在北美和英国的发病率高达 80% 以上。在新加坡，这一问题尤为突出，因为统计数字显示，在所有确诊的职业病病例中，与肌肉骨骼相关的疾病占 60%。ROBUST 是为克服超声技师在日常临床实践中面临的 WRMSD 挑战而开发的，更重要的是，它能延长超声技师的职业寿命并提高他们的工作效率。 Objectives To evaluate the effectiveness of ROBUST in producing diagnostic images equivalent to conventional ultrasound (US) scans and to assess its clinical feasibility and receptiveness.Methods 两家三甲医院共 50 名成年患者接受了常规腹部 US 扫描，随后接受了 ROBUST 扫描。六名超声技师按照标准方案进行了超声扫描。四位对扫描方法保密的专家对 2,218 张图像（1,317 张常规图像，901 张 ROBUST 图像）的图像质量进行了评分。扫描后立即发放调查问卷，以评估患者和超声技师对操作性、疼痛和舒适度的意见。结果Wilcoxon符号秩检验显示，传统 US 和 ROBUST 在图像质量上没有显著差异（p = 0.317）。16名（16/50 = 32%）患者反应在使用 ROBUST 扫描时感到轻微至中度疼痛（p = 0.251）。所有超声技师都认为使用 ROBUST 进行成像工作并不费力。一名超声技师认为 ROBUST 易于操作；两名超声技师持中立态度（p = 0.007），三名超声技师在操作 ROBUST 时遇到困难。它在临床环境中是可行的，超声技师和患者都能很好地接受。在临床实践中采用这一创新技术可以减轻超声技师的疼痛和不适，从而延长他们的职业寿命，提高工作效率。
Comparing conventional abdominal ultrasound scanning versus a ROBotic assisted UltraSonography sysTem (ROBUST)
Background
Work-related musculoskeletal disorders (WRMSD) among sonographers is a major problem with a high prevalence rate of more than 80% in North America and United Kingdom. In Singapore, this is particularly relevant because statistics have showed WRMSD accounted for 60% of all confirmed occupational diseases cases. The ROBotic UltraSonography sysTem (ROBUST) was developed to overcome the WRMSD challenges sonographers faced in their daily clinical practice and, more importantly, increase their career longevity and productivity.
Objectives
To evaluate the effectiveness of ROBUST in producing diagnostic images equivalent to conventional ultrasound (US) scans and to assess its clinical feasibility and receptiveness.
Methods
A total of 50 adult patients from two tertiary hospitals underwent conventional abdominal US followed by ROBUST scans. Six sonographers performed the US scans using the standard protocol. Four expert readers, blinded to the scanning methods, graded the image quality of 2,218 images (1,317 conventional, 901 ROBUST). Surveys were distributed immediately after the scan to assess the patient’s and sonographers’ opinions on maneuverability, pain, and comfort.
Results
Wilcoxon signed rank test showed no significant difference between conventional US and ROBUST for image quality (p = 0.317). Sixteen (16/50 = 32%) patients responded feeling slight to moderate pain when scanned by ROBUST (p = 0.251). All the sonographers felt that the imaging task using ROBUST was not physically strenuous. One sonographer felt that the ROBUST was easy to manipulate; two were neutral (p = 0.007), and three experienced difficulties manipulating the ROBUST.
Conclusion
ROBUST can produce diagnostic images equivalent to conventional scans. It is feasible in clinical settings with good acceptance by sonographers and patients. Adoption of this innovation in clinical practice could potentially increase career longevity and productivity by alleviating pain and discomfort experienced by sonographers.
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