用于多器官筛查的5g远程机器人超声系统的质量和安全性评估:一项前瞻性先导研究

IF 2.1 3区 医学 Q2 SURGERY
Xue Lu, Jia Liu, Jinxiu Ju, Weiran Long, Zeping Huang, Jie Ren
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引用次数: 0

摘要

本研究旨在评估基于5g的远程机器人系统在多器官超声检查中生成诊断质量所需图像的能力。从2020年9月到2021年3月,参与者接受了远程机器人美国检查。共招募了127名参与者。所需图像质量由所需图像充分性、图像质量、观察者可靠性和常规US的一致性来评估。安全性评估通过并发症和问卷进行评估。结果1790/2032张(88.1%)被认为是足够的,167/2032张(8.2%)被认为是足够的,但有一定的保留。在三分李克特量表上,平均图像质量得分为2.83±0.47,在地区和性别之间没有差异。在10例同时接受远程机器人超声检查和常规超声检查的患者中,18例异常中有15例(83.3%)被远程机器人超声检查出。两种方法的一致性较好(k = 0.7 ~ 1.0)。此外,近86.0%的患者接受并愿意在未来接受另一次远程机器人US检查。远程放射学家几乎接受了所有的美国检查,认为它们足以诊断并对此感到满意。结论基于5g的远程机器人US(MGIUS-R3)在多器官检查过程中能够获得足够的、高质量的图像,在有限的患者群体中具有较高的安全性和客户满意度。需要对更大的样本和更多的中心进行进一步的研究,以验证这种潜在的新技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality and Safety Assessments of 5G-Powered Telerobotic Ultrasound System for Multi-Organ Screening: A Prospective Pilot Study

Purpose

This study aims to assess the ability of a 5G-based telerobotic system to generate required images of diagnostic quality in multi-organ US examinations.

Materials and Methods

This prospective study involved participants in Shenzhen and Tibet, which are 106 and 4000 km, respectively, from the tele-radiologist's hospital. Participants underwent telerobotic US examinations from September 2020 to March 2021. A total of 127 participants were enrolled. The required image quality was evaluated by the required image adequacy, image quality, the observer reliability and the consistency of the conventional US. The safety assessments were assessed by complications and questionnaires.

Results

A total of 1790/2032 (88.1%) required images were considered adequate, and 167/2032 (8.2%) were considered adequate with some reservations. The mean image quality score was 2.83 ± 0.47 on a three-point Likert scale and did not differ between the districts or sexes. Telerobotic US detected 15 out of 18 abnormalities (83.3%) in 10 patients who underwent both telerobotic US and conventional US. There was good consistency between the two methods (k = 0.7–1.0). Furthermore, nearly 86.0% of patients accepted and would be willing to undergo another telerobotic US examination in the future. Teleradiologists accepted almost all US examinations as adequate for diagnosis and were satisfied with them.

Conclusions

The 5G-based telerobotic US(MGIUS-R3) can acquire required images with adequacy and quality in multiple organ examination procedures, with high safety and customer satisfaction in this limited group of patients. Further studies with larger samples and more centres are needed to validate this potential new technology.

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来源期刊
CiteScore
4.50
自引率
12.00%
发文量
131
审稿时长
6-12 weeks
期刊介绍: The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.
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