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Comparison of telerobotic and conventional ultrasonography in children: a crossover bicentric pilot study

BACKGROUND: The MELODY system allows for performing ultrasonography on a patient remotely and has been proposed to assess disease characteristics in the context of the coronavirus disease 2019 (COVID-19) pandemic. The aim of this interventional crossover study was to address the feasibility of the s...

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Autores principales: Delestrain, Celine, Jung, Camille, Malterre, Aline, Jourdain, Claire, Vastel-Amzallag, Carine, Shum, Mickael, Cuccioli, Francesco, Parisot, Pauline, Tahri, Nouria, Mabille, Mylene, Georget, Emilie, Madhi, Fouad, Epaud, Ralph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10248926/
https://www.ncbi.nlm.nih.gov/pubmed/37305713
http://dx.doi.org/10.21037/tp-22-569
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author Delestrain, Celine
Jung, Camille
Malterre, Aline
Jourdain, Claire
Vastel-Amzallag, Carine
Shum, Mickael
Cuccioli, Francesco
Parisot, Pauline
Tahri, Nouria
Mabille, Mylene
Georget, Emilie
Madhi, Fouad
Epaud, Ralph
author_facet Delestrain, Celine
Jung, Camille
Malterre, Aline
Jourdain, Claire
Vastel-Amzallag, Carine
Shum, Mickael
Cuccioli, Francesco
Parisot, Pauline
Tahri, Nouria
Mabille, Mylene
Georget, Emilie
Madhi, Fouad
Epaud, Ralph
author_sort Delestrain, Celine
collection PubMed
description BACKGROUND: The MELODY system allows for performing ultrasonography on a patient remotely and has been proposed to assess disease characteristics in the context of the coronavirus disease 2019 (COVID-19) pandemic. The aim of this interventional crossover study was to address the feasibility of the system in children aged 1 to 10 years old. METHODS: Children underwent ultrasonography with a telerobotic ultrasound system followed by a second conventional examination by a different sonographer. RESULTS: In total, 38 children were enrolled, and 76 examinations were performed, with 76 scans analyzed. The mean [standard deviation (SD)] age of participants was 5.7 (2.7) years (range, 1–10 years). We found substantial agreement between telerobotic and conventional ultrasonography [κ=0.74 (95% CI: 0.53–0.94), P<0.005]. The mean (SD) duration was longer for telerobotic than conventional examinations [26.0 (2.5) vs. 13.9 (11.2) min, P<0.0001]. Abdominal organs and abnormalities were similarly visualized on telerobotic and conventional ultrasonography. Cardiac echocardiography provided reliable diagnoses, with non-significantly different measurements with both techniques, although the visualization score was significantly higher with conventional than telerobotic ultrasonography (P<0.05). On lung analysis, both examinations identified consolidations and pleural effusion, whereas visualization and total lung score were similar with the 2 techniques. Overall, 45% of parents reported that their children felt less pressure with the telerobotic system. CONCLUSIONS: Telerobotic ultrasonography may be effective, feasible, and well-tolerated in children.
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spelling pubmed-102489262023-06-09 Comparison of telerobotic and conventional ultrasonography in children: a crossover bicentric pilot study Delestrain, Celine Jung, Camille Malterre, Aline Jourdain, Claire Vastel-Amzallag, Carine Shum, Mickael Cuccioli, Francesco Parisot, Pauline Tahri, Nouria Mabille, Mylene Georget, Emilie Madhi, Fouad Epaud, Ralph Transl Pediatr Original Article BACKGROUND: The MELODY system allows for performing ultrasonography on a patient remotely and has been proposed to assess disease characteristics in the context of the coronavirus disease 2019 (COVID-19) pandemic. The aim of this interventional crossover study was to address the feasibility of the system in children aged 1 to 10 years old. METHODS: Children underwent ultrasonography with a telerobotic ultrasound system followed by a second conventional examination by a different sonographer. RESULTS: In total, 38 children were enrolled, and 76 examinations were performed, with 76 scans analyzed. The mean [standard deviation (SD)] age of participants was 5.7 (2.7) years (range, 1–10 years). We found substantial agreement between telerobotic and conventional ultrasonography [κ=0.74 (95% CI: 0.53–0.94), P<0.005]. The mean (SD) duration was longer for telerobotic than conventional examinations [26.0 (2.5) vs. 13.9 (11.2) min, P<0.0001]. Abdominal organs and abnormalities were similarly visualized on telerobotic and conventional ultrasonography. Cardiac echocardiography provided reliable diagnoses, with non-significantly different measurements with both techniques, although the visualization score was significantly higher with conventional than telerobotic ultrasonography (P<0.05). On lung analysis, both examinations identified consolidations and pleural effusion, whereas visualization and total lung score were similar with the 2 techniques. Overall, 45% of parents reported that their children felt less pressure with the telerobotic system. CONCLUSIONS: Telerobotic ultrasonography may be effective, feasible, and well-tolerated in children. AME Publishing Company 2023-04-24 2023-05-30 /pmc/articles/PMC10248926/ /pubmed/37305713 http://dx.doi.org/10.21037/tp-22-569 Text en 2023 Translational Pediatrics. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Delestrain, Celine
Jung, Camille
Malterre, Aline
Jourdain, Claire
Vastel-Amzallag, Carine
Shum, Mickael
Cuccioli, Francesco
Parisot, Pauline
Tahri, Nouria
Mabille, Mylene
Georget, Emilie
Madhi, Fouad
Epaud, Ralph
Comparison of telerobotic and conventional ultrasonography in children: a crossover bicentric pilot study
title Comparison of telerobotic and conventional ultrasonography in children: a crossover bicentric pilot study
title_full Comparison of telerobotic and conventional ultrasonography in children: a crossover bicentric pilot study
title_fullStr Comparison of telerobotic and conventional ultrasonography in children: a crossover bicentric pilot study
title_full_unstemmed Comparison of telerobotic and conventional ultrasonography in children: a crossover bicentric pilot study
title_short Comparison of telerobotic and conventional ultrasonography in children: a crossover bicentric pilot study
title_sort comparison of telerobotic and conventional ultrasonography in children: a crossover bicentric pilot study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10248926/
https://www.ncbi.nlm.nih.gov/pubmed/37305713
http://dx.doi.org/10.21037/tp-22-569
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