Cargando…

Are seminal vesicles a potential pitfall during pelvic exploration using point-of-care ultrasound (POCUS)?

BACKGROUND: Trauma is a major cause of death among the working population. Many countries have now adopted a structured approach to trauma management in which ultrasound is used as a primary evaluation tool. While its use has direct therapeutic benefits, many artifacts and pitfalls are inherent to t...

Descripción completa

Detalles Bibliográficos
Autores principales: Fasseaux, Antoine, Pès, Philippe, Steenebruggen, Françoise, Dupriez, Florence
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7919994/
https://www.ncbi.nlm.nih.gov/pubmed/33650076
http://dx.doi.org/10.1186/s13089-021-00209-7
_version_ 1783658211641917440
author Fasseaux, Antoine
Pès, Philippe
Steenebruggen, Françoise
Dupriez, Florence
author_facet Fasseaux, Antoine
Pès, Philippe
Steenebruggen, Françoise
Dupriez, Florence
author_sort Fasseaux, Antoine
collection PubMed
description BACKGROUND: Trauma is a major cause of death among the working population. Many countries have now adopted a structured approach to trauma management in which ultrasound is used as a primary evaluation tool. While its use has direct therapeutic benefits, many artifacts and pitfalls are inherent to the technique. Knowledge of the most frequently encountered pitfalls in practice could thus help reduce the risk of error and lead to more accurate trauma assessments. OBJECTIVE: This study evaluates a potential pitfall caused by seminal vesicles during focused assessment with sonography for trauma examinations of the male pelvis performed by an emergency physician with experience in point-of-care ultrasound. METHODS: We took five static and five dynamic (3-s loops) transverse ultrasound images of the pelvis in five healthy males. The images and videos were then incorporated into an online survey and emailed through the World Interactive Network Focused On Critical UltraSound (WINFOCUS) in France and the Ultrasound and Emergency Medicine (UEM) Organization in Belgium. A questionnaire asked anonymous participants to assess the presence of free fluid in the static and dynamic images and to share information about their training and experience in point-of-care ultrasound. To validate the static and dynamic images, the survey was sent to three external radiologists for independent verification. RESULTS: A total of 191 individuals responded fully or partially to the survey, 114 of whom completed it. Among the 114 participants who completed the survey, the misinterpretation rate was 0.55 (95CI 0.51–0.60) for all static and dynamic ultrasound transverse pelvic views. The misinterpretation rate was 0.61 (95CI 0.55–0.66) and 0.50 (95CI 0.45–0.55) for static and dynamic ultrasound transverse pelvic views, respectively. The three external radiologists answered the questionnaire correctly without misinterpreting the survey ultrasound views. CONCLUSIONS: Seminal vesicles are a potential pitfall when interpreting transverse ultrasound images of the male pelvis in the context of point-of-care ultrasound.
format Online
Article
Text
id pubmed-7919994
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer International Publishing
record_format MEDLINE/PubMed
spelling pubmed-79199942021-03-02 Are seminal vesicles a potential pitfall during pelvic exploration using point-of-care ultrasound (POCUS)? Fasseaux, Antoine Pès, Philippe Steenebruggen, Françoise Dupriez, Florence Ultrasound J Original Article BACKGROUND: Trauma is a major cause of death among the working population. Many countries have now adopted a structured approach to trauma management in which ultrasound is used as a primary evaluation tool. While its use has direct therapeutic benefits, many artifacts and pitfalls are inherent to the technique. Knowledge of the most frequently encountered pitfalls in practice could thus help reduce the risk of error and lead to more accurate trauma assessments. OBJECTIVE: This study evaluates a potential pitfall caused by seminal vesicles during focused assessment with sonography for trauma examinations of the male pelvis performed by an emergency physician with experience in point-of-care ultrasound. METHODS: We took five static and five dynamic (3-s loops) transverse ultrasound images of the pelvis in five healthy males. The images and videos were then incorporated into an online survey and emailed through the World Interactive Network Focused On Critical UltraSound (WINFOCUS) in France and the Ultrasound and Emergency Medicine (UEM) Organization in Belgium. A questionnaire asked anonymous participants to assess the presence of free fluid in the static and dynamic images and to share information about their training and experience in point-of-care ultrasound. To validate the static and dynamic images, the survey was sent to three external radiologists for independent verification. RESULTS: A total of 191 individuals responded fully or partially to the survey, 114 of whom completed it. Among the 114 participants who completed the survey, the misinterpretation rate was 0.55 (95CI 0.51–0.60) for all static and dynamic ultrasound transverse pelvic views. The misinterpretation rate was 0.61 (95CI 0.55–0.66) and 0.50 (95CI 0.45–0.55) for static and dynamic ultrasound transverse pelvic views, respectively. The three external radiologists answered the questionnaire correctly without misinterpreting the survey ultrasound views. CONCLUSIONS: Seminal vesicles are a potential pitfall when interpreting transverse ultrasound images of the male pelvis in the context of point-of-care ultrasound. Springer International Publishing 2021-03-01 /pmc/articles/PMC7919994/ /pubmed/33650076 http://dx.doi.org/10.1186/s13089-021-00209-7 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Article
Fasseaux, Antoine
Pès, Philippe
Steenebruggen, Françoise
Dupriez, Florence
Are seminal vesicles a potential pitfall during pelvic exploration using point-of-care ultrasound (POCUS)?
title Are seminal vesicles a potential pitfall during pelvic exploration using point-of-care ultrasound (POCUS)?
title_full Are seminal vesicles a potential pitfall during pelvic exploration using point-of-care ultrasound (POCUS)?
title_fullStr Are seminal vesicles a potential pitfall during pelvic exploration using point-of-care ultrasound (POCUS)?
title_full_unstemmed Are seminal vesicles a potential pitfall during pelvic exploration using point-of-care ultrasound (POCUS)?
title_short Are seminal vesicles a potential pitfall during pelvic exploration using point-of-care ultrasound (POCUS)?
title_sort are seminal vesicles a potential pitfall during pelvic exploration using point-of-care ultrasound (pocus)?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7919994/
https://www.ncbi.nlm.nih.gov/pubmed/33650076
http://dx.doi.org/10.1186/s13089-021-00209-7
work_keys_str_mv AT fasseauxantoine areseminalvesiclesapotentialpitfallduringpelvicexplorationusingpointofcareultrasoundpocus
AT pesphilippe areseminalvesiclesapotentialpitfallduringpelvicexplorationusingpointofcareultrasoundpocus
AT steenebruggenfrancoise areseminalvesiclesapotentialpitfallduringpelvicexplorationusingpointofcareultrasoundpocus
AT dupriezflorence areseminalvesiclesapotentialpitfallduringpelvicexplorationusingpointofcareultrasoundpocus