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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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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 |
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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 |
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