Zappia Marcello, Aliprandi Alberto, Pozza Simona, Doniselli Fabio Martino, Gitto Salvatore, Sconfienza Luca Maria
Dipartimento di Medicina e di Scienze della Salute, Università degli Studi del Molise, Via De Sanctis 1, 86100, Campobasso, Italy.
Servizio di Radiologia, IRCCS Policlinico San Donato, Via Morandi 30, 20097, San Donato Milanese, Milan, Italy.
Skeletal Radiol. 2016 Dec;45(12):1629-1634. doi: 10.1007/s00256-016-2477-5. Epub 2016 Sep 16.
To define when an ultrasound examination of the shoulder can be considered complete and how many examinations currently performed in Italy are actually complete according to that definition.
Reports and images of previously performed ultrasound examinations of the shoulder of patients seen in 2014 for interventional procedures were reviewed for the following items, according to guidelines published by the European Society of Musculoskeletal Radiology: long biceps, subscapularis, supraspinatus, external rotators, acromioclavicular joint, subacromial bursa, subacromial space, coraco-acromial ligament, and the posterior recess. The first six items were considered mandatory in a complete shoulder ultrasound examination. The specialization of the performing physician was noted. The number of complete examinations performed by different physicians was compared with the number of incomplete examinations.
We analyzed 324 examinations (212 women, 112 men; mean age = 47 ± 12 years). The most frequently reported item was the supraspinatus tendon (83 %), the least frequently reported was the posterior recess (3 %). The image that was most frequently found was the long head of the biceps tendon (77 %), the least frequently found was the coraco-acromial ligament (3 %). The median number of images/examination was 6 (25th-75th percentiles, range 4-9). The mean number of unrecognizable images was 3 (2-4). A radiologist performed the examination in 269 patients (83 %). The rate of complete examinations was 47 %. The number of complete examinations performed by physicians from different specialties was not significantly different from that of incomplete examinations (P = 0.228).
Complete shoulder ultrasound examinations account for less than 50 % of those performed in clinical practice in some Italian regions. Standardized scanning protocols and structured reporting may help to improve this figure and consistency among providers performing these examinations.
确定何时可认为肩部超声检查是完整的，以及根据该定义目前在意大利进行的检查中有多少实际上是完整的。
根据欧洲肌肉骨骼放射学会发布的指南，对2014年因介入性操作而接受肩部超声检查的患者的报告和图像进行回顾，检查以下项目：肱二头肌长头、肩胛下肌、冈上肌、外旋肌、肩锁关节、肩峰下囊、肩峰下间隙、喙肩韧带和后隐窝。完整的肩部超声检查中，前六项被视为必需项目。记录执行医生的专业。比较不同医生进行的完整检查数量与不完整检查数量。
我们分析了324例检查（212名女性，112名男性；平均年龄 = 47 ± 12岁）。报告频率最高的项目是冈上肌腱（83%），报告频率最低的是后隐窝（3%）。最常出现的图像是肱二头肌长头（77%），最不常出现的是喙肩韧带（3%）。每次检查的图像中位数为6（第25 - 75百分位数，范围4 - 9）。无法识别的图像平均数量为3（2 - 4）。269例患者（83%）的检查由放射科医生进行。完整检查率为47%。不同专业医生进行的完整检查数量与不完整检查数量无显著差异（P = 0.228）。
在意大利的一些地区，完整的肩部超声检查在临床实践中所占比例不到50%。标准化的扫描方案和结构化报告可能有助于提高这一比例，并改善进行这些检查的提供者之间的一致性。
