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超声探头状况的多中心调查。

A multicentre survey of the condition of ultrasound probes.

作者信息

Dudley Nicholas J, Woolley Darren J

机构信息

Radiation Protection & Radiology Physics, United Lincolnshire Hospitals NHS Trust, Lincoln, UK; Multi-Medix, Syston, Leicester, UK.

Multi-Medix, Syston, Leicester, UK.

出版信息

Ultrasound. 2016 Nov;24(4):190-197. doi: 10.1177/1742271X16662301. Epub 2016 Aug 1.

Abstract

BACKGROUND

The implementation of quality assurance for ultrasound scanners in the United Kingdom is patchy, but government appointed bodies require quality assurance and there are regulatory requirements for maintenance and inspection of equipment. Previous studies have shown high fault rates in ultrasound probes; some of these studies used electronic probe testers, but there is good evidence that over 90% of faults may be detected using simple methods. We aimed to conduct a multicentre survey of the condition of probes, using visual inspection and assessing the in-air reverberation.

METHODS

Visitors to the stand run by Multi-Medix Ltd at the BMUS Annual Scientific Meeting in 2014 were invited to participate in the study. One or both of the authors visited participants, performing a visual inspection of probes for evidence of damage or wear and inspecting the in-air reverberation pattern for uniformity. Probes were classified using a risk-based traffic light system: green-no fault found; amber-fault found; further action required but the probe need not be removed from use; red-the probe should be removed from use due to physical or clinical diagnostic risks.

RESULTS

Twelve sites and 219 probes were included in the survey. Sixty-three percent of probes were classified as green; 25% as amber and 13% as red.

CONCLUSION

More than one in three probes were faulty. Simple tests, at minimal cost, have the potential to demonstrate over 90% of probe faults, making it possible for employers to comply with their duties defined by regulations, national standards and professional guidelines.

摘要

背景

在英国,超声扫描仪质量保证的实施情况参差不齐,但政府指定机构要求进行质量保证,且对设备维护和检查有监管要求。先前的研究表明超声探头故障率很高;其中一些研究使用了电子探头测试仪,但有充分证据表明,使用简单方法可检测出超过90%的故障。我们旨在通过目视检查并评估空气中的混响,对探头状况进行多中心调查。

方法

邀请参加2014年BMUS年度科学会议上由Multi-Medix有限公司运营展位的参观者参与研究。一位或两位作者拜访参与者,对探头进行目视检查,查看是否有损坏或磨损迹象,并检查空气中混响模式的均匀性。使用基于风险的交通信号灯系统对探头进行分类:绿色——未发现故障;黄色——发现故障;需要进一步行动,但探头无需停用;红色——由于物理或临床诊断风险,探头应停用。

结果

调查纳入了12个地点的219个探头。63%的探头被分类为绿色;25%为黄色,13%为红色。

结论

超过三分之一的探头存在故障。以最低成本进行的简单测试有可能检测出超过90%的探头故障,使雇主能够履行法规、国家标准和专业指南规定的职责。

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