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描绘超声领域以界定床旁超声和诊断超声:超声放射学会和美国放射学会超声委员会的一项提议

Mapping the Ultrasound Landscape to Define Point-of-Care Ultrasound and Diagnostic Ultrasound: A Proposal From the Society of Radiologists in Ultrasound and ACR Commission on Ultrasound.

作者信息

Patel Maitray D, Horrow Mindy M, Kamaya Aya, Frates Mary C, Dahiya Nirvikar, Golding Lauren, Chong Wui K, Gerena Marielia, Ghate Sujata, Glanc Phyllis, Goldbach Alyssa R, Gupta Sonia, Hill Paul A, Johnson Stephen I, Kocher Madison R, Rubin Eric, Sohaey Roya, Waltz Jeffrey T, Wolfman Darcy J, Middleton William D

机构信息

Society of Radiologists in Ultrasound Executive Board, Reston, Virginia; American College of Radiology Commission on Ultrasound, Reston, Virginia; Department of Radiology, Mayo Clinic Arizona, Phoenix, Arizona.

Society of Radiologists in Ultrasound Executive Board, Reston, Virginia; Department of Radiology, Einstein Medical Center, Philadelphia, Pennsylvania.

出版信息

J Am Coll Radiol. 2021 Jan;18(1 Pt A):42-52. doi: 10.1016/j.jacr.2020.09.013. Epub 2020 Sep 30.

Abstract

Current descriptions of ultrasound evaluations, including use of the term "point-of-care ultrasound" (POCUS), are imprecise because they are predicated on distinctions based on the device used to obtain images, the location where the images were obtained, the provider who obtained the images, or the focus of the examination. This is confusing because it does not account for more meaningful distinctions based on the setting, comprehensiveness, and completeness of the evaluation. In this article, the Society of Radiologists in Ultrasound and the members of the American College of Radiology Ultrasound Commission articulate a map of the ultrasound landscape that divides sonographic evaluations into four distinct categories on the basis of setting, comprehensiveness, and completeness. Details of this classification scheme are elaborated, including important clarifications regarding what ensures comprehensiveness and completeness. Practical implications of this framework for future research and reimbursement paradigms are highlighted.

摘要

目前对超声评估的描述,包括使用“床旁超声”(POCUS)这一术语,都不够精确,因为它们基于用于获取图像的设备、获取图像的地点、获取图像的提供者或检查重点来进行区分。这令人困惑,因为它没有考虑基于评估的背景、全面性和完整性等更有意义的区分。在本文中,超声放射学会和美国放射学会超声委员会成员阐述了一幅超声领域地图,该地图根据背景、全面性和完整性将超声评估分为四个不同类别。详细阐述了这种分类方案,包括关于确保全面性和完整性的重要说明。强调了该框架对未来研究和报销模式的实际影响。

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