Department of Ultrasound, the First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Department of Ultrasound, Zhongnan Hospital of Wuhan University, Wuhan, China.
J Ultrasound Med. 2023 Feb;42(3):595-601. doi: 10.1002/jum.16041. Epub 2022 Jun 11.
To investigate the accuracy of ultrasonic diagnosis using the tele-ultrasound robot in Leishen Shan Hospital.
Twenty-two patients with novel coronavirus pneumonia from Leishen Shan Hospital voluntarily participated in this study. Their thyroids, neck vessels, hepatobiliaries and kidneys were scanned by both a tele-ultrasound robot manufactured by Imabot Co., Ltd, Wuhan and conventional method. The ultrasound diagnosis of each patient was compared, and the ultrasound images obtained by the two methods were mixed together and double-blindly diagnosed by an experienced ultrasound radiologist.
There were 44 positive lesions in 110 sites of 22 patients. Of which the two methods, 40 positive lesions were detected by the robotic method with 4 lesions missed (2 small polyps of gallbladder, 1 small hemangioma of liver and 1 small cyst of kidney) and 1 lesion misdiagnosed (normal carotid artery was misdiagnosed as carotid atherosclerotic plaque); 44 positive lesions were detected by conventional method with 1 small cyst of the liver was missed. There was no statistically significant difference in the accuracy rate between the robotic method and the conventional method using the chi-square test of the four-grid data (P>.05).
The application of tele-ultrasound robot meets the standard of patient care during the pandemic. The method is feasible to provide adequate ultrasound information to diagnose common abdominal, vascular, superficial organ pathologies in patients with COVID-19 with acceptable accuracy compared with a conventional ultrasound scan.
研究雷神山医院远程超声机器人的超声诊断准确性。
本研究共纳入 22 例雷神山医院的新型冠状病毒肺炎患者,自愿接受由武汉艾米博科技有限公司生产的远程超声机器人和常规方法进行甲状腺、颈部血管、肝胆和肾脏扫描。对比两种方法的超声诊断,并将两种方法获得的超声图像混合后,由一名经验丰富的超声影像科医生进行双盲诊断。
22 例患者共 110 个部位的 44 个阳性病变。其中,机器人法检出 40 个阳性病变,漏诊 4 个病变(2 个胆囊小息肉、1 个肝小血管瘤、1 个肾小囊肿),误诊 1 个病变(正常颈动脉误诊为颈动脉粥样硬化斑块);常规方法检出 44 个阳性病变,漏诊 1 个肝小囊肿。四格数据的卡方检验结果显示,机器人法和常规法的准确率差异无统计学意义(P>0.05)。
在疫情期间,远程超声机器人的应用符合患者护理标准。与常规超声扫描相比,该方法可提供足够的超声信息,用于诊断 COVID-19 患者常见的腹部、血管、浅表器官病变,具有可接受的准确性。