Institut für Klinische Radiologie, Campus Grosshadern, Klinikum der Universität München Großhadern, München, Germany.
Institut für Röntgendiagnostik, Universitätsklinikum Regensburg, Germany.
Rofo. 2022 Dec;194(12):1322-1332. doi: 10.1055/a-1853-7443. Epub 2022 Jul 18.
Ultrasound (US) is widely used as a fast and cost-efficient first-choice imaging technique without relevant side effects for a variety of diagnostic tasks. Due to technical advances, more complex and sophisticated methods such as color-coded duplex ultrasound, image fusion, contrast-enhanced ultrasound (CEUS), and ultrasound-guided interventions have become increasingly important in diagnostic algorithms.
This study presents an overview of all aspects regarding the establishing of an interdisciplinary US center based on five representative examples in Germany. These aspects include topics of ultrasound education, research, economics, and administration.
The goal of an interdisciplinary US center is to bundle the use of equipment, staff, rooms, and infrastructure resources (optimization of equipment availability and use of new techniques) to expand the range of examinations, to promote resident training, and to boost continuing medical education of residents. This should result in better patient care and has additionally improved patient care while considering the added value for the participating institutions involved. Interdisciplinary US centers allow a reduction of the number of US devices needed in a hospital and more efficient use of available equipment through bedside time optimization by central organization within interdisciplinary management. The focused application of special US techniques such as CEUS or image fusion for complex, difficult interventions as well as the training and education of younger colleagues in using these techniques is centrally organized by experts and can be improved through the multidisciplinary experience available.
Organizational structures, sharing of materials, and standardization of diagnostic reports facilitate and accelerate cooperation with the referring specialty.
· Interdisciplinary US centers foster clinical collaboration, research, and jointly organized, standardized training.. · Economic aspects include optimization of available equipment, use of the latest US techniques, and centralization of organizational structures.. · Common terminology and standardized reporting increase the satisfaction of referring doctors.
· Clevert DA, Jung EM, Weber M et al. Concepts in the Establishment of Interdisciplinary Ultrasound Centers: The Role of Radiology. Fortschr Röntgenstr 2022; 194: 1322 - 1332.
超声（US）作为一种快速且具有成本效益的首选成像技术，广泛应用于各种诊断任务，且无相关副作用。由于技术的进步，彩色双功能超声、图像融合、超声造影（CEUS）和超声引导介入等更复杂和先进的方法在诊断算法中变得越来越重要。
本研究通过德国的五个具有代表性的例子，概述了建立一个跨学科 US 中心的所有方面。这些方面包括超声教育、研究、经济学和管理等方面。
跨学科 US 中心的目标是整合设备、人员、房间和基础设施资源（优化设备的可用性和新技术的使用），以扩大检查范围、促进住院医师培训，并提高住院医师的继续教育水平。这应该会改善患者的护理，同时考虑到参与机构的附加值，还可以改善患者的护理。跨学科 US 中心允许通过床边时间优化（通过跨学科管理进行集中组织）减少医院中所需的 US 设备数量，并更有效地使用现有设备。通过集中组织专家专门应用特殊的 US 技术（如 CEUS 或图像融合）进行复杂、困难的介入，并对年轻同事进行这些技术的培训和教育，可以实现特殊 US 技术的集中应用。这种方式可以得到改善，因为可以获得多学科经验。
组织结构、材料共享和诊断报告的标准化促进并加速了与转诊科室的合作。
·跨学科 US 中心促进临床协作、研究以及联合组织、标准化培训。·经济方面包括优化现有设备的使用、应用最新的 US 技术以及集中组织结构。·共同的术语和标准化报告提高了转诊医生的满意度。
