Liang Ying, Wang Lu, Amoresa Manuel Escobar, Jiang Zirui, Yu Bo, Li Jiami, Lu Man
Department of Ultrasound Medical Center, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, China.
Department of Radiodiagnosis (IDI), Vall d'Hebron Hospital, Barcelona, Spain.
Sci Rep. 2025 Feb 3;15(1):4098. doi: 10.1038/s41598-024-76441-7.
To investigate the feasibility of robot-assisted teleultrasound diagnosis for radioactive patients compared with conventional ultrasound diagnosis. In this prospective study (ChineseClinicalTrials.gov identifier, ChiCTR2200057253), 32 radioactive patients were examined by conventional ultrasound and MGIUS-R3 robot-assisted ultrasound from March 2022 to June 2022. After two scans, patients completed a satisfaction survey, including comfort score, fear score, tension score and pain score. The durations of both scans were recorded, and sonographers wore lead apron to prevent the radiation during the conventional examination. Subsequently, the ultrasonic images saved by sonographers were diagnosed and scored. Finally, we evaluated the feasibility of the robot-assisted teleultrasound diagnosis system regarding patients' satisfaction, examination duration, image quality and diagnostic consistency via χ test, Kappa consistency test and Wilcoxon signed-rank test. Among 32 patients (mean age, 54.9 ± 9.8 [SD]; 16 women), 29 had consistent diagnoses and 3 had inconsistent diagnoses between two scans, but the diagnostic consistency was good (Kappa = 0.818, P < 0.001). In addition, there was no statistical difference between two scans with regard to image quality score (29.28 ± 0.47vs29.31 ± 0.44, P = 0.97), comfort score (10vs10, P > 0.99), tension score (0vs0, P > 0.99) and fear score (0.09vs0, P = 0.32). Although 7 patients felt slightly painful during teleultrasound scan, the pain intensity was acceptable (0.31vs0, P = 0.02). The mean duration of teleultrasound examinations was 11.1 min (6-24 min), which was longer than 5.9 min (2-17 min) of conventional examinations (P < 0.001). Comparing robot-assisted teleultrasound and conventional ultrasound, there was no evidence of differences regarding patients' satisfaction and image quality, and the diagnostic consistency was remarkable.
研究机器人辅助远程超声诊断放射性患者相对于传统超声诊断的可行性。在这项前瞻性研究（中国临床试验注册中心标识符，ChiCTR2200057253）中，2022年3月至2022年6月期间，对32例放射性患者进行了传统超声检查和MGIUS - R3机器人辅助超声检查。两次扫描后，患者完成了满意度调查，包括舒适度评分、恐惧评分、紧张度评分和疼痛评分。记录两次扫描的时长，在传统检查过程中超声检查人员穿着铅围裙以防止辐射。随后，对超声检查人员保存的超声图像进行诊断和评分。最后，我们通过χ检验、Kappa一致性检验和Wilcoxon符号秩检验，从患者满意度、检查时长、图像质量和诊断一致性方面评估机器人辅助远程超声诊断系统的可行性。32例患者（平均年龄54.9±9.8[标准差]；16名女性）中，两次扫描间29例诊断一致，3例诊断不一致，但诊断一致性良好（Kappa = 0.818，P < 0.001）。此外，两次扫描在图像质量评分（29.28±0.47对29.31±0.44，P = 0.97）、舒适度评分（10对10，P > 0.99）、紧张度评分（0对0，P > 0.99）和恐惧评分（0.09对0，P = 0.32）方面无统计学差异。尽管7例患者在远程超声扫描时有轻微疼痛，但疼痛强度可接受（0.31对0，P = 0.02）。远程超声检查的平均时长为11.1分钟（6 - 24分钟），长于传统检查的5.9分钟（2 - 17分钟）（P < 0.001）。比较机器人辅助远程超声和传统超声，在患者满意度和图像质量方面没有差异的证据，且诊断一致性显著。
