Romero Javier M, Brink James A, Jeggari Sai Dhanush Reddy, Ling Lauren A, Pierce Theodore T, Samir Anthony E
Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02115.
Center for Ultrasound Research and Translation, Massachusetts General Hospital, Boston, Mass.
Radiology. 2025 Aug;316(2):e241553. doi: 10.1148/radiol.241553.
Point-of-care US (POCUS), also known as , or , is a rapidly evolving, dynamic imaging tool that aids in rapid diagnoses and informed bedside decision-making. POCUS devices are portable, affordable, and considered easy to use for nonradiologists. POCUS has several advantages over diagnostic US, including improved accessibility, real-time assessment, and provision of immediate results. This makes POCUS useful to guide bedside procedures, such as vascular access for central and peripheral line placement. However, advancing POCUS across a broad health care network requires collaboration among the POCUS stakeholders and clinical departments within the existing multidisciplinary ecosystem. This collaboration should support nonradiology colleagues to ensure quality patient care and streamlined operations while ensuring POCUS imaging availability for comparison. Creating a comprehensive POCUS program in a large hospital setting requires policies and guidelines like those of other clinical imaging programs. Leadership, training programs, credentialing bodies, documentation, proper image storage, and quality assurance are essential for any clinical imaging program, including POCUS. This review article presents a framework aimed to standardize POCUS practice across a health care system, thereby enhancing both diagnostic accuracy and patient outcomes.
床旁超声(POCUS),也被称为即时超声或现场超声,是一种快速发展的动态成像工具,有助于快速诊断和在床边做出明智的决策。POCUS设备便于携带、价格实惠,且非放射科医生也认为易于使用。与诊断性超声相比,POCUS具有多个优势,包括更高的可及性、实时评估以及能提供即时结果。这使得POCUS在指导床边操作(如中心静脉和外周静脉置管的血管通路建立)方面很有用。然而,要在广泛的医疗保健网络中推广POCUS,需要POCUS利益相关者与现有多学科生态系统中的临床科室之间开展合作。这种合作应支持非放射科同事,以确保优质的患者护理和高效的操作流程,同时确保有POCUS成像用于对比。在大型医院环境中创建一个全面的POCUS项目需要制定与其他临床成像项目类似的政策和指南。对于任何临床成像项目(包括POCUS)而言,领导能力、培训项目、认证机构、文档记录、恰当的图像存储以及质量保证都是必不可少的。这篇综述文章提出了一个旨在使整个医疗保健系统的POCUS实践标准化的框架,从而提高诊断准确性和改善患者治疗效果。