Abdominal aorta measurements by a handheld ultrasound device compared with a conventional cart-based ultrasound machine.
Ann Saudi Med
; 41(6): 376-382, 2021.
Article
em En
| MEDLINE
| ID: mdl-34878929
ABSTRACT
BACKGROUND:
Ultraportable or pocket handheld ultrasound devices (HUD) may be useful for large-scale abdominal aortic aneurysm screening. However, the reproducibility of measurements has not been compared with conventional cart-based ultrasound machines.OBJECTIVES:
Investigate the intra- and inter-operator reproducibility of a HUD compared with a conventional ultrasound machine for aortic screening.DESIGN:
Analytical, cross-sectional.SETTING:
Ultrasound department at a large tertiary care hospital in Riyadh. PATIENTS ANDMETHODS:
Eligible male participants aged ≥60 years were invited to participate upon arriving for a non-vascular ultrasound appointment. Three repeated anteroposterior measurements of the transverse aorta were made at the proximal and distal locations for each machine before repeating the measurements on a subset of participants by a second blinded operator. Intraclass correlation coefficients (ICC) and the Bland-Altman method were used to analyze reproducibility. MAIN OUTCOMEMEASURE:
Inter-system and intra- and inter-operator ICCs. SAMPLE SIZE 114 males with repeated measurements by second operator on a subset of 35 participants.RESULTS:
The median age (interquartile range) of participants was 68 years (62-74 years). The intra- and inter-operator ICCs were all >0.800 showing almost perfect agreement except for the inter-operator reproducibility at the proximal location using a conventional machine (ICC= 0.583, P=.007) and the Butterfly device (ICC=0.467, P=.037). The inter-system ICCs (95% CI) were 0.818 (0.736-0.874) and 0.879 (0.799-0.924) at the proximal and distal locations, respectively. The mean difference in aortic measurement between the ultrasound systems was 0.3 mm (1.7%) in the proximal location and 0.6 mm (3.6%) in the distal location. In total, >91% of the difference in measurements between the machines was <3 mm. The mean scanning time was 416 minutes for the conventional system and 353 minutes for the HUD (P=.34).CONCLUSIONS:
Abdominal aortic screening using a HUD was feasible and reliable compared with a conventional ultrasound machine. A pocket HUD should be considered for large-scale screening.LIMITATIONS:
No cases of abdominal aortic aneurysm in the sample and lack of blinding. CONFLICT OF INTEREST None.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Aorta Abdominal
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Ann Saudi Med
Assunto da revista:
MEDICINA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Arábia Saudita