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Increasing utilization of contrast-enhanced ultrasound during abdominal biopsies: impact of an educational training program.
Ho, Lisa M; Ronald, James; Wildman-Tobriner, Benjamin.
Afiliação
  • Ho LM; Department of Radiology, Duke University Medical Center, 2301 Erwin Road, Box 3808, Durham, NC, 27710, USA. lisa.ho@duke.edu.
  • Ronald J; Department of Radiology, Duke University Medical Center, 2301 Erwin Road, Box 3808, Durham, NC, 27710, USA.
  • Wildman-Tobriner B; Department of Radiology, Duke University Medical Center, 2301 Erwin Road, Box 3808, Durham, NC, 27710, USA.
J Ultrasound ; 27(2): 329-334, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38332311
ABSTRACT
RATIONAL AND

OBJECTIVES:

To increase utilization of contrast-enhanced ultrasound (CEUS) during ultrasound-guided targeted liver biopsies. MATERIAL AND

METHODS:

Two educational training interventions performed to increase use of CEUS. First, 14 radiologists (fellowship-trained in Abdominal Imaging) given didactic teaching and case presentations on the use of CEUS. Second, hands-on teaching on how to use CEUS provided to the same group. To determine the efficacy of these two interventions, radiologists completed anonymous surveys to determine the level of understanding and acceptability of using CEUS before and 6 months after CEUS training. In addition, the percentage of CEUS assisted liver biopsies was compared for the 6 months before and 6 months after the training.

RESULTS:

Pre-training survey completed by 11 radiologists and post-training survey completed by 9 radiologists. Before training, 11% survey responders use CEUS routinely, whereas 89% never or rarely used it. After training, 54% of respondents were new users and 100% reported they planned to use CEUS in the future. Unfamiliarity (71%) was the main reason for not using it. After training, 25% reported lack of comfort with using CEUS as the main reason for not using CEUS. During six months before training, CEUS was administered in 6% (10/172) of targeted liver biopsies. Six months after training, CEUS was used nearly twice as often (10%, 16/160, P = 0.09, 1-sided Boschloo test). The number of radiologists using CEUS increased to 57% (8/14) after training compared to 20% (3/14, P = 0.03, 1-sided Boschloo) before training.

CONCLUSION:

Educational training intervention increases use of CEUS during ultrasound-guided targeted liver biopsies.
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Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Meios de Contraste / Fígado Tipo de estudo: Qualitative_research Limite: Humans Idioma: En Revista: J Ultrasound Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Meios de Contraste / Fígado Tipo de estudo: Qualitative_research Limite: Humans Idioma: En Revista: J Ultrasound Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos