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Comparison of telerobotic and conventional ultrasonography in children: a crossover bicentric pilot study.
Delestrain, Celine; Jung, Camille; Malterre, Aline; Jourdain, Claire; Vastel-Amzallag, Carine; Shum, Mickael; Cuccioli, Francesco; Parisot, Pauline; Tahri, Nouria; Mabille, Mylene; Georget, Emilie; Madhi, Fouad; Epaud, Ralph.
Affiliation
  • Delestrain C; Pediatric Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
  • Jung C; Reference Centre for Rare Lung Diseases (RESPIRARE®), CRCM, Créteil, France.
  • Malterre A; University Paris Est Créteil, INSERM, IMRB, Créteil, France.
  • Jourdain C; FHU SENEC, Créteil, France.
  • Vastel-Amzallag C; University Paris Est Créteil, INSERM, IMRB, Créteil, France.
  • Shum M; Clinical Research Center, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
  • Cuccioli F; Pediatric Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
  • Parisot P; Radiology Department, Centre Hospitalier Intercommunal de Villeneuve Saint Georges, Villeneuve Saint Georges, France.
  • Tahri N; Pediatric Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
  • Mabille M; Pediatric Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
  • Georget E; Reference Centre for Rare Lung Diseases (RESPIRARE®), CRCM, Créteil, France.
  • Madhi F; University Paris Est Créteil, INSERM, IMRB, Créteil, France.
  • Epaud R; FHU SENEC, Créteil, France.
Transl Pediatr ; 12(5): 816-826, 2023 May 30.
Article in En | MEDLINE | ID: mdl-37305713
Background: The MELODY system allows for performing ultrasonography on a patient remotely and has been proposed to assess disease characteristics in the context of the coronavirus disease 2019 (COVID-19) pandemic. The aim of this interventional crossover study was to address the feasibility of the system in children aged 1 to 10 years old. Methods: Children underwent ultrasonography with a telerobotic ultrasound system followed by a second conventional examination by a different sonographer. Results: In total, 38 children were enrolled, and 76 examinations were performed, with 76 scans analyzed. The mean [standard deviation (SD)] age of participants was 5.7 (2.7) years (range, 1-10 years). We found substantial agreement between telerobotic and conventional ultrasonography [κ=0.74 (95% CI: 0.53-0.94), P<0.005]. The mean (SD) duration was longer for telerobotic than conventional examinations [26.0 (2.5) vs. 13.9 (11.2) min, P<0.0001]. Abdominal organs and abnormalities were similarly visualized on telerobotic and conventional ultrasonography. Cardiac echocardiography provided reliable diagnoses, with non-significantly different measurements with both techniques, although the visualization score was significantly higher with conventional than telerobotic ultrasonography (P<0.05). On lung analysis, both examinations identified consolidations and pleural effusion, whereas visualization and total lung score were similar with the 2 techniques. Overall, 45% of parents reported that their children felt less pressure with the telerobotic system. Conclusions: Telerobotic ultrasonography may be effective, feasible, and well-tolerated in children.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Prognostic_studies Language: En Journal: Transl Pediatr Year: 2023 Document type: Article Affiliation country: Francia Country of publication: China

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Prognostic_studies Language: En Journal: Transl Pediatr Year: 2023 Document type: Article Affiliation country: Francia Country of publication: China