Evidence map›Paper›PMID 30478478›Full record

ArticleJournal of digital imaging2019

Remote Real-Time Ultrasound Supervision via Commercially Available and Low-Cost Tele-Ultrasound: a Mixed Methods Study of the Practical Feasibility and Users' Acceptability in an Emergency Department.

Stig Holm Jensen, Iben Duvald, Rasmus Aagaard, Stine Catharina Primdahl, Poul Petersen, Hans Kirkegaard, Jesper Weile

Open access · bronzeAbstract read
In one paragraph

Article in Journal of digital imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Live teleultrasound for evaluation of the chest: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Article
  7. Echoes of precision: feedback, governance and ultrasound in prehospital care.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Remote real-time supervision of prehospital point-of-care ultrasound: a feasibility study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022
    Observational
  12. Article
  13. Telementored ultrasonography: a narrative review.Sao Paulo medical journal = Revista paulista de medicina
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Stig Holm JensenEmergency Department, Regional Hospital West Jutland, Herning, Denmark. stig.holm.jensen@post.au.dk.ORCID 0000-0003-3815-2141
Iben DuvaldInterdisciplinary Centre for Organizational Architecture (ICOA), Business and Social Sciences, Aarhus University, Aarhus, Denmark.
Rasmus AagaardResearch Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 99, Building J, Level 1 (J103), 8200, Aarhus N, Denmark.
Stine Catharina PrimdahlEmergency Department, Regional Hospital West Jutland, Herning, Denmark.
Poul PetersenEmergency Department, Regional Hospital West Jutland, Herning, Denmark.
Hans KirkegaardResearch Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 99, Building J, Level 1 (J103), 8200, Aarhus N, Denmark.
Jesper WeileEmergency Department, Regional Hospital West Jutland, Herning, Denmark.
Aarhus University · DKRegional Hospital West Jutland · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minor emergency departments (ED) struggle to access sufficient expertise to supervise learners of lung and cardiac point-of-care ultrasound (POCUS). Using tele-ultrasound (tele-US) for remote supervision may remedy this situation. We aimed to evaluate the feasibility of real-time supervision via tele-US when applied to an everyday ED clinic. We conducted a mixed methods study that assessed practical feasibility, determined performance, and explored users' acceptability of supervision via tele-US. Technical performance was assessed quantitatively by the ratio in mean gray value between images on site and as received by the supervisor, and by after-compression frame rate. Qualitatively, 12 exploratory semi-structured interviews were conducted with exposed junior doctors and supervisors. Remote supervision via tele-US was performed with 10 junior doctors scanning 45 included patients. During performance assessment, neither alternating internet connection nor software significantly changed the mean gray value ratio. The lowest median frame rate of 4.6 (interquartile range [IQR]: 3.1-5.0) was found by using a 4G internet connection; the highest of 28.5 (IQR: 28.5-29.0) was found with alternative computer and local area network internet connection. In interviews, supervisors stressed the importance of preserving frame rate, and junior doctors emphasized a need for shared ultrasound terminology. In the qualitative analysis, setup mobility, accessibility, and time consumption were emphasized as being of key importance for future clinical implementations. Remote supervision via a commercially available and low-cost tele-US setup is operational for both junior doctors and supervisors when applied to lung and cardiac POCUS scans of hospitalized patients.

Indexed as

Emergency Service, HospitalPoint-of-Care SystemsFeasibility StudiesFemaleHeart DiseasesHumansLung DiseasesMaleTelemedicineUltrasonographyPoint-of-care ultrasoundTele-ultrasound

Identifiers

PMID30478478
PMCPMC6737136
OpenAlexW2902005143

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.