Evidence map›Paper›PMID 31538033›Full record

ArticleJournal of clinical imaging science2019

Lung Ultrasound Volume Sweep Imaging for Pneumonia Detection in Rural Areas: Piloting Training in Rural Peru.

Thomas J Marini, Benjamin Castaneda, Timothy Baran, Timothy P O'Connor, Brian Garra, Lorena Tamayo, Maria Zambrano, Claudia Carlotto, Leslie Trujillo, Katherine A Kaproth-Joslin

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical imaging science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 43 citations in OpenAlex.

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  16. Lung Ultrasound: The Essentials.Radiology. Cardiothoracic imaging · 2021
    Article
  17. Article
  18. Current Ultrasound Technologies and Instrumentation in the Assessment and Monitoring of COVID-19 Positive Patients.IEEE transactions on ultrasonics, ferroelectrics, and frequency control · 2020
    Review
  19. Observational
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

10 authors at 4 institutions in 2 countries.

Thomas J MariniDepartments of Imaging Sciences, University of Rochester, Rochester, New York, United States.
Benjamin CastanedaDepartment of Engineering, Pontifical Catholic University of Peru, Lima, Peru.
Timothy BaranDepartments of Imaging Sciences, University of Rochester, Rochester, New York, United States.
Timothy P O'ConnorDepartments of Emergency Medicine, University of Rochester, Rochester, New York, United States.
Brian GarraMedical Imaging Ministries of the Americas, Clermont, Florida, United States.
Lorena TamayoMedical Innovation and Technology, San Isidrio, Peru.
Maria ZambranoTouro College of Osteopathic Medicine, Middletown, New York, United States.
Claudia CarlottoMedical Innovation and Technology, San Isidrio, Peru.
Leslie TrujilloMedical Innovation and Technology, San Isidrio, Peru.
Katherine A Kaproth-JoslinDepartments of Imaging Sciences, University of Rochester, Rochester, New York, United States.
University of Rochester · USGlobal Ministries · USPontifical Catholic University of Peru · PETouro College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePneumonia is the leading cause of pediatric mortality worldwide among children 0-5 years old. Lung ultrasound can be used to diagnose pneumonia in rural areas as it is a portable and relatively economic imaging modality with ~95% sensitivity and specificity for pneumonia in children. Lack of trained sonographers is the current limiting factor to its deployment in rural areas. In this study, we piloted training of a volume sweep imaging (VSI) ultrasound protocol for pneumonia detection in Peru with rural health workers. VSI may be taught to individuals with limited medical/ultrasound experience as it requires minimal anatomical knowledge and technical skill. In VSI, the target organ is imaged with a series of sweeps and arcs of the ultrasound probe in relation to external body landmarks.

methodsRural health workers in Peru were trained on a VSI ultrasound protocol for pneumonia detection. Subjects were given a brief didactic session followed by hands-on practice with the protocol. Each attempt was timed and mistakes were recorded. Participants performed the protocol until they demonstrated two mistake-free attempts.

resultsIt took participants a median number of three attempts (range 1-6) to perform the VSI protocol correctly. Time to mastery took 51.4 ± 17.7 min. There were no significant differences among doctors, nurses, and technicians in total training time (

conclusionRural health workers learned a VSI protocol for pneumonia detection with relative ease in a short amount of time. Future studies should investigate the clinical efficacy of this VSI protocol for pneumonia detection. KEY MESSAGE: A volume sweep imaging (VSI) protocol for pneumonia detection can be taught with minimal difficulty to rural health workers without prior ultrasound experience. No difference was found in training performance related to education level or age. VSI involves no significant knowledge of anatomy or technical skill.

Indexed as

Global healthLung ultrasoundPediatricsPneumoniaUltrasoundVolume sweep imaging

Identifiers

PMID31538033
PMCPMC6737249
OpenAlexW2963702429

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.