Evidence map›Paper›PMID 32653568›Full record

ArticleChest2021

Feasibility of a 5G-Based Robot-Assisted Remote Ultrasound System for Cardiopulmonary Assessment of Patients With Coronavirus Disease 2019.

Ruizhong Ye, Xianlong Zhou, Fei Shao, Linfei Xiong, Jun Hong, Haijun Huang, Weiwei Tong, Jing Wang, Shuangxi Chen, Ailin Cui and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Chest, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 4 pooled it
8.8field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 4 syntheses or guidelines pooled it, 108 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. Use of Robots in Critical Care: Systematic Review.Journal of medical Internet research · 2022
    Pooled it
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  4. Association of Lung Ultrasound Score with Mortality and Severity of COVID-19: A Meta-Analysis and Trial Sequential Analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
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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

13 authors at 5 institutions in 1 country.

Ruizhong YeDepartment of Ultrasound Medicine, Zhejiang Provincial People's Hospital & People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China.
Xianlong ZhouEmergency Center, Hubei Clinical Research Center for Emergency and Resuscitation, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Fei ShaoMedical aiding team for COVID-19 in Hubei, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China.
Linfei XiongMGI Tech Co., Ltd., Shenzhen, Guangdong, China.
Jun HongMedical aiding team for COVID-19 in Hubei, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China.
Haijun HuangMedical aiding team for COVID-19 in Hubei, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China.
Weiwei TongGennlife (Beijing) Biotechnology Co. Ltd., Haidian, Beijing, China.
Jing WangDepartment of Ultrasound Medicine, Zhejiang Provincial People's Hospital & People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China.
Shuangxi ChenDepartment of Ultrasound Medicine, Zhejiang Provincial People's Hospital & People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China.
Ailin CuiDepartment of Ultrasound Medicine, Zhejiang Provincial People's Hospital & People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China.
Chengzhong PengDepartment of Ultrasound Medicine, Zhejiang Provincial People's Hospital & People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China.
Yan ZhaoEmergency Center, Hubei Clinical Research Center for Emergency and Resuscitation, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Legao ChenMedical aiding team for COVID-19 in Hubei, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China. Electronic address: chenlegao@126.com.
Zhejiang Provincial People's Hospital · CNHangzhou Medical College · CNMGIWuhan University · CNZhongnan Hospital of Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraditional methods for cardiopulmonary assessment of patients with coronavirus disease 2019 (COVID-19) pose risks to both patients and examiners. This necessitates a remote examination of such patients without sacrificing information quality. RESEARCH QUESTION: The goal of this study was to assess the feasibility of a 5G-based robot-assisted remote ultrasound system in examining patients with COVID-19 and to establish an examination protocol for telerobotic ultrasound scanning. STUDY DESIGN AND

methodsTwenty-three patients with COVID-19 were included and divided into two groups. Twelve were nonsevere cases, and 11 were severe cases. All patients underwent a 5G-based robot-assisted remote ultrasound system examination of the lungs and heart following an established protocol. Distribution characteristics and morphology of the lung and surrounding tissue lesions, left ventricular ejection fraction, ventricular area ratio, pericardial effusion, and examination-related complications were recorded. Bilateral lung lesions were evaluated by using a lung ultrasound score.

resultsThe remote ultrasound system successfully and safely performed cardiopulmonary examinations of all patients. Peripheral lung lesions were clearly evaluated. Severe cases of COVID-19 had significantly more diseased regions (median [interquartile range], 6.0 [2.0-11.0] vs 1.0 [0.0-2.8]) and higher lung ultrasound scores (12.0 [4.0-24.0] vs 2.0 [0.0-4.0]) than nonsevere cases of COVID-19 (both, P < .05). One nonsevere case (8.3%; 95% CI, 1.5-35.4) and three severe cases (27.3%; 95% CI, 9.7-56.6) were complicated by pleural effusions. Four severe cases (36.4%; 95% CI, 15.2-64.6) were complicated by pericardial effusions (vs 0% of nonsevere cases, P < .05). No patients had significant examination-related complications.

interpretationUse of the 5G-based robot-assisted remote ultrasound system is feasible and effectively obtains ultrasound characteristics for cardiopulmonary assessment of patients with COVID-19. By following established protocols and considering medical history, clinical manifestations, and laboratory markers, this system might help to evaluate the severity of COVID-19 remotely.

Indexed as

RoboticsAdultAgedAged, 80 and overCOVID-19Feasibility StudiesFemaleHeart DiseasesHumansLung DiseasesMaleMiddle AgedRetrospective StudiesUltrasonographyCOVID-19lung diseasesroboticstelemedicineultrasound

Identifiers

PMID32653568
PMCPMC7347315
OpenAlexW3108053057

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.