Evidence map›Paper›PMID 36088136›Full record

ArticleBritish journal of anaesthesia2023

Evaluation of the impact of assistive artificial intelligence on ultrasound scanning for regional anaesthesia.

James S Bowness, Alan J R Macfarlane, David Burckett-St Laurent, Catherine Harris, Steve Margetts, Megan Morecroft, David Phillips, Tom Rees, Nick Sleep, Asta Vasalauskaite and 3 more

2 registry-linked trialsAbstract read
In one paragraph

Article in British journal of anaesthesia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05156099 completednot on this map

A Pilot Study to Evaluate Anaesthetists' Ultrasound Scanning & Interpretation Performance for Ultrasound-guided Regional Anaesthesia - With & Without the Assistance of an Artificial Intelligence Device ScanNav Anatomy Peripheral Nerve Block

TypeobservationalSponsorIntelligentUltrasound LimitedRan2021 to 2022Enrolled21ConditionsUltrasound Imaging of Anatomical StructuresArmsUltrasound Scanning, Ultrasound Scanning - 2 months later
NCT07385885 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Application of Ultrasound-guided Non-invasive Simulated Puncture Technique in Standardized Residency Training in Anesthesiology

TypeinterventionalSponsorNanjing First Hospital, Nanjing Medical UniversityRan2026 to 2028Enrolled30ConditionsUltrasound, Needle, Residency, AnesthesiologyArmsNon-invasive Simulated Puncture Teaching Group
3 · Its place in the literature

Who cites it

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

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  11. Reshaping Anesthesia with Artificial Intelligence: From Concept to Reality.Anesthesia and critical care (Houston, Tex.) · 2025
    Article
  12. Artificial intelligence in anesthesiology: a bibliometric analysis.Perioperative medicine (London, England) · 2024
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

James S BownessOxford Simulation, Teaching and Research Centre, University of Oxford, Oxford, UK; Department of Anaesthesia, Aneurin Bevan University Health Board, Newport, UK. Electronic address: james.bowness@jesus.ox.ac.uk.
Alan J R MacfarlaneDepartment of Anaesthesia, Glasgow Royal Infirmary, Glasgow, UK; School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK.
David Burckett-St LaurentDepartment of Anaesthesia, Royal Cornwall Hospitals NHS Trust, Truro, UK.
Catherine HarrisDepartment of Anaesthesia, Aneurin Bevan University Health Board, Newport, UK.
Steve MargettsIntelligent Ultrasound, Cardiff, UK.
Megan MorecroftIntelligent Ultrasound, Cardiff, UK.
David PhillipsDepartment of Anaesthesia, Aneurin Bevan University Health Board, Newport, UK.
Tom ReesDepartment of Anaesthesia, Aneurin Bevan University Health Board, Newport, UK.
Nick SleepIntelligent Ultrasound, Cardiff, UK.
Asta VasalauskaiteIntelligent Ultrasound, Cardiff, UK.
Simeon WestDepartment of Anaesthesia, University College London, London, UK.
J Alison NobleInstitute of Biomedical Engineering, University of Oxford, UK.
Helen HighamOxford Simulation, Teaching and Research Centre, University of Oxford, Oxford, UK; Department of Anaesthesia, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUltrasound-guided regional anaesthesia relies on the visualisation of key landmark, target, and safety structures on ultrasound. However, this can be challenging, particularly for inexperienced practitioners. Artificial intelligence (AI) is increasingly being applied to medical image interpretation, including ultrasound. In this exploratory study, we evaluated ultrasound scanning performance by non-experts in ultrasound-guided regional anaesthesia, with and without the use of an assistive AI device.

methodsTwenty-one anaesthetists, all non-experts in ultrasound-guided regional anaesthesia, underwent a standardised teaching session in ultrasound scanning for six peripheral nerve blocks. All then performed a scan for each block; half of the scans were performed with AI assistance and half without. Experts assessed acquisition of the correct block view and correct identification of sono-anatomical structures on each view. Participants reported scan confidence, experts provided a global rating score of scan performance, and scans were timed.

resultsExperts assessed 126 ultrasound scans. Participants acquired the correct block view in 56/62 (90.3%) scans with the device compared with 47/62 (75.1%) without (P=0.031, two data points lost). Correct identification of sono-anatomical structures on the view was 188/212 (88.8%) with the device compared with 161/208 (77.4%) without (P=0.002). There was no significant overall difference in participant confidence, expert global performance score, or scan time.

conclusionsUse of an assistive AI device was associated with improved ultrasound image acquisition and interpretation. Such technology holds potential to augment performance of ultrasound scanning for regional anaesthesia by non-experts, potentially expanding patient access to these techniques. CLINICAL

trial registrationNCT05156099.

Indexed as

Anesthesia, ConductionNerve BlockArtificial IntelligenceHumansUltrasonographyUltrasonography, Interventionalartificial intelligenceperipheral nerve blockregional anaesthesiasono-anatomyultrasonographyultrasound

Identifiers

PMID36088136
PMCPMC9900732

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Registered trials

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.