Comparison of telerobotic and conventional ultrasonography in children: a crossover bicentric pilot study.

Autor:	Delestrain C; Pediatric Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France.; Reference Centre for Rare Lung Diseases (RESPIRARE®), CRCM, Créteil, France.; University Paris Est Créteil, INSERM, IMRB, Créteil, France.; FHU SENEC, Créteil, France., Jung C; University Paris Est Créteil, INSERM, IMRB, Créteil, France.; Clinical Research Center, Centre Hospitalier Intercommunal de Créteil, Créteil, France., Malterre A; Pediatric Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France., Jourdain C; Radiology Department, Centre Hospitalier Intercommunal de Villeneuve Saint Georges, Villeneuve Saint Georges, France., Vastel-Amzallag C; Pediatric Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France., Shum M; Pediatric Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France.; Reference Centre for Rare Lung Diseases (RESPIRARE®), CRCM, Créteil, France.; University Paris Est Créteil, INSERM, IMRB, Créteil, France.; FHU SENEC, Créteil, France., Cuccioli F; Radiology Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France., Parisot P; Pediatric Cardiology Unit, AP-HP, Hôpital Armand-Trousseau, Sorbonne Université, Paris, France., Tahri N; Radiology Department, Centre Hospitalier Intercommunal de Villeneuve Saint Georges, Villeneuve Saint Georges, France., Mabille M; Radiology Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France., Georget E; Pediatric Department, Centre Hospitalier Intercommunal de Villeneuve Saint Georges, Villeneuve Saint Georges, France., Madhi F; Pediatric Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France.; Reference Centre for Rare Lung Diseases (RESPIRARE®), CRCM, Créteil, France., Epaud R; Pediatric Department, Centre Hospitalier Intercommunal de Créteil, Créteil, France.; Reference Centre for Rare Lung Diseases (RESPIRARE®), CRCM, Créteil, France.; University Paris Est Créteil, INSERM, IMRB, Créteil, France.; FHU SENEC, Créteil, France.
Jazyk:	angličtina
Zdroj:	Translational pediatrics [Transl Pediatr] 2023 May 30; Vol. 12 (5), pp. 816-826. Date of Electronic Publication: 2023 Apr 24.
DOI:	10.21037/tp-22-569
Abstrakt:	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. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://tp.amegroups.com/article/view/10.21037/tp-22-569/coif). The authors have no conflicts of interest to declare. (2023 Translational Pediatrics. All rights reserved.)
Databáze:	MEDLINE
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