Цель исследования. Выполнить систематический обзор данных о клиническом применении телеультразвуковых исследований (телеУЗИ).
Методы. Источники данных: PubMed (в т.ч. MEDLINE), Embase, Google Scholar, CYBERLENINKA, eLIBRARY. В результате поиска обнаружено 1036 статьи, которые подверглись текстовому анализу с применением Rayyan QCRI. В результате, в обзор включено 74 статьи о клиническом применении телеУЗИ. По этим модальностям суммированы основные положения.
Результаты. История клинического применения телеУЗИ восходит к 80 годам прошлого века. Своеобразным катализатором развития практического применения телеУЗИ явилось появление портативных ультразвуковых сканеров. Увеличение доступности таких сканеров привело к широкому их применению для многих клинических направлений. Возможность дистанционного контроля проведения исследования позволила передать данные УЗ-сканеры в руки не только врачей, но и средних медицинских работников, а также парамедиков. Описаны аспекты как клинического применения, телеУЗИ, так и освоения данной методики.
Выводы. ТелеУЗИ — активно развивающийся метод диагностики, который позволяет повысить доступность скрининговых УЗИ. ТелеУЗИ на текущий момент не могут стать полноценной заменой традиционных УЗИ, напротив, заняв место скрининговых УЗИ, данная методика позволит направлять пациентов на классическую УЗД.
1. Baker JP. The history of sonographers. J. Ultrasound Med. 2005; 24(1): 1–14. doi: 10.7863/ jum.2005.24.1.1.
2. Курыгин А.А., Майстренко Н.А., Семенов В.В. История ультразвуковой диагностики в хирургии (к 50-летию создания отечественной методики) // Вестник хирургии имени И.И. Грекова. — 2015. — Т.174. — №6. С. 100–101. [Kurygin A.A., Majstrenko N.A., Semenov V.V. Istoriya ul’trazvukovoj diagnostiki v hirurgii (k 50-letiyu sozdaniya otechestvennoj metodiki). Vestnik hirurgii imeni I.I. Grekova. 2015; 174(6): 100-101. (In Russ).]
3. Беленков Ю.Н. Эхокардиография. Как все начиналось (к тридцатилетию первого в России эхокардиографического исследования) // АтмосферА. Кардиология. — 2003. — Вып. 3. — С. 2–5. [Belenkov YUN. Ekhokardiografiya. Kak vse nachinalos’ (k tridcatiletiyu pervogo v Rossii ekhokardiograficheskogo issledovaniya). AtmosferA. Kardiologiya. 2003; 3: 2–5. (In Russ).]
4. Liberati A, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009; 339: 2700–2700. doi: 10.1136/bmj.b2700.
5. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst. Rev; 2016. doi: 10.1186/s13643-016-0384-4.
6. Price DD, Wilson SR, Murphy TG, Trauma ultrasound feasibility during helicopter transport. Air Med. J. 2000; 19(4): 144–146. doi: 10.1016/s1067-991x(00)90008-7.
7. Kimura BJ, Fowler SJ, Amundson SA, Nguyen DT, DeMaria AN. Briefly trained physicians can screen for early atherosclerosis at the bedside using hand-carried carotid ultrasonography. J. Am. Coll. Cardiol. 2003; 41(6): 318. doi: 10.1016/s0735-1097(03)82485-3.
8. Vignon P, et al. Hand-held echocardiography with Doppler capability for the assessment of critically-ill patients: is it reliable? Intensive Care Med. 2004; 30(4): 718–723. doi: 10.1007/s00134-003-2128-x.
9. Kimura BJ, Shaw DJ, Agan DL, Amundson SA, Ping AC, DeMaria AN. Value of a cardiovascular limited ultrasound examination using a hand-carried ultrasound device on clinical management in an outpatient medical clinic. Am. J. Cardiol. 2007; 100(2): 321–325. doi: 10.1016/j. amjcard.2007.02.104.
10. Gorcsan J, Pandey P, Sade LE. Influence of hand-carried ultrasound on bedside patient treatment decisions for consultative cardiology. J. Am. Soc. Echocardiogr. 2004; 17(1): 50–55. doi: 10.1016/j. echo.2003.10.005.
11. Schleder S, et al. Diagnostic value of a hand-carried ultrasound device for free intra-abdominal fluid and organ lacerations in major trauma patients. Emerg. Med. J. 2013; 30(3): 20. doi: 10.1136/ emermed-2012-201258.
12. Schleder S, Jung EM, Heiss P, Stroszczynski C, Schreyer AG. Hand-carried and high-end ultrasound systems are equally inferior to abdominal radiography and multidetector computed tomography in the diagnosis of pneumoperitoneum. Rofo. 2014; 186(3): 219–224. doi: 10.1055/s-0033-1356222.
13. Lee M, et al. Estimation of spleen size with hand-carried ultrasound. J. Ultrasound Med. 2014; 33(7): 1225–1230. doi: 10.7863/ultra.33.7.1225.
14. Arishenkoff S,et al. Accuracy of Spleen Measurement by Medical Residents Using Hand-Carried Ultrasound. J. Ultrasound Med. 2015; 34(12): 2203–2207. doi: 10.7863/ultra.15.02022.
15. Nikolić N, Mozetić V, Modrcin B, and Jaksić S. Might telesonography be a new useful diagnostic tool aboard merchant ships? A pilot study. Int. Marit. Health. 2006; 57(1–4): 1–4.
16. Piccoli M,et al. Bedside diagnosis and follow-up of patients with pleural effusion by a hand-carried ultrasound device early after cardiac surgery. Chest. 2005; 128(5): 3413–3420. doi: 10.1378/ chest.128.5.3413.
17. Schleder S, et al. Diagnosis of pericardial effusion with a new generation hand-carried ultrasound device in cardiothoracic intensive care unit patients. Acta Radiol. 2012; 53(10): 1133–1136. doi: 10.1258/ ar.2012.120343.
18. Martin LD, Ziegelstein RC, Howell EE, Martire C, Hellmann DB, Hirsch GA. Hospitalists’ ability to use handcarried ultrasound for central venous pressure estimation after a brief training intervention: a pilot study. J. Hosp. Med. 2013; 8(12): 711–714. doi: 10.1002/jhm.2103.
19. Kobal SL, et al. Comparison of Effectiveness of Hand-Carried Ultrasound to Bedside Cardiovascular Physical Examination. Am. J. Cardiol. 2005;96(7): 1002–1006. doi: 10.1016/j.amjcard.2005.05.060.
20. Decara JM, et al. Use of hand-carried ultrasound devices to augment the accuracy of medical student bedside cardiac diagnoses. J. Am. Soc. Echocardiogr. 2005; 18(3): 257–263. doi: 10.1016/j. echo.2004.11.015.
21. Tsutsui JM, Maciel RR, Costa JM, Andrade JL, Ramires JF, Mathias WJ. Hand-carried ultrasound performed at bedside in cardiology inpatient setting — a comparative study with comprehensive echocardiography. Cardiovasc. Ultrasound. 2004; 2: 24. doi: 10.1186/1476-7120-2-24.
22. Spurney CF, Sable CA, Berger JT, Martin GR. Use of a hand-carried ultrasound device by critical care physicians for the diagnosis of pericardial effusions, decreased cardiac function, and left ventricular enlargement in pediatric patients. J. Am. Soc. Echocardiogr. 2005; 18(4): 313–319. doi: 10.1016/j. echo.2004.10.016.
23. Razi R, Estrada JR, Doll J, Spencer KT. Bedside hand-carried ultrasound by internal medicine residents versus traditional clinical assessment for the identification of systolic dysfunction in patients admitted with decompensated heart failure. J. Am. Soc. Echocardiogr. 2011; 24(12): 1319–1324. doi: 10.1016/j. echo.2011.07.013.
24. Croft LB, Duvall WL, Goldman ME. A pilot study of the clinical impact of hand-carried cardiac ultrasound in the medical clinic. Echocardiography. 2006; 23(6): 439–446. doi: 10.1111/j.1540-8175.2006.00240.x.
25. Egan M, Ionescu A. The pocket echocardiograph: a useful new tool? Eur. J. Echocardiogr. 2008; 9(6): 721–725. doi: 10.1093/ejechocard/jen177.
26. Trambaiolo P, et al. A hand-carried cardiac ultrasound device in the outpatient cardiology clinic reduces the need for standard echocardiography. Heart. 2007; 93(4): 470–475. doi: 10.1136/hrt.2006.094201.
27. Chapman M, Gattas D, Suntharalingam G. Innovations in technology for critical care medicine. Critical care (London, England). 2004; 8(2): 74–76. doi: 10.1186/cc2843.
28. Scholten C, Rosenhek R, Binder T, Zehetgruber M, Maurer G, Baumgartner H. Hand-held miniaturized cardiac ultrasound instruments for rapid and effective bedside diagnosis and patient screening. J. Eval. Clin. Pract. 2005; 11(1): 67–72. doi: 10.1111/j.1365-2753.2004.00506.x.
29. Troyano Luque JM, Ferrer-Roca O, Barco-Marcellan MJ, Sabatel Lopez R, Perez-Medina T, Perez-Lopez FR. Modification of the hand-held Vscan ultrasound and verification of its performance for transvaginal applications. Ultrasonics. 2013; 53(1): 17–22. doi: 10.1016/j.ultras.2012.03.006.
30. Dalla Pozza R, Loeff M, Kozlik-Feldmann R, Netz H. Hand-carried ultrasound devices in pediatric cardiology: clinical experience with three different devices in 110 patients. J. Am. Soc. Echocardiogr. 2010; 23(12): 1231–1237. doi: 10.1016/j.echo.2010.08.028.
31. Ippisch HM, Kimball TR. The impact of evolving hand-carried echocardiographic technology on outpatient physical examination accuracy in pediatric cardiology. Congenit. Heart Dis. 2007; 2(3): 170–178. doi: 10.1111/j.1747-0803.2007.00052.x.
32. Otto C, Shemenski R, Scott JM, Hartshorn J, Bishop S, and Viegas S. Evaluation of Tele-ultrasound as a Tool in Remote Diagnosis and Clinical Management at the Amundsen-Scott South Pole Station and the McMurdo Research Station. Telemed. e-Health. 2013; 19(3): 186–191. doi: 10.1089/tmj.2012.0111.
33. Jones JA, Johnston S, Campbell M, Miles B, Billica R. Endoscopic surgery and telemedicine in microgravity: Developing contingency procedures for exploratory class spaceflight. Urology. 1999; 53(5): 892–897. doi: 10.1016/S0090-4295(99)00024-2.
34. Janssen S, Grobusch MP, Heller T. Remote FASH’ tele-sonography — A novel tool to assist diagnosing HIV-associated extrapulmonary tuberculosis in remote areas. Acta Trop. 2013; 127(1): 53–55. doi: 10.1016/j.actatropica.2013.03.014.
35. Landwehr JBJ, Zador IE, Wolfe HM, Dombrowski MP, Treadwell MC. Telemedicine and fetal ultrasonography: Assessment of technical performance and clinical feasibility. Am. J. Obstet. Gynecol. 1997; 177(4): 846–848. doi: 10.1016/s0002-9378(97)70280-1.
36. Chan FY, et al. Clinical value of real-time tertiary fetal ultrasound consultation by telemedicine: preliminary evaluation. Telemed. J. 2000; 6(2): 237–242. doi: 10.1089/107830200415171.
37. Long MC, Angtuaco T, Lowery C. Ultrasound in telemedicine: its impact in high-risk obstetric health care delivery. Ultrasound Q. 2014; 30(3): 167–172. doi: 10.1097/RUQ.0000000000000073.
38. Grant B, et al. Remote diagnosis of congenital heart disease: the impact of telemedicine. Arch. Dis. Child. 2010; 95(4): 276–280. doi: 10.1136/adc.2008.146456.
39. Dowie R, Mistry H, Young TA, Franklin RCG, Gardiner HM. Cost implications of introducing a telecardiology service to support fetal ultrasound screening. J. Telemed. Telecare. 2008; 14(8): 421–426. doi: 10.1258/ jtt.2008.080401.
40. McCrossan BA, Sands AJ, Kileen T, Cardwell CR, Casey FA. Fetal diagnosis of congenital heart disease by telemedicine. Arch. Dis. Child. Fetal Neonatal Ed. 2011; 96(6): 394–7. doi: 10.1136/adc.2010.197202.
41. Adriaanse B, et al. Interobserver agreement in detailed prenatal diagnosis of congenital heart disease by telemedicine using four-dimensional ultrasound with spatiotemporal image correlation. Ultrasound Obstet. Gynecol. 2012; 39(2): 203–209. doi: 10.1002/uog.9059.
42. Brown J, Holland B. Successful Fetal Tele-Echo at a Small Regional Hospital. Telemed. e-Health. 2017; 23(6): 485–492. doi: 10.1089/tmj.2016.0141.
43. Casey F, Brown D, Craig BG, Rogers J, Mulholland HC. Diagnosis of neonatal congenital heart defects by remote consultation using a low-cost telemedicine link. J. Telemed. Telecare. 1996; 2(3): 165–169. doi: 10.1258/1357633961930004.
44. Randolph GR, et al. Remote telemedical interpretation of neonatal echocardiograms: impact on clinical management in a primary care setting. J. Am. Coll. Cardiol. 1999; 34(1): 241–245. doi: 10.1016/s0735- 1097(99)00182-5.
45. Widmer S, et al. Tele-echocardiography in paediatrics. Eur. J. Pediatr. 2003; 162(4): 271–275. doi: 10.1007/ s00431-003-1170-6.
46. Lewin M, et al. Accuracy of paediatric echocardiographic transmission via telemedicine. J. Telemed. Telecare. 2006; 12(8): 416–421. doi: 10.1258/135763306779378636.
47. Sekar P, Vilvanathan V. Telecardiology: Effective means of delivering cardiac care to rural children. Asian Cardiovasc. Thorac. Ann. 2007; 15(4): 320–323. doi: 10.1177/021849230701500411.
48. Vinayak S, Sande J, Nisenbaum H, Nolsoe CP. Training Midwives to Perform Basic Obstetric Point-of-Care Ultrasound in Rural Areas Using a Tablet Platform and Mobile Phone Transmission Technology-A WFUMB COE Project. Ultrasound Med. Biol. 2017; 43(10): 2125–2132. doi: 10.1016/j.ultrasmedbio.2017.05.024.
49. Haley JE, et al. Remote diagnosis of congenital heart disease in Southern Arizona: Comparison between tele-echocardiography and videotapes. Telemed. e-Health. 2012; 18(10): 736–742. doi: 10.1089/ tmj.2012.0037.
50. Kim C, Kang BS, Choi HJ, Lim TH, Oh J, Chee Y. Clinical application of real-time tele-ultrasonography in diagnosing pediatric acute appendicitis in the ED. Am. J. Emerg. Med. 2015; 33(10): 1354–1359. doi: 10.1016/j.ajem.2015.07.048.
51. Levine AR, McCurdy MT, Zubrow MT, Papali A, Mallemat HA, and Verceles AC. Tele-intensivists can instruct non-physicians to acquire high-quality ultrasound images. J. Crit. Care; 2015. doi: 10.1016/j. jcrc.2015.05.030.
52. Douglas TM, et al. Brief training increases nurses’ comfort using tele-ultrasound: A feasibility study. Intensive Crit. care Nurs. 2019; 51: 45–49. doi: 10.1016/j.iccn.2018.11.004.
53. Becker C, Fusaro M, Patel D, Shalom I, Frishman WH, Scurlock C. The Utility of Teleultrasound to Guide Acute Patient Management. Cardiol. Rev. 2017. 25(3): 97–101. doi: 10.1097/CRD.0000000000000144.
54. Hussain P, Deshpande A, Shridhar P, Saini G, Kay D. The feasibility of telemedicine for the training and supervision of general practitioners performing ultrasound examinations of patients with urinary tract symptoms. J. Telemed. Telecare. 2004; 10(3): 180–182. doi: 10.1258/135763304323070850.
55. Parsai A, Zerizer I, Hohmann J, Bongartz G, Beglinger C, Sperandeo G. Remote sonographic interpretation: comparison of standardized video clips to still images. J. Clin. Ultrasound. 2012; 40(8): 495–501. doi: 10.1002/jcu.21974.
56. Adambounou K, et al. Preliminary experience with tele-sonography and tele-mammography in Togo. Diagn. Interv. Imaging. 2012. 93(7–8): 639–642. doi: 10.1016/j.diii.2012.03.020.
57. Becker TK, Martin-Gill C, Callaway CW, Guyette FX, Schott C. Feasibility of Paramedic Performed Prehospital Lung Ultrasound in Medical Patients with Respiratory Distress. Prehospital Emerg. care Off. J. Natl. Assoc. EMS Physicians Natl. Assoc. State EMS Dir. 2018; 22(2): 175–179. doi: 10.1080/10903127.2017.1358783.
58. Sibert K, et al. The feasibility of using ultrasound and video laryngoscopy in a mobile telemedicine consult. Telemed. J. E. Health. 2008; 14(3): 266–272. doi: 10.1089/tmj.2007.0050.
59. Jensen SH, et al. Remote real-time supervision via tele-ultrasound in focused cardiac ultrasound: A single-blinded cluster randomized controlled trial. Acta Anaesthesiol. Scand. 2019; 63(3): 403–409. doi: 10.1111/aas.13276.
60. Junca-Laplace-Valageas C, Gervaise A, Pernin M, Naulet P, Portron Y, Lapierre-Combes M. Addressing requests for emergency ultrasonographic examinations when implementing teleradiology services. Diagn. Interv. Imaging. 2015; 96(11): 1141–1146. doi: 10.1016/j.diii.2015.01.007.
61. Miyashita T, et al. Realtime ultrasound screening by satellite telecommunication. J. Telemed. Telecare. 2003; 9(1): 60-1. doi: 10.1258/135763303322196376.
62. Boniface KS, Shokoohi H, Smith ER, and Scantlebury K. Tele-ultrasound and paramedics: Real-time remote physician guidance of the Focused Assessment with Sonography for Trauma examination. American Journal of Emergency Medicine; 2011.doi: 10.1016/j.ajem.2009.12.001.
63. Song KJ, et al. Clinical applicability of real-time, prehospital image transmission for FAST (Focused Assessment with Sonography for Trauma). J. Telemed. Telecare. 2013; 19(8): 450–455. doi: 10.1177/1357633X13512068.
64. Sargsyan AE, et al. FAST at MACH 20: clinical ultrasound aboard the International Space Station. J. Trauma.2005; 58(1): 35–39. doi: 10.1097/01.ta.0000145083.47032.78.
65. Hurst VW, et al. Concept of operations evaluation for using remote-guidance ultrasound for exploration spaceflight. Aerosp. Med. Hum. Perform. 2015; 86(12): 1034–1038. doi: 10.3357/AMHP.3244.2015.
66. Kirkpatrick AW, et al. Remote just-in-time telementored trauma ultrasound: a double-factorial randomized controlled trial examining fluid detection and remote knobology control through an ultrasound graphic user interface display. Am. J. Surg. 2016; 211(5): 894–902. doi: 10.1016/j.amjsurg.2016.01.018.
67. Lee Y, Kim C, Choi HJ, Kang B, Oh J, Lim TH. A Feasibility Study of Telementoring for Identifying the Appendix Using Smartphone-Based Telesonography. J. Digit. Imaging. 2017; 30(2): 148–155. doi: 10.1007/s10278-016-9921-x.
68. Olivieri PP, Verceles AC, Hurley JM, Zubrow MT, Jeudy J, McCurdy MT. A Pilot Study of UltrasonographyNaïve Operators’ Ability to Use Tele-Ultrasonography to Assess the Heart and Lung. J. Intensive Care Med. 2020; 35(7): 672–678. doi: 10.1177/0885066618777187.
69. Ramsingh D, et al. Feasibility Evaluation of Commercially Available Video Conferencing Devices to Technically Direct Untrained Nonmedical Personnel to Perform a Rapid Trauma Ultrasound Examination. Diagnostics (Basel, Switzerland). 2019; 9(4). doi: 10.3390/diagnostics9040188.
70. Boniface KS, Shokoohi H, Smith ER, Scantlebury K. Tele-ultrasound and paramedics: Real-time remote physician guidance of the Focused Assessment with Sonography for Trauma examination. Am. J. Emerg. Med. 2011; 29(5): 477–481. doi: 10.1016/j.ajem.2009.12.001.
71. Wong F, Franco Z, Phelan MB, Lam C, David A. Development of a pilot family medicine hand-carried ultrasound course. WMJ. 2013; 112(6): 257–261.
72. Schott CK, et al. Retention of Point-of-care Ultrasound Skills among Practicing Physicians: Findings of the VA National Point-of-care Ultrasound Training Program. Am. J. Med; 2020. doi: 10.1016/j. amjmed.2020.08.008.
73. Hussain P, Melville D, Mannings R, Curry D, Kay D, Ford P. Evaluation of a training and diagnostic ultrasound service for general practitioners using narrowband ISDN. J. Telemed. Telecare. 1999; 5(1): 95–9. doi: 10.1258/1357633991932757.
74. Cone SW, Hummel R, Leon J, Merrell RC. Implementation and evaluation of a low-cost telemedicine station in the remote Ecuadorian rainforest. J. Telemed. Telecare. 2007; 13(1): 31–34. doi: 10.1258/135763307779701220.
75. Sheehan FH, Ricci MA, Murtagh C, Clark H, Bolson EL. Expert visual guidance of ultrasound for telemedicine. J. Telemed. Telecare. 2010; 16(2): 77–82. doi: 10.1258/jtt.2009.090313.
76. Smith A, et al. Remote Mentoring of Point-of-Care Ultrasound Skills to Inexperienced Operators Using Multiple Telemedicine Platforms: Is a Cell Phone Good Enough? J. Ultrasound Med. 2018; 37(11): 2517– 2525. doi: 10.1002/jum.14609.
77. Winn S, et al. Remote, Synchronous, Hands-On Ultrasound Education. Telemed. J. E. Health. 2015; 21(7): 593–597. doi: 10.1089/tmj.2014.0050.
78. Eadie LH, Mort A, Regan L, Macaden AS, Wilson P. Догоспитальные дистанционные ультразвуковые исследования: реальновременная коммуникационная технология для изолированных и сельских населенных пунктов // Журнал телемедицины и электронного здравоохранения. — 2015. — Вып. 1. — С. 54–56. [Eadie LH, Mort A, Regan L, Macaden AS, Wilson P. Dogospital’nye distancionnye ul’trazvukovye issledovaniya: real’novremennaya kommunikacionnaya tekhnologiya dlya izolirovannyh i sel’skih naselennyh punktov. ZHurnal telemediciny i elektronnogo zdravoohraneniya. 2015; 1: 54–56. (In Russ).]
79. Eadie L, Mort A, Regan L, MacAden AS, Wilson P. Remotely supported prehospital ultrasound: Real-time communication for diagnosis in remote and rural communities. CEUR Workshop Proceedings. 2016; 1574:53–60.
80. Трофимова Н. Региональные аспекты программы санитарной авиации // Вертолётная индустрия. — 2019. — Ноябрь. — С. 14–17. [Trofimova N. Regional’nye aspekty programmy sanitarnoj aviacii. Vertolyotnaya industriya. 2019. Now: 14–17. (In Russ).]