Intelligent handheld ultrasound improving the ability of non-expert general practitioners in carotid examinations for community populations: a prospective and parallel controlled trial
Purpose The aim of this study was to investigate the feasibility of an intelligent handheld ultrasound (US) device for assisting non-expert general practitioners (GPs) in detecting carotid plaques (CPs) in community populations. Methods This prospective parallel controlled trial recruited 111 consec...
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Korean Society of Ultrasound in Medicine
2025-03-01
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| Series: | Ultrasonography |
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| Online Access: | http://www.e-ultrasonography.org/upload/usg-24172.pdf |
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| author | Pei Sun Hong Han Yi-Kang Sun Xi Wang Xiao-Chuan Liu Bo-Yang Zhou Li-Fan Wang Ya-Qin Zhang Zhi-Gang Pan Bei-Jian Huang Hui-Xiong Xu Chong-Ke Zhao |
| author_facet | Pei Sun Hong Han Yi-Kang Sun Xi Wang Xiao-Chuan Liu Bo-Yang Zhou Li-Fan Wang Ya-Qin Zhang Zhi-Gang Pan Bei-Jian Huang Hui-Xiong Xu Chong-Ke Zhao |
| author_sort | Pei Sun |
| collection | DOAJ |
| description | Purpose The aim of this study was to investigate the feasibility of an intelligent handheld ultrasound (US) device for assisting non-expert general practitioners (GPs) in detecting carotid plaques (CPs) in community populations. Methods This prospective parallel controlled trial recruited 111 consecutive community residents. All of them underwent examinations by non-expert GPs (setting A:without artificial intelligence (AI), setting B: with AI) and specialist doctors (setting C) using handheld devices. The results of setting C with specialist doctors were considered the gold standard. Carotid intima-media thickness (CIMT) and the features of CPs were measured and recorded. The diagnostic performance of GPs in distinguishing CPs was evaluated using a receiver operating characteristic curve. Inter-observer agreement was compared using the intragroup correlation coefficient (ICC). Questionnaires were completed to evaluate clinical benefits. Results Among the 111 community residents, 80, 96, and 112 CPs were detected in settings A, B, and C, respectively. Setting B exhibited better diagnostic performance than setting A for detecting CPs (area under the curve, 0.856 vs. 0.749; P<0.01). Setting B had better consistency with setting C than setting A in CIMT measurement and the assessment of CPs (ICC, 0.731 to 0.923). Moreover, measurements in setting B required less time than the other two settings (44.59 seconds vs. 108.87 seconds vs. 126.13 seconds, both P<0.01). Conclusion Using an intelligent handheld US device, GPs can perform CP screening and achieve a diagnostic capability comparable to that of specialist doctors. |
| format | Article |
| id | doaj-art-d67779044b4842ac87bed9cdaf5ed1bb |
| institution | DOAJ |
| issn | 2288-5943 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Korean Society of Ultrasound in Medicine |
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| series | Ultrasonography |
| spelling | doaj-art-d67779044b4842ac87bed9cdaf5ed1bb2025-08-20T03:03:50ZengKorean Society of Ultrasound in MedicineUltrasonography2288-59432025-03-0144211212310.14366/usg.241721744Intelligent handheld ultrasound improving the ability of non-expert general practitioners in carotid examinations for community populations: a prospective and parallel controlled trialPei Sun0Hong Han1Yi-Kang Sun2Xi Wang3Xiao-Chuan Liu4Bo-Yang Zhou5Li-Fan Wang6Ya-Qin Zhang7Zhi-Gang Pan8Bei-Jian Huang9Hui-Xiong Xu10Chong-Ke Zhao11 Department of Ultrasound, Zhongshan Hospital, Institute of Ultrasound in Medicine and Engineering, Fudan University, Shanghai, China Department of Ultrasound, Zhongshan Hospital, Institute of Ultrasound in Medicine and Engineering, Fudan University, Shanghai, China Department of Ultrasound, Zhongshan Hospital, Institute of Ultrasound in Medicine and Engineering, Fudan University, Shanghai, China Department of Ultrasound, Zhongshan Hospital, Institute of Ultrasound in Medicine and Engineering, Fudan University, Shanghai, China General Medicine Department, Zhongshan Hospital, Fudan University, Shanghai, China Department of Ultrasound, Zhongshan Hospital, Institute of Ultrasound in Medicine and Engineering, Fudan University, Shanghai, China Department of Ultrasound, Zhongshan Hospital, Institute of Ultrasound in Medicine and Engineering, Fudan University, Shanghai, China Department of Ultrasound, Zhongshan Hospital, Institute of Ultrasound in Medicine and Engineering, Fudan University, Shanghai, China General Medicine Department, Zhongshan Hospital, Fudan University, Shanghai, China Department of Ultrasound, Zhongshan Hospital, Institute of Ultrasound in Medicine and Engineering, Fudan University, Shanghai, China Department of Ultrasound, Zhongshan Hospital, Institute of Ultrasound in Medicine and Engineering, Fudan University, Shanghai, China Department of Ultrasound, Zhongshan Hospital, Institute of Ultrasound in Medicine and Engineering, Fudan University, Shanghai, ChinaPurpose The aim of this study was to investigate the feasibility of an intelligent handheld ultrasound (US) device for assisting non-expert general practitioners (GPs) in detecting carotid plaques (CPs) in community populations. Methods This prospective parallel controlled trial recruited 111 consecutive community residents. All of them underwent examinations by non-expert GPs (setting A:without artificial intelligence (AI), setting B: with AI) and specialist doctors (setting C) using handheld devices. The results of setting C with specialist doctors were considered the gold standard. Carotid intima-media thickness (CIMT) and the features of CPs were measured and recorded. The diagnostic performance of GPs in distinguishing CPs was evaluated using a receiver operating characteristic curve. Inter-observer agreement was compared using the intragroup correlation coefficient (ICC). Questionnaires were completed to evaluate clinical benefits. Results Among the 111 community residents, 80, 96, and 112 CPs were detected in settings A, B, and C, respectively. Setting B exhibited better diagnostic performance than setting A for detecting CPs (area under the curve, 0.856 vs. 0.749; P<0.01). Setting B had better consistency with setting C than setting A in CIMT measurement and the assessment of CPs (ICC, 0.731 to 0.923). Moreover, measurements in setting B required less time than the other two settings (44.59 seconds vs. 108.87 seconds vs. 126.13 seconds, both P<0.01). Conclusion Using an intelligent handheld US device, GPs can perform CP screening and achieve a diagnostic capability comparable to that of specialist doctors.http://www.e-ultrasonography.org/upload/usg-24172.pdfintelligent handheld ultrasound devicecommunity residentsnon-expert general practitionercarotid plaqueplaque-reporting and data system |
| spellingShingle | Pei Sun Hong Han Yi-Kang Sun Xi Wang Xiao-Chuan Liu Bo-Yang Zhou Li-Fan Wang Ya-Qin Zhang Zhi-Gang Pan Bei-Jian Huang Hui-Xiong Xu Chong-Ke Zhao Intelligent handheld ultrasound improving the ability of non-expert general practitioners in carotid examinations for community populations: a prospective and parallel controlled trial Ultrasonography intelligent handheld ultrasound device community residents non-expert general practitioner carotid plaque plaque-reporting and data system |
| title | Intelligent handheld ultrasound improving the ability of non-expert general practitioners in carotid examinations for community populations: a prospective and parallel controlled trial |
| title_full | Intelligent handheld ultrasound improving the ability of non-expert general practitioners in carotid examinations for community populations: a prospective and parallel controlled trial |
| title_fullStr | Intelligent handheld ultrasound improving the ability of non-expert general practitioners in carotid examinations for community populations: a prospective and parallel controlled trial |
| title_full_unstemmed | Intelligent handheld ultrasound improving the ability of non-expert general practitioners in carotid examinations for community populations: a prospective and parallel controlled trial |
| title_short | Intelligent handheld ultrasound improving the ability of non-expert general practitioners in carotid examinations for community populations: a prospective and parallel controlled trial |
| title_sort | intelligent handheld ultrasound improving the ability of non expert general practitioners in carotid examinations for community populations a prospective and parallel controlled trial |
| topic | intelligent handheld ultrasound device community residents non-expert general practitioner carotid plaque plaque-reporting and data system |
| url | http://www.e-ultrasonography.org/upload/usg-24172.pdf |
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