Abstract
Purpose
Time savings and clinical accuracy of a new miniature ultrasound device was investigated utilizing comparison with conventional high-end ultrasound instruments. Our objective was to determine appropriate usage and limitations of this diagnostic tool in internal medicine.
Methods
We investigated 28 patients from the internal-medicine department. Patients were examined with the Acuson P10 portable device and a Sonoline Antares instrument in a cross-over design. All investigations were carried out at the bedside; the results were entered on a standardized report form. The time for the ultrasound examination (transfer time, setting up and disassembly, switching on and off, and complete investigation time) was recorded separately.
Results
Mean time for overall examination per patient with the portable ultrasound device was shorter (25.0 ± 4.5 min) than with the high-end machine (29.4 ± 4.4 min; p < 0.001). When measuring the size of liver, spleen, and kidneys, the values obtained differed significantly between portable device and the high-end instrument. In our study, we identified 113 pathological ultrasound findings with the high-end ultrasound machine, while 82 pathological findings (73%) were concordantly detected with the portable ultrasound device. The main diagnostic strengths of the portable device were in the detection of ascites (sensitivity 80%), diagnosis of fatty liver, and identification of severe parenchymal liver damage.
Conclusions
The clinical utility of portable ultrasound machines is limited. There will be clinical roles for distinct clinical questions such as detection of ascites or pleural effusion when used by experienced examiners. However, sensitivity in detecting multiple pathologies is not comparable to high-end ultrasound machines.
Similar content being viewed by others
References
Fischer T, Filimonow S, Petersein J, et al. (2002) Ultrasound at the bedside: does a portable ultrasound device save time? Ultraschall Med 23(5):311–314
Vourvouri EC, Poldermans D, Schinkel AFL, et al. (2001) Abdominal aortic aneurysm screening using a hand-held ultrasound device. “A pilot study”. Eur J Vasc Endovasc Surg 22(4):352–354
Ryan SM, Smith E, Sidhu PS (2002) Comparison of the SonoSite and Acuson 128/XP10 ultrasound machines in the ‘bed-side’ assessment of the post liver transplant patient. Eur J Ultrasound 15(1–2):37–43
Oschatz E, Prosch H, Schober E, Mostbeck G (2004) Evaluation of a portable ultrasound device immediately after spiral computed tomography. Ultraschall Med 25(6):433–437
Seitz K, Vasilakis D, Ziegler M (2003) Efficiency of a portable B-scan ultrasound device in comparison to a high-end machine in abdominal ultrasound. Results of a pilot study. Ultraschall Med 24(2):96–100
Ziegler CM, Seitz K, Leicht-Biener U, Mauch M (2004) Detection of therapeutically relevant diagnoses made by sonography of the upper abdomen: portable versus high-end sonographic units—a prospective study. Ultraschall Med 25(6):428–432
Pieckenpack A, Klebl F, Dorenbeck U, et al. (2002) Evaluation of a new, portable ultrasound system in routine clinical use. Rofo 174(3):349–352
Beaulieu Y (2007) Bedside echocardiography in the assessment of the critically ill. Crit Care Med 35(5 Suppl):S235–S249
Beaulieu Y, Marik PE (2005) Bedside ultrasonography in the ICU: part 2. Chest 128(3):1766–1781
Price DD, Wilson SR, Murphy TG (2000) Trauma ultrasound feasibility during helicopter transport. Air Med J 19(4):144–146
Busch M (2006) Portable ultrasound in pre-hospital emergencies: a feasibility study. Acta Anaesthesiol Scand 50(6):754–758
Lapostolle F, Petrovic T, Lenoir G, et al. (2006) Usefulness of hand-held ultrasound devices in out-of-hospital diagnosis performed by emergency physicians. Am J Emerg Med 24(2):237–242
Judmaier G, Seitz K (2004) How reliable is sonography of the upper abdomen with portable sonographic units? What does the future hold? Ultraschall Med 25(6):408–410
Acknowledgments
The authors thank Dr. Tom Fitzgerald, The Royal Infirmary of Edinburgh, for the critical review and proof-reading of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Stock, K.F., Klein, B., Steubl, D. et al. Comparison of a pocket-size ultrasound device with a premium ultrasound machine: diagnostic value and time required in bedside ultrasound examination. Abdom Imaging 40, 2861–2866 (2015). https://doi.org/10.1007/s00261-015-0406-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-015-0406-z