Tele-ultrasound Experimentation: Cooperation Protocol Between Electro-radiology Assistant and Remote Radiologist

Study Overview
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Brief Summary
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This study tries to evaluate the non-inferiority quality and safety of ultrasound examinations realise by electro-radiology assistant with a remote radiologist compared to those realize by electro-radiology assistant with a referent radiologist on site.

Detailed Description
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The number of requests for medical imaging examinations is clearly growing while there is an understaffing among the radiologists. The solution is the amelioration of information transmission technologies, for organize a territorial teleradiology in order to care duty. Currently, in the ultrasound field, the investigators can't realize image transfer because analyse and expertise are made during examination and only reading of fixed images can't be enough for the examination interpretation. The most part of other developed countries recognize a paramedical job devoted to ultrasound. Tele-ultrasound is used in expert resort, for example during high-risk pregnancy. A French society commercializes tele-ultrasound robots, arranged by a caregiver beside sick person and a tele-radiologist realize acquisition of information and images with remote commands from robot. The CHR Metz-Thionville has a cooperation protocol between electro-radiology assistants and radiologists for the ultrasound practical, endorsed by Lorraine ARS and HAS (French health organizations) since 2012, and currently national impact. This study purpose to evaluation the non-inferiority of agreement between two interpretations of the same ultrasound realize by an electro-radiology assistant on the one hand by two radiologists present in the radiology service and on the other hand, one radiologist in by the radiology service and one remote radiologist.

Official Title
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Tele-ultrasound Experimentation: Cooperation Protocol Between Electro-radiology Assistant and Remote Radiologist for the Realization of Some Exploration Indications by Ultrasound

Conditions
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Tele-ultrasound

Intervention / Treatment
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* Other: Dual ultrasound reading local vs remote
* Other: Dual ultrasound reading local vs local


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Major patient Who needs abdomino-pelvic ultrasound, except emergency cases With no substitutable examination Exclusion Criteria: Pregnant and nursing women Patient in the incapacity to express his consent Unavailability of a remote radiologist or a second local radiologist during the examination realization Patient opposed to use data

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Local vs remote group<br>The examination will be interpreted by a department's radiologist and by a remote radiologist in blind of the first interpretation | Other: Dual ultrasound reading local vs remote<br>* The examination will be interpreted by a department's radiologist and by a remote radiologist in blind of the first interpretation and a posteriori by a third radiologist.<br>|
| Other: Local vs local group<br>The examination will be interpreted by two department's radiologists | Other: Dual ultrasound reading local vs local<br>* The examination will be interpreted by two department's radiologists and a posteriori by a third radiologist.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of consistency between the reports | It will be evaluated in blind by a third radiologist with the RADPEER scoring. | Day 1 |