Common and Uncommon Errors in Emergency Ultrasound

Errors in emergency ultrasound (US) have been representing an increasing problem in recent years thanks to several unique features related to both the inherent characteristics of the discipline and to the latest developments, which every medical operator should be aware of. Because of the subjective...

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Main Authors: Marco Di Serafino, Francesca Iacobellis, Maria Laura Schillirò, Divina D’auria, Francesco Verde, Dario Grimaldi, Giuseppina Dell’Aversano Orabona, Martina Caruso, Vittorio Sabatino, Chiara Rinaldo, Pasquale Guerriero, Vito Cantisani, Gianfranco Vallone, Luigia Romano
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/3/631
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author Marco Di Serafino
Francesca Iacobellis
Maria Laura Schillirò
Divina D’auria
Francesco Verde
Dario Grimaldi
Giuseppina Dell’Aversano Orabona
Martina Caruso
Vittorio Sabatino
Chiara Rinaldo
Pasquale Guerriero
Vito Cantisani
Gianfranco Vallone
Luigia Romano
author_facet Marco Di Serafino
Francesca Iacobellis
Maria Laura Schillirò
Divina D’auria
Francesco Verde
Dario Grimaldi
Giuseppina Dell’Aversano Orabona
Martina Caruso
Vittorio Sabatino
Chiara Rinaldo
Pasquale Guerriero
Vito Cantisani
Gianfranco Vallone
Luigia Romano
author_sort Marco Di Serafino
collection DOAJ
description Errors in emergency ultrasound (US) have been representing an increasing problem in recent years thanks to several unique features related to both the inherent characteristics of the discipline and to the latest developments, which every medical operator should be aware of. Because of the subjective nature of the interpretation of emergency US findings, it is more prone to errors than other diagnostic imaging modalities. The misinterpretation of US images should therefore be considered as a serious risk in diagnosis. The etiology of error is multi-factorial: it depends on environmental factors, patients and the technical skills of the operator; it is influenced by intrinsic US artifacts, poor clinical correlation, US-setting errors and anatomical variants; and it is conditioned by the lack of a methodologically correct clinical approach and excessive diagnostic confidence too. In this review, we evaluate the common and uncommon sources of diagnostic errors in emergency US during clinical practice, showing how to recognize and avoid them.
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spelling doaj.art-448acf3b1c7f43c5a4812761850255aa2023-11-30T20:58:52ZengMDPI AGDiagnostics2075-44182022-03-0112363110.3390/diagnostics12030631Common and Uncommon Errors in Emergency UltrasoundMarco Di Serafino0Francesca Iacobellis1Maria Laura Schillirò2Divina D’auria3Francesco Verde4Dario Grimaldi5Giuseppina Dell’Aversano Orabona6Martina Caruso7Vittorio Sabatino8Chiara Rinaldo9Pasquale Guerriero10Vito Cantisani11Gianfranco Vallone12Luigia Romano13Department of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyDepartment of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyDepartment of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyDepartment of Advanced Biomedical Sciences, University of Naples “Federico II”, 80131 Naples, ItalyDepartment of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyDepartment of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyDepartment of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyDepartment of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyDepartment of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyDepartment of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyDepartment of Life and Health, University of Molise “V. Tiberio”, 86100 Campobasso, ItalyDepartment of Radiology, Sapienza Rome University, Policlinico Umberto I, 00185 Rome, ItalyDepartment of Life and Health, University of Molise “V. Tiberio”, 86100 Campobasso, ItalyDepartment of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyErrors in emergency ultrasound (US) have been representing an increasing problem in recent years thanks to several unique features related to both the inherent characteristics of the discipline and to the latest developments, which every medical operator should be aware of. Because of the subjective nature of the interpretation of emergency US findings, it is more prone to errors than other diagnostic imaging modalities. The misinterpretation of US images should therefore be considered as a serious risk in diagnosis. The etiology of error is multi-factorial: it depends on environmental factors, patients and the technical skills of the operator; it is influenced by intrinsic US artifacts, poor clinical correlation, US-setting errors and anatomical variants; and it is conditioned by the lack of a methodologically correct clinical approach and excessive diagnostic confidence too. In this review, we evaluate the common and uncommon sources of diagnostic errors in emergency US during clinical practice, showing how to recognize and avoid them.https://www.mdpi.com/2075-4418/12/3/631ultrasonographyB-modeartifactsdiagnostic mistakesdiagnostic pitfallsabdominal trauma
spellingShingle Marco Di Serafino
Francesca Iacobellis
Maria Laura Schillirò
Divina D’auria
Francesco Verde
Dario Grimaldi
Giuseppina Dell’Aversano Orabona
Martina Caruso
Vittorio Sabatino
Chiara Rinaldo
Pasquale Guerriero
Vito Cantisani
Gianfranco Vallone
Luigia Romano
Common and Uncommon Errors in Emergency Ultrasound
Diagnostics
ultrasonography
B-mode
artifacts
diagnostic mistakes
diagnostic pitfalls
abdominal trauma
title Common and Uncommon Errors in Emergency Ultrasound
title_full Common and Uncommon Errors in Emergency Ultrasound
title_fullStr Common and Uncommon Errors in Emergency Ultrasound
title_full_unstemmed Common and Uncommon Errors in Emergency Ultrasound
title_short Common and Uncommon Errors in Emergency Ultrasound
title_sort common and uncommon errors in emergency ultrasound
topic ultrasonography
B-mode
artifacts
diagnostic mistakes
diagnostic pitfalls
abdominal trauma
url https://www.mdpi.com/2075-4418/12/3/631
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