Journal of hospital medicine · 2025
Defining minimum image quality criteria for common diagnostic point-of-care ultrasound images: A position statement of the Society of Hospital Medicine.
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Anstey James, Bhasin Ajay, Franco-Sadud Ricardo, Maw Anna, Mathews Benji K, Dancel Ria, Tierney David M, Haro Elizabeth K, Cho Joel, Schott Christopher, Boesch Brandon, Liu Gigi Y, Reierson Kreegan, Jensen Trevor P, Nathanson Robert, Candotti Carolina, Johnson Gordon, Wong Tanping, Salame Gerard, Galen Benjamin, Mints Gregory, Dversdal Renee, Williams Jason, Kurian Linda, LoPresti Charles M, Boyd Jeremy S, Fischer Ernest, Kaplan Summer L, Johri Amer M, Shen Luyao, Arntfield Rob, Narasimhan Mangala, Mayo Paul, Soni Nilam J
Аннотация
BACKGROUND: Point-of-care ultrasound (POCUS) use continues to expand across multiple clinical subspecialties, and the need for standardization of training and quality assurance has become increasingly important. Despite the need for training, there are currently no widely accepted multispecialty criteria to define an acceptable quality POCUS image for common POCUS applications used by clinicians. Without such criteria, discrepancies in rating POCUS image quality occur, leading to inconsistencies in training and quality assurance, which can ultimately compromise patient care and safety.
METHODS: To address this gap, the Society of Hospital Medicine (SHM) Point-of-care Ultrasound Task Force convened an expert panel of 32 national POCUS experts trained in hospital medicine (n = 24), critical care (n = 4), emergency medicine (n = 3), radiology (n = 2), and cardiology (n = 1) and employed a modified-Delphi approach to develop minimum image quality criteria for five common POCUS applications: heart, lungs, abdomen, lower extremity veins, and skin/soft tissues.
RESULTS: After three rounds of voting and group discussion, the panel achieved consensus on a comprehensive list of 215 items to define standard image quality criteria in five different body systems.
CONCLUSIONS: These POCUS image quality criteria offer a structured, consensus-based framework for evaluating POCUS images and establish a minimum standard for defining an acceptable quality image. Use of these criteria can improve inter-rater reliability and advance standardization of POCUS imaging, which affects training, quality assurance, and credentialing/privileging practices.
METHODS: To address this gap, the Society of Hospital Medicine (SHM) Point-of-care Ultrasound Task Force convened an expert panel of 32 national POCUS experts trained in hospital medicine (n = 24), critical care (n = 4), emergency medicine (n = 3), radiology (n = 2), and cardiology (n = 1) and employed a modified-Delphi approach to develop minimum image quality criteria for five common POCUS applications: heart, lungs, abdomen, lower extremity veins, and skin/soft tissues.
RESULTS: After three rounds of voting and group discussion, the panel achieved consensus on a comprehensive list of 215 items to define standard image quality criteria in five different body systems.
CONCLUSIONS: These POCUS image quality criteria offer a structured, consensus-based framework for evaluating POCUS images and establish a minimum standard for defining an acceptable quality image. Use of these criteria can improve inter-rater reliability and advance standardization of POCUS imaging, which affects training, quality assurance, and credentialing/privileging practices.