Detailed EFSUM recommendations on the scope of ultrasound assessment in patients with portal hypertension considering the diagnostic reference level

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Journal of Ultrasonography

Polish Ultrasound Society (Polskie Towarzystwo Ultrasonograficzne)

Subject: Medicine

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ISSN: 2084-8404
eISSN: 2451-070X

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VOLUME 17 , ISSUE 69 (June 2017) > List of articles

Detailed EFSUM recommendations on the scope of ultrasound assessment in patients with portal hypertension considering the diagnostic reference level

Andrzej Smereczyński * / Katarzyna Kołaczyk

Keywords : portal hypertension, liver, spleen, morphological parameters, hemodynamic parameters

Citation Information : Journal of Ultrasonography. Volume 17, Issue 69, Pages 113-115, DOI: https://doi.org/10.15557/JoU.2017.0016

License : (CC BY 4.0)

Received Date : 09-January-2016 / Accepted: 16-January-2016 / Published Online: 30-June-2017

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ABSTRACT

An important paper describing the Standards of the Polish Ultrasound Society regarding the assessment of portal and hepatic vasculature was published in the Journal of Ultrasonography. Due to the multiplicity of morphological and hemodynamic data required, the time needed to obtain these data and the legal responsibility of doctors for the results, there seems to be a need to determine a clear range of the assessed parameters depending on the reference level of a given healthcare facility. Therefore, the aim of this paper was to transfer the recommendations of the European Federation of Societies for Ultrasound in Medicine and Biology, which determine the range of the evaluated ultrasonographic parameters in portal hypertension depending on the diagnostic reference level, into Polish reality. European healthcare institutions are characterized by a clear three-level reference network. Due to the lack of a similar division in Poland, we propose our own classification of the competence of medical entities. The first reference level: ultrasound assessments in a primary health care setting (performed by GPs, emergency physicians, non-specialist private practice physicians, non-specialist practice physicians); at least one mid-class ultrasound scanner with pulsed and color Doppler options, equipped with convex 3–5 MHz and linear 7–12 MHz transducers should be available at physician’s disposal. The second reference level: ultrasound assessments in the hospital setting and specialist outpatient clinics, performed by specialist private practice physicians, radiologists, gastroenterologists and hepatologists; top class (premium) digital ultrasound scanner should be available at physician’s disposal. Third reference level: ultrasound assessments performed in gastroenterology, hepatology and liver surgery departments as well as their specialist outpatient clinics; physicians should use top class digital ultrasound equipment. At every reference level, physicians performing abdominal ultrasound should have the appropriate certification to perform such an assessment or specialize in gastrointestinal diagnosis.

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REFERENCES

  1. Lechowicz R, Elwertowski M: Standards of the Polish Ultrasound Society. Ultrasound examination of the portal system and hepatic vessels. J Ultrason 2015; 15: 208–226.
    [CROSSREF]
  2. Berzigotti A, Piscaglia F; EFSUMB Education and Professional Standards Committee: Ultrasound in portal hypertension – part 2 – and EFSUMB recommendations for the performance and reporting of ultrasound examinations in portal hypertension. Ultraschall Med 2012; 33: 8–32.
    [CROSSREF]

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