Abstract
Purpose
The aim of this study was to explore how sonologists utilize cine images in their routine practice.
Methods
A 10-question, multiple choice survey was distributed to members of the Society of Radiologists in Ultrasound. The survey queried respondent’s routine inclusion of cines for ultrasound examinations in normal and abnormal studies in addition to questions related to respondent’s practice type, geographic location, number of radiologists interpreting ultrasound examinations, and ultrasound imaging workflow.
Results
Sixty-five percent of respondents are in academic practice. Geographic location of practice, number of radiologists in the practice who interpret ultrasound, and whether the sonologist was on site where the examinations were performed was variable. Of respondents, 97% of used both static and cine images for abnormal/positive examinations and 82% used both for normal/negative studies.
Conclusion
Nearly all respondents, who are mostly in academic practice, report using both static and cine images for all ultrasound examinations in their practice.
Graphical abstract
Similar content being viewed by others
References
American College of Radiology® Accreditation Support: Examination Requirements: General Ultrasound (Revised 11-09-2022) https://accreditationsupport.acr.org/support/solutions/articles/11000062867-examination-requirements-general-ultrasound-revised-11-9-2022-. Accessed November 16, 2022.
American College of Radiology® Accreditation Support: Examination Requirements: Gynecological Ultrasound (Revised 01-21-2022). https://accreditationsupport.acr.org/support/solutions/articles/11000062866-examination-requirements-gynecological-ultrasound-revised-1-21-2022-. Accessed November 16, 2022.
American Institute for Ultrasound in Medicine® Practice Parameters. https://www.aium.org/resources/guidelines.aspx. Accessed November 16, 2022.
American Institute for Ultrasound in Medicine® Practice Accreditation. https://www.aium.org/accreditation/accreditation.aspx. Accessed November 16, 2022.
Doust BD, Berland LL. Cine display of numerous static ultrasound images: a step toward automation of ultrasound studies. Radiology 1980. 136:1, 227-228.
Bragg, A, Slaughter, A, Angtuaco, T, From Static Images to Cine Clips: Enhancing the Ultrasound Workflow Environment. Radiological Society of North America 2010 Scientific Assembly and Annual Meeting, November 28 - December 3, 2010, Chicago, IL. http://archive.rsna.org/2010/9010810.html . Accessed January 14, 2023.
Poole PS, Chung R, Lacoursiere Y, Palmieri CR, Hull A, Engelkemier D, Rochelle M, Trivedi N, Pretorius DH. Two-dimensional sonographic cine imaging improves confidence in the initial evaluation of the fetal heart. J Ultrasound Med. 2013 Jun;32(6):963-71. doi: https://doi.org/10.7863/ultra.32.6.963. PMID: 23716517.
Scott TE, Jones J, Rosenberg H, Thomson A, Ghandehari H, Rosta N, Jozkow K, Stromer M, Swan H. Increasing the detection rate of congenital heart disease during routine obstetric screening using cine loop sweeps. J Ultrasound Med. 2013 Jun;32(6):973-9. doi: https://doi.org/10.7863/ultra.32.6.973. PMID: 23716518.
Gaarder M, Seierstad T, Søreng R, Drolsum A, Begum K, Dormagen JB. Standardized cine-loop documentation in renal ultrasound facilitates skill-mix between radiographer and radiologist. Acta Radiol. 2015 Mar;56(3):368-73. doi: https://doi.org/10.1177/0284185114527868. Epub 2014 Mar 10. PMID: 24615418.
Dormagen JB, Gaarder M, Drolsum A. Standardized cine-loop documentation in abdominal ultrasound facilitates offline image interpretation. Acta Radiol. 2015 Jan;56(1):3-9. doi: https://doi.org/10.1177/0284185113517228. Epub 2013 Dec 17. PMID: 24345769.
AIUM Practice Parameter for Documentation of an Ultrasound Examination. J Ultrasound Med 2020; 39: E1–E4. Available at https://www.aium.org/resources/guidelines/documentation.pdf Accessed: Jan. 14, 2023.
ACR – SPR –SRU Practice Parameter for the Performing and Interpreting Diagnostic Ultrasound Examination American College of Radiology Revised 2017. https://www.acr.org/-/media/ACR/Files/Practice-Parameters/US-Perf-Interpret.pdf. Accessed December 22, 2022.
ACR–AIUM–SPR–SRU Practice Parameter for the Performance and Interpretation of Diagnostic Ultrasound of the Thyroid and Extracranial Head and Neck. American College of Radiology Revised 2022. https://www.acr.org/-/media/ACR/Files/Practice-Parameters/ExtracranialHeadandNeck.pdf. Accessed December 22, 2022.
ACR–ACOG–AIUM–SPR–SRU Practice Parameter for the Performance of Ultrasound of the Female Pelvis. American College of Radiology. Revised 2019. https://www.acr.org/-/media/ACR/Files/Practice-Parameters/US-Pelvis.pdf. Accessed December 22, 2022.
Acknowledgements
The authors acknowledge Thad Benefield, Statistician, University of North Carolina at Chapel Hill, Department of Radiology for statistical analysis and Dr. Jason Pietryga, Clinical Associate Professor of Radiology, University of North Carolina at Chapel Hill for his guidance on study concept
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
No disclosures relevant to this manuscript.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Appendices
Appendix 1
Survey questions
-
1
In general, for abnormal/positive findings, does your ultrasound practice rely upon static images only, cine images only, or a combination of static and cine images?
-
o
Static images
-
o
Cine images
-
o
Both static and cine images
-
o
-
2
In general, for normal/negative findings, does your ultrasound practice rely upon static images only, cine images only, or a combination of static and cine images?
-
o
Static images
-
o
Cine images
-
o
Both static and cine images
-
o
-
3
On which of the following organs does your practice always perform cines, even when normal/negative? (Select all that apply)
-
o
Liver
-
o
Kidney
-
o
Gallbladder
-
o
Pancreas
-
o
Common bile duct
-
o
Spleen
-
o
Urinary bladder
-
o
Testicle
-
o
Epididymis
-
o
Uterus
-
o
Ovary
-
o
Adnexa (separate from ovary)
-
o
Thyroid
-
o
Other (please specify)
-
o
None of above
-
o
-
4
On which of the following organs does your practice perform cines for positive/abnormal findings? (Select all that apply)
-
o
Liver
-
o
Kidney
-
o
Gallbladder
-
o
Pancreas
-
o
Common Bile duct
-
o
Spleen
-
o
Urinary bladder
-
o
Testicle
-
o
Epididymis
-
o
Uterus
-
o
Ovary
-
o
Adnexa (separate from ovary)
-
o
Thyroid
-
o
Other (please specify)
-
o
None of the above
-
o
-
5
When documenting lesions, does your practice utilize the “split screen” where sagittal and transverse images display on a single image?
-
o
Yes, we use split screen showing both sagittal and transverse view on a single image
-
o
No, we do not utilize the split screen function and keep sagittal and transverse images separate
-
o
We use both separate and split screen
-
o
Other (please specify)
-
o
Radiologist enters patient room and supervises/performs exam with sonographer in real time. Sonographer performs exam and presents/reviews all cases with radiologist at the workstation or via telecommunication prior to patient discharge
-
o
Sonographer performs exam, discharges patient, and submits images via PACS for interpretation by radiologist
-
o
-
6
Please select which workflow best fits your normal practice
-
o
Hybrid format where radiology enters the room for some, but not all patients
-
o
Other (please specify)
-
o
None of the above
-
o
-
7
During normal business hours, is a radiologist usually on site with the sonographers at your practice?
-
o
Yes, a radiologist is always present and available to scan in real time
-
o
No, radiologists are usually reading in a different location
-
o
Variable due to multiple imaging sites
-
o
Other (please specify)
-
o
-
8
How many radiologists interpret ultrasounds in your practice?
-
o
1-10
-
o
11-20
-
o
21-30
-
o
>30
-
o
-
9
Where is your practice located?
-
o
Northeast
-
o
Mid-Atlantic
-
o
Southeast
-
o
Midwest
-
o
Southwest
-
o
West
-
o
Northwest
-
o
Other (please specify)
-
o
None of the above
-
o
-
10
How would you describe your practice setting?
-
o
Academic
-
o
Private Practice
-
o
Hospital-based employee
-
o
Multi-specialty group employee
-
o
Governmental
-
o
Other (please specify)
-
o
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Thomas, K., Burke, L. & McGettigan, M. Use of cine images in standard ultrasound imaging: a survey of sonologists. Abdom Radiol 48, 3530–3536 (2023). https://doi.org/10.1007/s00261-023-04014-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-023-04014-9