Task Analysis of Diagnostic Ultrasound System Use: Comparison Between Sonographers’ and Physicians’ Use in Different Clinical Applications

  • Giuseppe Andreoni
  • Marco Delpiano
  • Nicola Guraschi
  • Leonardo ForzoniEmail author
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 722)


Task analysis in diagnostic medical sonography is a difficult topic in terms of definition, description at the practical level and differences between clinical applications. The present work describes the task analysis of 28 Diagnostic Ultrasound systems in several clinical applications, 15 systems used by sonographers (USA) and 13 systems used by physicians (Europe). The tests performed demonstrated the different workflow peculiarities of sonographers and physicians, showing how the former have a more complex workflow, which puts more stress on the system user interface optimization and ease of use. The sonographers’ workflow, characterized by an average 23% longer scanning time per exam and 88% greater number of controls activated per exam, may also have a greater induction to develop work-related musculoskeletal disorders, with respect to physician users of US systems.


Diagnostic Ultrasound Sonographer Task analysis 


  1. 1.
    Andreoni, G., Mazzola, M., Matteoli, S., D’Onofrio, S., Forzoni, L.: Ultrasound System typologies, user interfaces and probes design: a review. In: Proceedings of the 6th International Conference on Applied Human Factors and Ergonomics AHFE 2015, Las Vegas, USA, 26–30 July 2015Google Scholar
  2. 2.
    Ajmal, M., Power, S., Smith, T., Shorten, G.D.: Ergonomic task analysis of ultrasound-guided femoral nerve block: a pilot study. J. Clin. Anesth. 23(1), 35–41 (2011). CrossRefGoogle Scholar
  3. 3.
    Plumptre, I., Mulki, O., Granados, A., Gayle, C., Ahmed, S., Low-Beer, N., Higham, J., Bello, F.: Standardizing bimanual vaginal examination using cognitive task analysis. Int. J. Gynecol. Obstet. 139(1), 114–119 (2017)CrossRefGoogle Scholar
  4. 4.
    Aguirre-Ospina, O.D., González-Maldonado, J.F., Ríos-Medina, Á.M.: Ergonomics in ultrasound-guided nerve blocks. Revista Colombiana de Anestesiología 43(4), 331–339 (2015). CrossRefGoogle Scholar
  5. 5.
    American Registry for Diagnostic Medical Sonography (ARDMS): 2014 ARDMS Musculoskeletal Physician Job Task Analysis – Summary Report (2014).
  6. 6.
    The American Registry of Radiologic Technologists: The Sonography Examination, July 2014.
  7. 7.
    Simonsen, J.G., Dahlqvist, C., Enquist, H., Nordander, C., Axmon, A., Arvidsson, I.: Assessments of physical workload in sonography tasks using inclinometry, goniometry, and electromyography. Safety Health Work (2017).
  8. 8.
    Society and College of Radiographers and British Medical Ultrasound Society: Guidelines For Professional Ultrasound Practice, December 2015.
  9. 9.
    American Institute of Ultrasound in Medicine: AIUM Practice Parameter for the Performance of Obstetric Ultrasound Examinations (2013).
  10. 10.
    American College of Emergency Physicians: Emergency ultrasound guidelines. Ann. Emerg. Med. 53(4), 550–570 (2009). CrossRefGoogle Scholar
  11. 11.
    Mor-Avi, V., et al.: Current and evolving echocardiographic techniques for the quantitative evaluation of cardiac mechanics: ASE/EAE consensus statement on methodology and indications endorsed by the Japanese Society of Echocardiography. J. Am. Soc. Echocardiogr. 24(3), 277–313 (2011). CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Giuseppe Andreoni
    • 1
    • 3
  • Marco Delpiano
    • 2
  • Nicola Guraschi
    • 2
  • Leonardo Forzoni
    • 2
    Email author
  1. 1.Design DepartmentPolitecnico di MilanoMilanItaly
  2. 2.Esaote S.p.A.GenoaItaly
  3. 3.CNRIstituto di Bioimmagini e Fisiologia MolecolareSegrate, MilanItaly

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