Value of 5G remote ultrasonic robot in diagnosing high altitude pulmonary edema
10.3760/cma.j.cn131148-20220406-00236
- VernacularTitle:5G远程超声机器人诊断高原肺水肿的价值
- Author:
Yun ZHANG
1
;
Yingying CHEN
;
Yutong MA
;
Renqing Can JIAN
;
Xuan ZHANG
;
Xiaochu DANG
;
Xuejuan WANG
;
Yuqian MIAO
;
Xiuzhu MA
;
Luobu Zeng DAN
;
Caishun SHI
;
Li WU
;
Cong TU
;
Faqin LYU
Author Information
1. 中国人民解放军总医院第三医学中心超声科，北京 100039
- Keywords:
Remote ultrasound;
Robot;
5G;
Plateau disease;
Pulmonary edema;
Lung ultrasound score
- From:
Chinese Journal of Ultrasonography
2022;31(11):921-926
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value of 5G robotic remote ultrasound in the diagnosis of plateau pulmonary edema(HAPE).Methods:A total of 27 patients who quickly entered Nagqu, Tibet at an altitude of 4 600 m-5 600 m from March to December 2021 and developed one of the clinical symptoms of HAPE were collected. All patients were examined by 5G remote robotic ultrasound and lung CT respectively. Kappa test was used to analyze the consistency of the two diagnostic results, and McNemar test was used to compare the difference in diagnostic results. The ROC curve was used to analyze the sensitivity and specificity of remote lung ultrasound scores in the diagnosis of HAPE.Results:Among the 27 patients, 16 showed thickening of pleural line, increasing of B line, lung consolidation, pleural effusion, etc. Meanwhile, 11 showed no abnormality. Additionally, 8 cases had diffuse pulmonary fluid in both lungs, and 8 cases had localized pulmonary fluid. ROC curve showed that the area under the curve of lung ultrasound score for the diagnosis of HAPE was 0.947 (95% CI=0.78-0.99, P<0.001). The sensitivity and specificity were 0.933 and 0.917, respectively. Lung CT diagnosis was positive in 15 cases. Lung CT showed thickening of lung texture, ground glass, small nodular shadow, fine reticulate shadow, etc. The diagnostic results of the two techniques were in good agreement (Kappa=0.924, P<0.001), and there was no significant difference between the two methods ( P>0.05). Conclusions:5G remote robotic ultrasound has high consistency with CT in the diagnosis of HAPE and is an alternative early diagnosis method for HAPE. It may have clinical application value in scattered medical resources and remote plateau areas.
