Poster Presentation Australian Society for Medical Research Annual Scientific Meeting 2016

Understanding the systematic review literature on ultrasound assists with moving forward with haptic robotic technology. (#132)

Deborah Hilton 1
  1. Deborah Hilton Statistics Online [], ASHWOOD, VIC, Australia

Introduction: Telehealth, transmitting voice, data, images and information remotely via telecommunications technologies can reduce the need for patients or health professionals to travel. Objective: Priester and colleague’s manuscript reviewed the robotic ultrasound systems developed over two decades. In addition, an early prototype of a revolutionary haptic (force feedback) robot for diagnostic ultrasound was announced by Deakin University in partnership with Telstra. A haptic robot connected to rural ultrasound equipment allows the sonographer or Doctor to remotely control the robotic ‘arm’ with movements sent in real time across the 4G network. Possibilities for replication and implementation for routine diagnosis or mass screening of susceptible individuals exists, with potential cost savings however it is important that robotic ultrasound trials focus on remote diagnosis of medical conditions that will result in positive health outcomes or cost benefits, hence the abstract author independently reviewed the ultrasound systematic review literature. Methods: Twelve systematic reviews on ultrasound screening or diagnosis were identified including diagnosis or screening for common bile duct stones, appendicitis, gallstones, deep venous thrombosis, pneumonia, pancreatic mass lesions, fetal assessment, abdominal aortic aneurism, liver cirrhosis, blunt abdominal trauma, hip developmental dysplasia, hepatitis B infection associated liver cancer and urinary tract infections. Tabulation of results included diagnostic details, sensitivity, specificity, false positive and negative rates, cost and mortality benefit, value, performance, other recommendations or insufficient evidence. Results: Ultrasound is recommended for diagnosis of common bile duct stones, appendicitis and gallstones, pneumonia, pancreatic mass lesions, fetal assessment and for screening to detect abdominal aortic aneurysm with the latter also reporting cost and mortality benefit in susceptible persons such as older smokers. Indications are that abdominal aortic aneurysm diagnostic screening in risk groups maybe a possibility for consideration. Conclusions: This tabulation of results maybe interesting to review prior to deciding on future remote robotic technology development.