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Teaching the internist to see: effectiveness of a 1-day workshop in bedside ultrasound for internal medicine residents. 教内科医生看:内科住院医师床边超声1天工作坊的效果。
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2016-12-01 Epub Date: 2016-08-11 DOI: 10.1186/s13089-016-0047-7
Ryan D Clay, Elizabeth C Lee, Marc F Kurtzman, Renee K Dversdal

Background: A growing body of evidence supports the use of bedside ultrasound for core Internal Medicine procedures and increasingly as augmentation of the physical exam. The literature also supports that trainees, both medical students and residents, can acquire these skills. However, there is no consensus on training approach.

Aim: To implement and study the effectiveness of a high-yield and expedited curriculum to train internal medicine interns to use bedside ultrasound for physical examination and procedures.

Setting: The study was conducted at a metropolitan, academic medical center and included 33 Internal Medicine interns.

Program description: This was a prospective cohort study of a new educational intervention consisting of a single-day intensive bedside ultrasound workshop followed by two optional hour-long workshops later in the year. The investigation was conducted at Oregon Health & Science University in Portland, Oregon. The intensive day consisted of alternating didactic sessions with small group hands-on ultrasound practice sessions and ultrasound simulations. A 30-question assessment was used to assess ultrasound interpretation knowledge prior to, immediately post, and 6 months post intervention.

Results: Thirty-three interns served as their own historical controls. Assessment performance significantly increased after the intervention from a mean pre-test score of 18.3 (60.9 % correct) to a mean post-test score 25.5 (85.0 % correct), P value of <0.0001. This performance remained significantly better at 6 months with a mean score of 23.8 (79.3 % correct), P value <0.0001. There was significant knowledge attrition compared to the immediate post-assessment, P value 0.0099.

Conclusions: A single-day ultrasound training session followed by two optional noon conference sessions yielded significantly improved ultrasound interpretation skills in internal medicine interns.

背景:越来越多的证据支持在核心内科程序中使用床边超声,并越来越多地作为身体检查的补充。文献也支持实习生,无论是医学生还是住院医师,都可以获得这些技能。然而,在培训方法上没有达成共识。目的:实施一套高效、快速的内科实习生床边超声检查与操作培训课程,并对其有效性进行研究。环境:该研究在一个大都市的学术医疗中心进行,包括33名内科实习生。项目描述:这是一项新的教育干预的前瞻性队列研究,包括一天的强化床边超声研讨会,随后在今年晚些时候进行两次可选的一小时研讨会。这项调查是在俄勒冈州波特兰市的俄勒冈健康与科学大学进行的。密集的一天包括交替的教学环节,小组动手超声练习环节和超声模拟。在干预前、干预后和干预后6个月,采用30个问题的评估来评估超声判读知识。结果:33名实习生作为自己的历史对照。干预后的评估成绩显著提高,从平均测前得分18.3分(60.9%正确率)提高到平均测后得分25.5分(85.0%正确率)。结论:为期一天的超声培训后再进行两次可选的中午会议可显著提高内科实习生的超声解释技能。
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引用次数: 32
Estimating the accuracy of optic nerve sheath diameter measurement using a pocket-sized, handheld ultrasound on a simulation model 在模拟模型上使用口袋大小的手持式超声估计视神经鞘直径测量的准确性
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2016-11-10 DOI: 10.1186/s13089-016-0053-9
Garrett G. R. J. Johnson, F. Zeiler, B. Unger, Gregory Hansen, D. Karakitsos, L. Gillman
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引用次数: 14
Diagnostic accuracy of lung ultrasonography combined with procalcitonin for the diagnosis of pneumonia: a pilot study 肺超声联合降钙素原诊断肺炎的准确性:一项初步研究
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2016-11-09 DOI: 10.1186/s13089-016-0054-8
P. Nazerian, G. Cerini, S. Vanni, C. Gigli, M. Zanobetti, M. Bartolucci, S. Grifoni, G. Volpicelli
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引用次数: 17
The Sierra Leone Ultrasound Rainbow4Africa Project (SLURP): an observational study of ultrasound effectiveness in developing countries 塞拉利昂超声彩虹非洲项目(SLURP):一项关于发展中国家超声有效性的观察性研究
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2016-10-26 DOI: 10.1186/s13089-016-0051-y
A. Lamorte, E. Boero, P. Crida, A. Conteh, Marco Foletti, P. Narcisi
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引用次数: 2
Common pitfalls in point-of-care ultrasound: a practical guide for emergency and critical care physicians 医疗点超声的常见缺陷:急诊和重症监护医生的实用指南
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2016-10-26 DOI: 10.1186/s13089-016-0052-x
P. Blanco, G. Volpicelli
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引用次数: 99
Drug eluting stents: To evolve or dissolve? 药物洗脱支架:发展还是解体?
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2016-10-01 Epub Date: 2016-11-04 DOI: 10.1016/j.mjafi.2016.09.002
Prashant Bharadwaj, D S Chadha

Currently, percutaneous coronary intervention (PCI) with drug-eluting stents (DES) is the most commonly employed modality in the treatment of patients with coronary artery disease. PCI has come of age over the last four decades with enormous forays in the technology and drugs which have greatly enhanced its capability. Angioplasty and bare metal stents were plagued by high failure rates on account of restenosis leading to repeat revascularization procedures. Insights into pathophysiology of instent restenosis (ISR) and neointimal hyperplasia triggered the development of DES. The dreamlike remarkable reduction in ISR with DES was enthusiastically welcomed. Soon thereafter emerged the spectre of very late stent thrombosis (VLST) with DES. VLST was a new entity seen predominantly with DES and pathological insights as to the cause was instrumental in the development and efficacy of new generation DES. This review will highlight the evolution and present day DES for coronary interventions.

目前,使用药物洗脱支架(DES)进行经皮冠状动脉介入治疗(PCI)是治疗冠状动脉疾病患者最常用的方法。在过去的 40 年里,PCI 技术和药物的巨大进步极大地增强了它的能力,使其进入了成熟期。血管成形术和裸金属支架因再狭窄导致的高失败率而备受困扰,不得不重复进行血管重建手术。对瞬间再狭窄(ISR)和新内膜增生病理生理学的深入研究促使了 DES 的开发。使用DES后,ISR如梦幻般明显减少,受到了热烈欢迎。此后不久,出现了使用 DES 后支架血栓形成(VLST)的幽灵。VLST是一种新的病症,主要见于DES,病理上对其病因的认识有助于新一代DES的开发和疗效的提高。本综述将重点介绍用于冠状动脉介入治疗的 DES 的演变和现状。
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引用次数: 0
12th WINFOCUS world congress on ultrasound in emergency and critical care. 第十二届世界超声急救和重症监护大会。
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2016-09-01 DOI: 10.1186/s13089-016-0046-8
Yahya Acar, Onur Tezel, Necati Salman, Erdem Cevik, Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-Bordomás, Mustafa Z Mahmoud, Abdelmoneim Sulieman, Abbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H Lester Kirchner, Gregor Prosen, Ajda Anzic, Paul Leeson, Maryam Bahreini, Fatemeh Rasooli, Houman Hosseinnejad, Gabriel Blecher, Robert Meek, Diana Egerton-Warburton, Edina Ćatić Ćuti, Stanko Belina, Tihomir Vančina, Idriz Kovačević, Nadan Rustemović, Ikwan Chang, Jin Hee Lee, Young Ho Kwak, Do Kyun Kim, Chi-Yung Cheng, Hsiu-Yung Pan, Chia-Te Kung, Ela Ćurčić, Ena Pritišanac, Ivo Planinc, Marijana Grgić Medić, Radovan Radonić, Abiola Fasina, Anthony J Dean, Nova L Panebianco, Patricia S Henwood, Oliviero Fochi, Moreno Favarato, Ezio Bonanomi, Ivan Tomić, Youngrock Ha, Hongchuen Toh, Elizabeth Harmon, Wilma Chan, Cameron Baston, Gail Morrison, Frances Shofer, Angela Hua, Sharon Kim, James Tsung, Isa Gunaydin, Zeynep Kekec, Mehmet Oguzhan Ay, Jinjoo Kim, Jinhyun Kim, Gyoosung Choi, Dowon Shim, Ji-Han Lee, Jana Ambrozic, Katja Prokselj, Miha Lucovnik, Gabrijela Brzan Simenc, Asta Mačiulienė, Almantas Maleckas, Algimantas Kriščiukaitis, Vytautas Mačiulis, Andrius Macas, Sharad Mohite, Zoltan Narancsik, Hugon Možina, Sara Nikolić, Jan Hansel, Rok Petrovčič, Una Mršić, Simon Orlob, Markus Lerchbaumer, Niklas Schönegger, Reinhard Kaufmann, Chun-I Pan, Chien-Hung Wu, Sarah Pasquale, Stephanie J Doniger, Sharon Yellin, Gerardo Chiricolo, Maja Potisek, Borut Drnovšek, Boštjan Leskovar, Kristine Robinson, Clara Kraft, Benjamin Moser, Stephen Davis, Shelley Layman, Yusef Sayeed, Joseph Minardi, Irmina Sefic Pasic, Amra Dzananovic, Anes Pasic, Sandra Vegar Zubovic, Ana Godan Hauptman, Ana Vujaklija Brajkovic, Jaksa Babel, Marina Peklic, Vedran Radonic, Luka Bielen, Peh Wee Ming, Nur Hafiza Yezid, Fatahul Laham Mohammed, Zainal Abidin Huda, Wan Nasarudin Wan Ismail, W Yus Haniff W Isa, Hashairi Fauzi, Praveena Seeva, Mohd Zulfakar Mazlan
<p><strong>Table of contents: </strong>A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasoundYahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3 Pseudoaneurysm of the femoral artery after cannulation of a central venous line. Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization. A novel approach in emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA5 Clinical ultrasound in a septic and jaundice patient in the emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA6 Characterization of the eyes in preoperative cataract Saudi patients by using medical diagnostic ultrasoundMustafa Z. Mahmoud, Abdelmoneim SuliemanA7 High-frequency ultrasound in determining the causes of acute shoulder joint painMustafa Z. MahmoudA8 Teaching WINFOCUS Ultrasound Life Support Basic Level 1 for Providers in resource-limited countriesAbbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H. Lester Kirchner, Gregor ProsenA9 Changes of arterial stiffness and endothelial function during uncomplicated pregnancyAjda Anzic, Paul LeesonA10 Cardiovascular haemodynamic properties before, during and after pregnancyAjda Anzic, Paul LeesonA11 An old man with generalized weaknessMaryam Bahreini, Fatemeh RasooliA12 Ultrasonography for non-specific presentations of abdominal painMaryam Bahreini, Houman HosseinnejadA13 Introduction of a new imaging guideline for suspected renal colic in the emergency department: effect on CT Urogram utilisationGabriel Blecher, Robert Meek, Diana Egerton-WarburtonA14 Transabdominal ultrasound screening for pancreatic cancer in Croatian military veterans: a retrospective analysis from the first Croatian veteran's hospitalEdina Ćatić Ćuti, Stanko Belina, Tihomir Vančina, Idriz KovačevićA15 The challenge of AAA: unusual case of obstructive jaundiceEdina Ćatić Ćuti, Nadan RustemovićA16 Educational effectiveness of easy-made new simulator model for ultrasound-guided procedures in pediatric patients: vascular access and foreign body managementIkwan Chang, Jin Hee Lee, Young Ho Kwak, Do Kyun KimA17 Detection of uterine rupture by point-of-care ultrasound at emergency department: a case reportChi-Yung Cheng, Hsiu-Yung Pan, Chia-Te KungA18 Abdominal probe in the hands of interns as a relevant diagnostic tool in revealing the cause of heart failureEla Ćurčić, Ena Pritišanac, Ivo Planinc, Marijana Grgić Medić, Radovan RadonićA19 Needs assessment of the potential utility of point-of-care ultrasound within the Zanzibar health systemAbiola Fasina, Anthony J. Dean, Nova L. Panebianco, Patricia S. HenwoodA20 Ultra
目录表:A1急诊科颈椎的即时超声检查yahya Acar, Onur Tezel, Necati SalmanA2验证鼻胃管置入的新技术:超声在获得鼻胃管横切面的同时获得鼻胃管纵切面ahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3中心静脉插管后股动脉假性动脉瘤。在这些手术中我们应该一直使用超声波吗?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4超声引导锁骨上锁骨下静脉置管。急诊科的一种新方法margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA5急诊科败血症和黄疸患者的临床超声检查margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA6利用医学诊断超声对沙特白内障患者术前眼睛的表征Abdelmoneim suliemana[7]高频超声在确定急性肩部关节疼痛原因中的作用[8]资源有限国家医护人员WINFOCUS超声生命支持基础1级教学[8]abbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H. Lester Kirchner, Gregor prosena[9]非并发症妊娠期间动脉僵硬度和内皮功能的变化[10]妊娠期间和妊娠后a . da Anzic, Paul leeson11一名全身虚弱的老人a . maryam Bahreini, Fatemeh rasoolia a . 12超声检查非特异性腹痛的表现a . maryam Bahreini, Houman hosseinnejada a . 13急诊科疑似肾绞痛的新影像学指南介绍:gabriel Blecher, Robert Meek, Diana Egerton-WarburtonA14克罗地亚退伍军人医院经腹超声筛查胰腺癌的回顾性分析edina Ćatić Ćuti, Stanko Belina, Tihomir van<e:1> ina, Idriz KovačevićA15 AAA的挑战:梗阻性黄疸的罕见病例edina Ćatić Ćuti, Nadan RustemovićA16简易新型超声引导手术模拟模型的教育效果:血管通路与异物处理张坤,李金熙,郭永浩,kimdo Kyun[17]急诊科即时超声检测子宫破裂病例报告chi - yung Cheng, Hsiu-Yung Pan, Chia-Te KungA18实习生手中的腹部探头作为揭示心力衰竭原因的相关诊断工具ela Ćurčić, Ena Pritišanac, Ivo Planinc, Marijana grgiki mediki, Radovan RadonićA19对桑给巴尔卫生系统中护理点超声潜在用途的需求评估abiola Fasina, Anthony J. Dean, Nova L. Panebianco, Patricia S. HenwoodA20气管压迫的超声诊断oliviero Fochi,[21]刘建军,刘建军,李建军,等。超声在危重患者肺浸润诊断中的作用[j] .安全拉索;临床实习教师对临床超声的认识和使用elizabeth Harmon, Wilma Chan, Cameron Baston, Gail Morrison, Frances Shofer, Nova Panebianco, Anthony J.。 [24]超声诊断小儿肺炎的临床效果[angela Hua, Sharon Kim, James TsungA25]超声在低血压患者中的有效性[isa Gunaydin, Zeynep Kekec, Mehmet Oguzhan][26]院外心脏骤停后心脏骤停综合征患者中重度左室射血分数与短期死亡率的关系[Kim jinjoo, Kim Jinhyun, Choi Gyoosung]Dowon ShimA27实用性后急性肾盂肾炎的腹部超声诊断肾transplantationJi-Han LeeA28肺超声评估流体容忍严重preeclampsiaJana Ambrozic,卡佳Prokselj,米哈LucovnikA29视神经鞘超声波在严重preeclampsiaGabrijela Brzan Simenc, Jana Ambrozic,米哈LucovnikA30聚焦超声心动图监测术后时期进行非心脏patientsAsta马čiulienė,Almantas Maleckas, Algimantas Kriščiukaitis,Vytautas ma<e:1> iulis, Andrius MacasA31 POCUS引导下的儿科上肢体骨折治疗:算法,技巧和技巧sharad mohite32护理点肺部超声:败化症患者肺炎的良好诊断工具zoltan Narancsik, Hugon MožinaA33一个本科生POCUS (r)进化的案例sara nikoliki, Jan Hansel, Rok petrov<e:1> ikei, Una Mršić, Gregor ProsenA34格拉茨暑期超声学校:从第一次接触到床边应用:为期三天半的本科超声培训:经过两年的持续发展后的r<s:1> sum<s:1> simon Orlob, Markus Lerchbaumer, Niklas Schönegger, Reinhard KaufmannA35急诊现场超声在急性腹痛患者中的作用alberto Oviedo-García, Margarita algba - montes, Mayra Patricio-BordomásA36病床旁超声在危重患者中的应用。1例报告alberto Oviedo-García, Margarita Algaba-Montes, Mayra Patricio-BordomásA37急诊医师的临床超声心动图诊断率analberto Oviedo-García, Margarita Algaba-Montes, Mayra Patricio-BordomásA38集中心脏超声在早期诊断不典型表现的A型主动脉夹层中的应用潘春一,潘秀勇,吴建鸿39现场超声检测处女膜未穿孔潘秀勇,为在儿科急诊科执业的儿科护士开发一套即时超声课程sarah Pasquale, Stephanie J. Doniger, Sharon Yellin, Gerardo chiricolo41急诊情况下经胸超声心动图的应用:二尖瓣肿患者maja Potisek, Borut Drnovšek, Boštjan LeskovarA42一名患有晕车的年轻人atemeh Rasooli, Maryam bahreini43工作重复性使用损伤超声研究员kristin
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Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization. A novel approach in emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA5 Clinical ultrasound in a septic and jaundice patient in the emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA6 Characterization of the eyes in preoperative cataract Saudi patients by using medical diagnostic ultrasoundMustafa Z. Mahmoud, Abdelmoneim SuliemanA7 High-frequency ultrasound in determining the causes of acute shoulder joint painMustafa Z. MahmoudA8 Teaching WINFOCUS Ultrasound Life Support Basic Level 1 for Providers in resource-limited countriesAbbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H. Lester Kirchner, Gregor ProsenA9 Changes of arterial stiffness and endothelial function during uncomplicated pregnancyAjda Anzic, Paul LeesonA10 Cardiovascular haemodynamic properties before, during and after pregnancyAjda Anzic, Paul LeesonA11 An old man with generalized weaknessMaryam Bahreini, Fatemeh RasooliA12 Ultrasonography for non-specific presentations of abdominal painMaryam Bahreini, Houman HosseinnejadA13 Introduction of a new imaging guideline for suspected renal colic in the emergency department: effect on CT Urogram utilisationGabriel Blecher, Robert Meek, Diana Egerton-WarburtonA14 Transabdominal ultrasound screening for pancreatic cancer in Croatian military veterans: a retrospective analysis from the first Croatian veteran's hospitalEdina Ćatić Ćuti, Stanko Belina, Tihomir Vančina, Idriz KovačevićA15 The challenge of AAA: unusual case of obstructive jaundiceEdina Ćatić Ćuti, Nadan RustemovićA16 Educational effectiveness of easy-made new simulator model for ultrasound-guided procedures in pediatric patients: vascular access and foreign body managementIkwan Chang, Jin Hee Lee, Young Ho Kwak, Do Kyun KimA17 Detection of uterine rupture by point-of-care ultrasound at emergency department: a case reportChi-Yung Cheng, Hsiu-Yung Pan, Chia-Te KungA18 Abdominal probe in the hands of interns as a relevant diagnostic tool in revealing the cause of heart failureEla Ćurčić, Ena Pritišanac, Ivo Planinc, Marijana Grgić Medić, Radovan RadonićA19 Needs assessment of the potential utility of point-of-care ultrasound within the Zanzibar health systemAbiola Fasina, Anthony J. Dean, Nova L. Panebianco, Patricia S. HenwoodA20 Ultra","PeriodicalId":46598,"journal":{"name":"Critical Ultrasound Journal","volume":"8 Suppl 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13089-016-0046-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34371351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 16
Social media to supplement point-of-care ultrasound courses: the “sandwich e-learning” approach. A randomized trial 利用社交媒体补充现场超声课程:“三明治电子学习”方法。一项随机试验
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2016-03-12 DOI: 10.1186/s13089-016-0037-9
D. Hempel, Stephanie Haunhorst, Sivajini Sinnathurai, A. Seibel, F. Recker, F. Heringer, G. Michels, R. Breitkreutz
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引用次数: 26
Phantom model and scoring system to assess ability in ultrasound-guided chest drain positioning 幻影模型及评分系统评估超声引导下胸腔引流定位能力
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2016-02-18 DOI: 10.1186/s13089-016-0038-8
L. Vetrugno, G. Volpicelli, F. Barbariol, Ilaria Toretti, L. Pompei, F. Forfori, G. Della Rocca
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引用次数: 24
Real-time images of tidal recruitment using lung ultrasound 利用肺超声进行潮汐征的实时图像
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2015-12-12 DOI: 10.1186/s13089-015-0036-2
G. Tusman, Cecilia M. Acosta, Marco Nicola, M. Esperatti, S. Bohm, F. Suarez-Sipmann
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引用次数: 25
期刊
Critical Ultrasound Journal
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