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Review

Common and Uncommon Errors in Emergency Ultrasound

by
Marco Di Serafino
1,*,
Francesca Iacobellis
1,
Maria Laura Schillirò
1,
Divina D’auria
2,
Francesco Verde
1,
Dario Grimaldi
1,
Giuseppina Dell’Aversano Orabona
1,
Martina Caruso
1,
Vittorio Sabatino
1,
Chiara Rinaldo
1,
Pasquale Guerriero
3,
Vito Cantisani
4,
Gianfranco Vallone
3 and
Luigia Romano
1
1
Department of General and Emergency Radiology, “Antonio Cardarelli” Hospital, 80131 Naples, Italy
2
Department of Advanced Biomedical Sciences, University of Naples “Federico II”, 80131 Naples, Italy
3
Department of Life and Health, University of Molise “V. Tiberio”, 86100 Campobasso, Italy
4
Department of Radiology, Sapienza Rome University, Policlinico Umberto I, 00185 Rome, Italy
*
Author to whom correspondence should be addressed.
Diagnostics 2022, 12(3), 631; https://doi.org/10.3390/diagnostics12030631
Submission received: 7 February 2022 / Revised: 27 February 2022 / Accepted: 1 March 2022 / Published: 4 March 2022

Abstract

Errors in emergency ultrasound (US) have been representing an increasing problem in recent years thanks to several unique features related to both the inherent characteristics of the discipline and to the latest developments, which every medical operator should be aware of. Because of the subjective nature of the interpretation of emergency US findings, it is more prone to errors than other diagnostic imaging modalities. The misinterpretation of US images should therefore be considered as a serious risk in diagnosis. The etiology of error is multi-factorial: it depends on environmental factors, patients and the technical skills of the operator; it is influenced by intrinsic US artifacts, poor clinical correlation, US-setting errors and anatomical variants; and it is conditioned by the lack of a methodologically correct clinical approach and excessive diagnostic confidence too. In this review, we evaluate the common and uncommon sources of diagnostic errors in emergency US during clinical practice, showing how to recognize and avoid them.
Keywords: ultrasonography; B-mode; artifacts; diagnostic mistakes; diagnostic pitfalls; abdominal trauma; emergency ultrasonography; B-mode; artifacts; diagnostic mistakes; diagnostic pitfalls; abdominal trauma; emergency

Share and Cite

MDPI and ACS Style

Di Serafino, M.; Iacobellis, F.; Schillirò, M.L.; D’auria, D.; Verde, F.; Grimaldi, D.; Dell’Aversano Orabona, G.; Caruso, M.; Sabatino, V.; Rinaldo, C.; et al. Common and Uncommon Errors in Emergency Ultrasound. Diagnostics 2022, 12, 631. https://doi.org/10.3390/diagnostics12030631

AMA Style

Di Serafino M, Iacobellis F, Schillirò ML, D’auria D, Verde F, Grimaldi D, Dell’Aversano Orabona G, Caruso M, Sabatino V, Rinaldo C, et al. Common and Uncommon Errors in Emergency Ultrasound. Diagnostics. 2022; 12(3):631. https://doi.org/10.3390/diagnostics12030631

Chicago/Turabian Style

Di Serafino, Marco, Francesca Iacobellis, Maria Laura Schillirò, Divina D’auria, Francesco Verde, Dario Grimaldi, Giuseppina Dell’Aversano Orabona, Martina Caruso, Vittorio Sabatino, Chiara Rinaldo, and et al. 2022. "Common and Uncommon Errors in Emergency Ultrasound" Diagnostics 12, no. 3: 631. https://doi.org/10.3390/diagnostics12030631

APA Style

Di Serafino, M., Iacobellis, F., Schillirò, M. L., D’auria, D., Verde, F., Grimaldi, D., Dell’Aversano Orabona, G., Caruso, M., Sabatino, V., Rinaldo, C., Guerriero, P., Cantisani, V., Vallone, G., & Romano, L. (2022). Common and Uncommon Errors in Emergency Ultrasound. Diagnostics, 12(3), 631. https://doi.org/10.3390/diagnostics12030631

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