Increased body mass index does not impact the imaging quality of focused assessment with sonography in trauma

Oluwatomilona I. Ifelayo; Kafayat A. Oyemade; Sarah S. Tawfic; Archana K. Jeeji; Samuel F. Ekstein; William A. Smoot; Jacob E. Voelkel; Michael J. Laughlin; Christine M. Lohse; Tobias Kummer; Venkatesh R. Bellamkonda

doi:10.1002/jcu.22884

Increased body mass index does not impact the imaging quality of focused assessment with sonography in trauma

Oluwatomilona I. Ifelayo, Kafayat A. Oyemade, Sarah S. Tawfic, Archana K. Jeeji, Samuel F. Ekstein, William A. Smoot, Jacob E. Voelkel, Michael J. Laughlin, Christine M. Lohse, Tobias Kummer, Venkatesh R. Bellamkonda

Emergency Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Background: Many clinicians believe that a patient's body mass index (BMI) affects the likelihood of obtaining high quality ultrasound images. Objectives: To assess the hypothesis that increased BMI is associated with worsening focused assessment with sonography in trauma (FAST) image quality. Methods: We conducted a retrospective single-center study of FAST examinations performed in a large academic emergency department (ED) with fellowship-trained emergency ultrasonography faculty performing quality assurance review. Results: Mean (SD) BMI was 28.0 (6.6) among the 302 included studies. The overall quality rating tended to decrease as BMI increased but did not achieve statistical significance in a univariable setting (P =.06) or after adjustment for age and sex (P =.06). Operators perception of image adequacy was largely unaffected by BMI, with the exception of the pericardial view. Conclusion: This study did not identify a statistically significant difference in FAST quality with increased BMI. This result may help assuage clinician concerns about ultrasonography for patients in the ED.

Original language	English (US)
Pages (from-to)	452-456
Number of pages	5
Journal	Journal of Clinical Ultrasound
Volume	48
Issue number	8
DOIs	https://doi.org/10.1002/jcu.22884
State	Published - Oct 1 2020

Keywords

BMI
FAST
emergency department
image quality
trauma
ultrasound

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.1002/jcu.22884

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Ifelayo, O. I., Oyemade, K. A., Tawfic, S. S., Jeeji, A. K., Ekstein, S. F., Smoot, W. A., Voelkel, J. E., Laughlin, M. J., Lohse, C. M., Kummer, T., & Bellamkonda, V. R. (2020). Increased body mass index does not impact the imaging quality of focused assessment with sonography in trauma. Journal of Clinical Ultrasound, 48(8), 452-456. https://doi.org/10.1002/jcu.22884

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abstract = "Background: Many clinicians believe that a patient's body mass index (BMI) affects the likelihood of obtaining high quality ultrasound images. Objectives: To assess the hypothesis that increased BMI is associated with worsening focused assessment with sonography in trauma (FAST) image quality. Methods: We conducted a retrospective single-center study of FAST examinations performed in a large academic emergency department (ED) with fellowship-trained emergency ultrasonography faculty performing quality assurance review. Results: Mean (SD) BMI was 28.0 (6.6) among the 302 included studies. The overall quality rating tended to decrease as BMI increased but did not achieve statistical significance in a univariable setting (P =.06) or after adjustment for age and sex (P =.06). Operators perception of image adequacy was largely unaffected by BMI, with the exception of the pericardial view. Conclusion: This study did not identify a statistically significant difference in FAST quality with increased BMI. This result may help assuage clinician concerns about ultrasonography for patients in the ED.",

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author = "Ifelayo, {Oluwatomilona I.} and Oyemade, {Kafayat A.} and Tawfic, {Sarah S.} and Jeeji, {Archana K.} and Ekstein, {Samuel F.} and Smoot, {William A.} and Voelkel, {Jacob E.} and Laughlin, {Michael J.} and Lohse, {Christine M.} and Tobias Kummer and Bellamkonda, {Venkatesh R.}",

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AU - Ekstein, Samuel F.

AU - Smoot, William A.

AU - Voelkel, Jacob E.

AU - Laughlin, Michael J.

AU - Lohse, Christine M.

AU - Kummer, Tobias

AU - Bellamkonda, Venkatesh R.

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N2 - Background: Many clinicians believe that a patient's body mass index (BMI) affects the likelihood of obtaining high quality ultrasound images. Objectives: To assess the hypothesis that increased BMI is associated with worsening focused assessment with sonography in trauma (FAST) image quality. Methods: We conducted a retrospective single-center study of FAST examinations performed in a large academic emergency department (ED) with fellowship-trained emergency ultrasonography faculty performing quality assurance review. Results: Mean (SD) BMI was 28.0 (6.6) among the 302 included studies. The overall quality rating tended to decrease as BMI increased but did not achieve statistical significance in a univariable setting (P =.06) or after adjustment for age and sex (P =.06). Operators perception of image adequacy was largely unaffected by BMI, with the exception of the pericardial view. Conclusion: This study did not identify a statistically significant difference in FAST quality with increased BMI. This result may help assuage clinician concerns about ultrasonography for patients in the ED.

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Increased body mass index does not impact the imaging quality of focused assessment with sonography in trauma

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