{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:18:22Z","timestamp":1790014702196,"version":"4.0.1"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["H30MC24045"],"award-info":[{"award-number":["H30MC24045"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Teleguidance on portable devices opens the possibility of joint self\u2010imaging in persons with hemophilia (PWH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>Determine the feasibility of patient self\u2010imaging with\/without teleguidance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adult PWH received ultrasound teaching including 11 views for hemarthrosis detection in ankles, elbows, and knees. The patients acquired five randomly selected views with the Butterfly\/IQ probe without assistance at 2, 6\u20138\u2009weeks, and 3\u20134\u2009months later, followed by teleguidance. Image acquisition was timed, patients identified anatomic landmarks, and image quality was graded. Questionnaires assessed the imaging experience. Hemophilia Joint Health Score (HJHS) indicated arthropathy status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 132 PWH, 10 (median age 52\u2009years) opted for study inclusion. Most had severe Hemophilia A, were white\/non\u2010Hispanic, with at least a high school degree and, overall, similar to the other 122 PWH.<\/jats:p><jats:p>At 2 and 6\u2009weeks after training, ~80% images were acquired correctly compared with 53% at 12\u2009weeks. Accuracy of landmark recognition was ~55%. With teleguidance, all images were acquired correctly, with near\u2010perfect image quality (<jats:italic>P<\/jats:italic>\u2009\u2264\u2009.01 compared with the 3\u20134\u2009month time point). Median HJHS of scanned joints was 11.5 at each time point, demonstrating a similar spectrum of arthropathic changes. Median time of image acquisition was fast, and similar with or without teleguidance (median 01:04 [mm:ss] vs median 01:02), but differed slightly between arthropathic and non\u2010arthropathic joints. Study participants and the imaging facilitator rated that it was easy to navigate mobile technology and acquire images with teleguidance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Mobile ultrasound with teleguidance for joint self\u2010imaging is feasible and warrants further exploration.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.16084","type":"journal-article","created":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T12:19:33Z","timestamp":1660911573000},"page":"701-712","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Teleguidance for Patient Self\u2010Imaging of Hemophilic Joints Using Mobile Ultrasound Devices"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9867-8087","authenticated-orcid":false,"given":"Peter","family":"Aguero","sequence":"first","affiliation":[{"name":"Department of Medicine University of California San Diego  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2721-4151","authenticated-orcid":false,"given":"Richard FW","family":"Barnes","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres","family":"Flores","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette","family":"von Drygalski","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14006"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2015.10.004"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12175"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12637"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13439"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.16039.1"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/rth2.12531"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jth.13930"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/2040620717690316"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12876"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jum.14846"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13429"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.2174\/1871529x16666160613114506"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.06.018"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61139-2"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14046"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14208"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2019-100632"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-015-0494-z"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.12865\/CHSJ.44.02.01"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2006.01312.x"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13023"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58020210"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-022-01207-1"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13760-022-01875-7"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2021.0549"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/jum.15820"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.05.604"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2020.10.022"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13089-021-00231-9"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2020.0078"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2021.01.010"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13089-021-00250-6"}],"container-title":["Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.16084","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jum.16084","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.16084","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T12:11:49Z","timestamp":1709813509000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jum.16084"}},"subtitle":["A Pilot Study"],"short-title":[],"issued":{"date-parts":[[2022,8,19]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1002\/jum.16084"],"URL":"https:\/\/doi.org\/10.1002\/jum.16084","archive":["Portico"],"relation":{},"ISSN":["0278-4297","1550-9613"],"issn-type":[{"value":"0278-4297","type":"print"},{"value":"1550-9613","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,19]]},"assertion":[{"value":"2022-04-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}