{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T07:48:57Z","timestamp":1782287337033,"version":"3.54.5"},"reference-count":12,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2015,10,27]],"date-time":"2015-10-27T00:00:00Z","timestamp":1445904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Easily palpable splenomegaly can be identified on physical examination, but it is difficult to detect lesser degrees of splenomegaly. Rapid bedside assessment can be conducted with hand\u2010carried ultrasound. We performed this study to determine whether medical residents could reliably assess spleen size using hand\u2010carried ultrasound after a brief educational intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Postgraduate year 1 internal medicine residents were shown a brief (45\u2010minute) presentation on ultrasound basics, the use of hand\u2010carried ultrasound, and principles of splenic ultrasound imaging. They practiced on each other, using hand\u2010carried ultrasound to assess spleen size, for 1 hour in the presence of an instructor. Patients with varying degrees of splenomegaly and hospital staff were recruited at Vancouver General Hospital. A sonographer measured spleen size in each participant using conventional ultrasound. Subsequently, the trained residents scanned the participants using hand\u2010carried ultrasound, blinded to the sonographer's measurements and the participants' diagnoses. The instructor was not present during scanning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve first\u2010year residents (8 male and 4 female; mean age \u00b1 SEM, 28 \u00b1 1 years; all with limited prior ultrasound training) and 19 patients and staff members (10 male and 9 female; mean age, 60 \u00b1 4 years; body mass index, 24 \u00b1 2 kg\/m<jats:sup>2<\/jats:sup>) were recruited. The greatest longitudinal measurements were 14.0 \u00b1 0.7 cm with conventional ultrasound administered by the sonographer and 13.2 \u00b1 0.9 cm with hand\u2010carried ultrasound administered by the residents (<jats:italic>P<\/jats:italic> &gt; .05, not significant). The correlation between conventional and hand\u2010carried ultrasound was <jats:italic>r<\/jats:italic> = 0.81 (<jats:italic>P<\/jats:italic> &lt; .001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Internal medicine residents can reliably assess spleen size at the point of care using hand\u2010carried ultrasound with minimal training. Our findings, if replicated in other centers and in different clinical scenarios, may change the way that clinicians examine the spleen.<\/jats:p><\/jats:sec>","DOI":"10.7863\/ultra.15.02022","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T21:57:14Z","timestamp":1448488634000},"page":"2203-2207","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Accuracy of Spleen Measurement by Medical Residents Using Hand\u2010Carried Ultrasound"],"prefix":"10.1002","volume":"34","author":[{"given":"Shane","family":"Arishenkoff","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Eddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Mark","family":"Roberts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parvathy","family":"Nair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose","family":"Hatala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin W.","family":"Eva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graydon S.","family":"Meneilly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,27]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Williams Textbook of Hematology","author":"Kaushansky K","year":"2012"},{"key":"e_1_2_6_3_1","first-page":"611","volume-title":"The Rational Clinical Examination: Evidence-Based Clinical Diagnosis","author":"Barkun AN","year":"2009"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02599986"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.33.6.1005"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10401334.2012.741535"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.3.1766"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e3181e89992"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.33.7.1225"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V99.11.4228"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.75.895.750573"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2141.1997.1552969.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.181.6.1811615"}],"container-title":["Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.7863%2Fultra.15.02022","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.7863%2Fultra.15.02022","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.7863\/ultra.15.02022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T02:18:41Z","timestamp":1700619521000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.7863\/ultra.15.02022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,27]]},"references-count":12,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.7863\/ultra.15.02022"],"URL":"https:\/\/doi.org\/10.7863\/ultra.15.02022","archive":["Portico"],"relation":{},"ISSN":["0278-4297","1550-9613"],"issn-type":[{"value":"0278-4297","type":"print"},{"value":"1550-9613","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,27]]},"assertion":[{"value":"2015-02-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-03-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-10-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}