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Follow on Google News | Case Report: A dropped probe can lead to a dropped diagnosis - by Tony ForshawBy: ProbeLogic Previous research has highlighted the alarming incidence of defective transducers currently in use in clinical practice, estimating it as high as 40% [3]. Transducers may be faulty due to: weak or “dead” elements, delamination of the lens, and/or cable damage. The effect of transducer damage on image quality has also been well described using phantoms, however the difficulty arises in identifying faulty probes during real-life scanning in that the image quality might not appear deteriorated [4]. The sonographer may fail to notice a progressive loss of image quality over time. Additionally wide variation of image quality between patients makes comparison difficult; poor image quality often attributed to the patient rather than the machine, particularly in cardiac imaging. This case describes an instance of misdiagnosed mitral regurgitation observed following serial transthoracic echocardiography with a faulty transducer. Although the 2D image quality was largely unaffected, the severity of MR was grossly underestimated due to a faulty transducer. FirstCall testing of the transducer reported 25 transducer elements (out of an available 96) which were failing to generate a pulse sufficiently. The transducer passed electrical safety and other usual tests as part of the vendor’s routine testing. There was no visible external damage to the transducer. Without the benefit of side-by-side comparison, or an effective transducer testing protocol, the severity of the MR lesion in the current case could have been missed entirely. This report highlights the need for routine testing of transducers, above the level of testing performed as part of a preventative maintenance service. For a full copy of this report including clinical images - Contact us today! For all your ultrasound needs contact ProbeLogic today! 1300 611 503 End
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