Валидация протоколов дистанционного ультразвукового мониторинга в системе цифровой медицины: сравнительное проспективное исследование

This article presents the results of a prospective comparative study aimed at developing, testing, and validating the effectiveness of remote ultrasound monitoring protocols (tele-ultrasound) in comparison with conventional in-hospital ultrasound examinations performed in clinical settings. The authors provide a detailed analysis of the diagnostic accuracy of measurement parameters, the stability and reproducibility of obtained results, as well as their clinical significance when using portable ultrasound systems (POCUS) operating under remote expert supervision. Particular attention is given to the assessment of inter-expert agreement (inter-observer variability) and the impact of digital noise, artifacts, and technical interference on image quality and subsequent interpretation of ultrasound data. Based on the results of the study, conclusions are drawn regarding the prospects and feasibility of integrating remote ultrasound protocols into existing healthcare standards, including telemedicine, telerehabilitation, and dynamic monitoring of patients with chronic diseases.

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