小室 薫¹, 武田 充人²

Kaoru KOMURO¹, Atsuhito TAKEDA²

¹国立病院機構函館病院循環器科, ²北海道大学病院小児科

¹Department of Cardiology, National Hospital Organization, Hakodate Hospital, ²Department of Pediatrics, Hokkaido University Graduate School of Medicine

キーワード : standardization, ultrasonic diagnosis, generation, institution, occupation

超音波診断法は簡便性，低侵襲性で優れているがゆえに，疾患や年齢層に関わらず幅広く浸透し，それぞれの分野で独自の超音波診断学体系を発展させてきた．かつては医師の専売特許であった超音波診断は診断学体系が進むにつれて検査技師に広く普及し，最近ではリアルタイムな超音波画像を遠隔配信できる時代を迎えており，超音波診断の共有化は職種や地域を超えて今後益々普及し続けることが予想される．一方で，超音波診断が横断的に普及していく過程では，撮像法や計測法，正常値などにおいて様々な相違点があることに遭遇する．近年，年代間，施設間，職種間など様々な領域が融合する時代を迎え，これまで独自に発達してきた超音波診断においても一定の標準化をめざす必要性が生じてきたことは否めない．本稿では年代間，施設間，職種間の超音波診断における標準化をテーマにシンポジウムで取り上げられた問題点と対策について提示し，今後の超音波診断の標準化へのリソースとしたい．

Ultrasonic diagnosis is superior in terms of convenience and minimal invasiveness; therefore, its use has become widespread irrespective of the disease or age group, and unique diagnostic systems have emerged in each field. Ultrasonic diagnosis, which was once the exclusive patent of a single doctor, has also become widespread among laboratory technicians as diagnostic systems advance, and it has enabled remote real-time ultrasonic diagnosis. Thus, use of ultrasonic diagnosis may spread more and more in the future, beyond occupational categories and areas. On the other hand, in the process of sharing ultrasonic diagnosis, we encounter various differences in imaging methods, measurement methods, and reference ranges, etc. In recent years, in the era in which various fields have fused in an interdisciplinary, inter-institutional, and occupational manner, it is undeniable that it is necessary to aim for a certain standardization in ultrasonic diagnosis that has been developed independently. In this paper, we present problems and countermeasures discussed at the symposium on standardization of ultrasonic diagnosis between generations, institutions, and occupations, in the hope that it will serve as a resource for future standardization of ultrasonic diagnosis.