[Clinical Ultrasound Part II - Sonopsychology or Psychological Interactions using Ultrasound]

In contrast to cross-sectional imaging using computed tomography, magnetic resonance imaging or positron emission tomography, ultrasound examinations enable direct real-time interaction between examiner and patient and their companions. In this review, we highlight general patient-relevant aspects, whereby endpoints such as emotional factors of general and physical stress caused by the examination are discussed. On the other hand, we take a closer look at specific psychosocial interactions during ultrasound examinations in primary care, gastroenterology, oncology, palliative care, pediatrics, obstetrics and gynecology. Furthermore, we consider ultrasound not only as an intervention in the sense of a needle-guiding procedure, but also as an opportunity to change relationships and initiate lifestyle modifications. The psychological impact of incidental findings and the importance of adequate communication of findings and prognosis is discussed from the patient's perspective.