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Ultrasound-Guided Foreign Body Removal: Simulation Training and Clinical Implementation Outcomes
Megan Buras1, Carmen Campbell2, J Matthew Meadows3
1Department of Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, United States.
Military Medicine
|June 10, 2025
Summary
Simulation training significantly improves ultrasound-guided foreign body removal (USFBR) skills for radiologists. This technique demonstrates a 90% success rate in clinical practice for removing foreign bodies in military beneficiaries.
Area of Science:
- Medical Imaging
- Surgical Techniques
- Military Medicine
Background:
- High-resolution ultrasound is effective for detecting soft tissue foreign bodies (FBs).
- Its use in intraoperative or percutaneous guidance for military wound management is not well-described.
- Ultrasound-guided foreign body removal (USFBR) requires systematic evaluation.
Purpose of the Study:
- To assess if simulation training enhances radiologist technique in USFBR.
- To evaluate clinical outcomes of USFBR in Department of Defense (DoD) beneficiaries.
- To determine the efficacy of USFBR in military medical settings.
Main Methods:
- A 2-phase study involving 47 radiologists at 4 military treatment facilities.
- Simulation training (4 hours) with pre- and post-assessment of FB removal techniques.
- Clinical implementation documented on DoD beneficiaries following training.
Main Results:
- Simulation training improved radiologist scores from 21-52% to 90-100% (P < .01).
- Phase 2 demonstrated a 90% successful foreign body removal rate in DoD beneficiaries.
- Ultrasound guidance by trained radiologists proved effective in clinical settings.
Conclusions:
- Simulation training effectively equips radiologists for ultrasound-guided foreign body removal.
- Focused simulation programs can enhance ultrasonographic FB management practices.
- USFBR implementation by trained radiologists is successful in military healthcare settings.
