Annals of Indian Academy of Neurology
LETTER TO THE EDITOR
Year
: 2013  |  Volume : 16  |  Issue : 3  |  Page : 454-

Cerebrovascular ultrasonography: Quality control


Beuy Joob1, Viroj Wiwanitkit2,  
1 Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Hainan Medical University, China

Correspondence Address:
Beuy Joob
Sanitation 1 Medical Academic Center, Bangkok
Thailand




How to cite this article:
Joob B, Wiwanitkit V. Cerebrovascular ultrasonography: Quality control.Ann Indian Acad Neurol 2013;16:454-454


How to cite this URL:
Joob B, Wiwanitkit V. Cerebrovascular ultrasonography: Quality control. Ann Indian Acad Neurol [serial online] 2013 [cited 2019 Dec 7 ];16:454-454
Available from: http://www.annalsofian.org/text.asp?2013/16/3/454/116943


Full Text

Sir,

The recent report on cerebrovascular ultrasonography is very interesting. [1] Bathala et al., described an intensive detail on medical procedure of cerebrovascular ultrasonography. [1] As noted, the pitfalls can be seen. [1] In fact, the additional concern on the quality control of using cerebrovascular ultrasonography should be raised. In diagnostic medicine, the quality control covering all phases, pre-, intra- and post-diagnostic phase is needed. The described procedure by Bathala et al., is important for intra-diagnostic phase. Additional, pre- and post-diagnostic phase quality control must be applied. The high rate of pre-analytical error in the well-certified diagnostic center is detectable. [2] Hence, it is no doubt that the pre-analytical error can be seen in case of cerebrovascular ultrasonography. The examples of pre-analytical error can be due to patient misidentification, poor patient preparation, poor ultrasonographer tool, etc. The post-analytical error can be record error, misinterpretation, etc. The total quality management by all step quality control for cerebrovascular ultrasonography can help increase clinical accuracy and usefulness of this diagnostic test.

References

1Bathala L, Mehndiratta MM, Sharma VK. Cerebrovascular ultrasonography: Technique and common pitfalls. Ann Indian Acad Neurol 2013;16:121-7.
2Wiwanitkit V. Types and frequency of preanalytical mistakes in the first Thai ISO 9002:1994 certified clinical laboratory, a 6-month monitoring. BMC Clin Pathol 2001;1:5.