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Trained general practitioners achieve substantial agreement with radiologists in abdominal aortic aneurysm ultrasound screeningGeneral practitioners can accurately screen for abdominal aortic aneurysms

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Key Takeaway
Note that trained general practitioners can achieve substantial agreement with experts in AAA ultrasound screening.

This multiregional pilot study evaluates the diagnostic validity and feasibility of abdominal aortic aneurysm (AAA) screening performed by general practitioners in Hungarian primary care settings. The study assessed 349 examinations, with 339 being interpretable after expert validation by two radiologists.

The findings indicate that 97.1% of examinations were interpretable. A period prevalence of 2.36% (95% CI 1.02%-4.60%) was identified among the interpretable examinations. The mean examination time for a general practitioner was 6.6 ± 3.8 minutes. Furthermore, there was substantial agreement between the ultrasound performed by general practitioners and expert validation, with a kappa coefficient of 0.772.

As a pilot study, these results are preliminary. The authors note that while the data suggests feasibility and high agreement for primary care screening by trained clinicians, the small sample size and pilot nature of the study limit broader generalizations. These findings suggest that structured training may allow general practitioners to perform reliable screenings in primary care settings.

How this fits prior evidence

This finding addresses a gap regarding the practical implementation of abdominal aortic aneurysm (AAA) screening outside of specialized centers. While prior evidence has identified risk factors such as lower rest-activity rhythm parameters and poor preoperative nutritional status, this study focuses on the feasibility of early detection in primary care settings using ultrasound performed by general practitioners.

Finding an abdominal aortic aneurysm, which is a bulge in the main artery of the body, often requires specialized imaging. However, getting patients to a specialist for screening can be a hurdle. This pilot study looked at whether general practitioners (GPs) could perform these scans reliably in a local clinic setting.

The researchers looked at 339 ultrasound exams performed by GPs who had received specific training. When two radiologists checked the work, they found that 97.1% of the images were clear enough to read. The study also found that the GP-performed scans showed a high level of agreement with expert reviews. This suggests that trained general doctors can be a reliable first line of defense.

While these results are promising for making screening more accessible, it is important to remember this was a pilot study. Because it was a small initial test, the findings are preliminary. The study did show that these scans took about 6.6 minutes on average, but more large-scale research is needed to confirm these results across different regions.

What this means for you:
Trained general practitioners can accurately use ultrasound to identify abdominal aortic aneurysms in primary care settings.

Common questions

Can a regular doctor find an abdominal aortic aneurysm?

Yes, this pilot study suggests it is feasible. When general practitioners followed a structured training program, their ultrasound examinations showed substantial agreement with expert reviews from radiologists. This means they can be a reliable way to screen for the condition in a primary care setting.

How accurate were the scans performed by general doctors?

The study found that 97.1% of the ultrasounds performed by trained general practitioners were considered interpretable by experts. The results showed high agreement with expert validation, suggesting that these screenings are a reliable way to identify cases in a local clinic.

How long does it take for a doctor to perform this ultrasound?

The study recorded an average examination time of 6.6 minutes (plus or minus 3.8 minutes) for the ultrasounds performed by general practitioners. This suggests that the screening process can be relatively quick during a standard appointment.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedJul 2026
View Original Abstract ↓
Abdominal aortic aneurysm (AAA) is often asymptomatic but carries a high risk of mortality if rupture occurs. Several countries have implemented organized national screening programs to enable early detection of AAA, whereas no institutionalized screening program is currently available in Hungary. This multiregional pilot study aimed to assess the feasibility and diagnostic validity of AAA screening in Hungarian primary care. Following a structured theoretical and practical ultrasound (US) training program, 11 general practitioners (GPs) participated in a pilot AAA screening program. Screening examinations were performed in routine primary care settings, and all recorded US examinations underwent independent expert validation by two radiologists. A total of 349 examinations were performed in 11 Hungarian primary care practices. Of these, 339 (97.1%) were considered interpretable after expert validation. Among the 339 participants with interpretable examinations, the mean age was 69.5 ± 3.1 years, 97.9% were male, and 22.4% were current smokers. Eight cases of AAA were identified, corresponding to a period prevalence of 2.36% (95% CI 1.02%–4.60%). The mean examination time was 6.6 ± 3.8 min. Agreement between GP-performed US and expert validation was substantial (κ = 0.772). Abdominal aortic aneurysm screening in Hungarian primary care appears feasible and shows high agreement with expert review when performed by trained GPs within a structured validation framework.
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