ArticleJournal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine2021
Interobserver Agreement of Lung Ultrasound Findings of COVID-19.
Article in Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Systematic Review of Commercially Available Clinical CMUT-Based Systems for Use in Medical Ultrasound Imaging: Products, Applications, and Performance.Sensors (Basel, Switzerland) · 2025Pooled it
- Creation of an Open-Access Lung POCUS Image Database for Deep Learning and Neural Network Applications.POCUS journal · 2026Article
- Outpatient assessment of bronchopulmonary dysplasia using point of care lung ultrasound.Frontiers in pediatrics · 2026Article
- Article
- A Proposal for a New Lung Ultrasound Score in Rheumatoid Arthritis: The Reliability of Lung Ultrasound for Rheumatoid Arthritis-Associated Interstitial Lung Disease Diagnosis.Journal of clinical medicine · 2025Article
- Performance of a point-of-care ultrasound platform for artificial intelligence-enabled assessment of pulmonary B-lines.Cardiovascular ultrasound · 2025Article
- Lung ultrasound outperforms symptom-based screening to detect interstitial lung disease associated with rheumatoid arthritis.RMD open · 2025Article
- Ten Questions on Using Lung Ultrasonography to Diagnose and Manage Pneumonia in the Hospital-at-Home Model: Part I-Techniques and Patterns.Diagnostics (Basel, Switzerland) · 2024Review
- Deep-learning generated B-line score mirrors clinical progression of disease for patients with heart failure.The ultrasound journal · 2024Article
- Ultrasonographic assessment of pulmonary and Central venous congestion in experimental heart failure.American journal of physiology. Heart and circulatory physiology · 2024Article
- Automatic deep learning-based pleural effusion segmentation in lung ultrasound images.BMC medical informatics and decision making · 2023Article
- Ultrasonographic Presentation and Anatomic Distribution of Lung Involvement in Patients with Rheumatoid Arthritis.Diagnostics (Basel, Switzerland) · 2023Article
- Article
- Lung Ultrasound in the Evaluation of Lung Disease Severity in Children with Clinically Stable Cystic Fibrosis: A Prospective Cross-Sectional Study.Journal of clinical medicine · 2023Article
- Simplified Lung Ultrasound Examination and Telehealth Feasibility in Early SARS-CoV-2 Infection.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2022Article
- Point-of-Care Ultrasound Predicts Clinical Outcomes in Patients With COVID-19.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2022Article
- Observational
- Comparing accuracy of bedside ultrasound examination with physical examination for detection of pleural effusion.The ultrasound journal · 2021Article
- Point-of-care lung ultrasound in COVID-19 patients: inter- and intra-observer agreement in a prospective observational study.Scientific reports · 2021Observational
- CPIS Lung Ultrasound and the Erratic March toward Diagnostic Certainty in VAP.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLung ultrasound (LUS) has received considerable interest in the clinical evaluation of patients with COVID-19. Previously described LUS manifestations for COVID-19 include B-lines, consolidations, and pleural thickening. The interrater reliability (IRR) of these findings for COVID-19 is unknown.
methodsThis study was conducted between March and June 2020. Nine physicians (hospitalists: n = 4; emergency medicine: n = 5) from 3 medical centers independently evaluated n = 20 LUS scans (n = 180 independent observations) collected from patients with COVID-19, diagnosed via RT-PCR. These studies were randomly selected from an image database consisting of COVID-19 patients evaluated in the emergency department with portable ultrasound devices. Physicians were blinded to any patient information or previous LUS interpretation. Kappa values (κ) were used to calculate IRR.
resultsThere was substantial IRR on the following items: normal LUS scan (κ = 0.79 [95% CI: 0.72-0.87]), presence of B-lines (κ = 0.79 [95% CI: 0.72-0.87]), ≥3 B-lines observed (κ = 0.72 [95% CI: 0.64-0.79]). Moderate IRR was observed for the presence of any consolidation (κ = 0.57 [95% CI: 0.50-0.64]), subpleural consolidation (κ = 0.49 [95% CI: 0.42-0.56]), and presence of effusion (κ = 0.49 [95% CI: 0.41-0.56]). Fair IRR was observed for pleural thickening (κ = 0.23 [95% CI: 0.15-0.30]). DISCUSSION: Many LUS manifestations for COVID-19 appear to have moderate to substantial IRR across providers from multiple specialties utilizing differing portable devices. The most reliable LUS findings with COVID-19 may include the presence/count of B-lines or determining if a scan is normal. Clinical protocols for LUS with COVID-19 may require additional observers for the confirmation of less reliable findings such as consolidations.
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