Evidence map›Paper›PMID 34741469›Full record

ArticleJournal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine2022

Development and Validation of a Deep Learning Strategy for Automated View Classification of Pediatric Focused Assessment With Sonography for Trauma.

Aaron E Kornblith, Newton Addo, Ruolei Dong, Robert Rogers, Jacqueline Grupp-Phelan, Atul Butte, Pavan Gupta, Rachael A Callcut, Rima Arnaout

Open access · greenAbstract read
In one paragraph

Article in Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Article
  5. ArXiv · 2026
    Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. ENRICHing medical imaging training sets enables more efficient machine learning.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Aaron E KornblithDepartment of Emergency Medicine, University of California, San Francisco, CA, USA.ORCID https://orcid.org/0000-0002-1344-575X
Newton AddoDepartment of Emergency Medicine, University of California, San Francisco, CA, USA.ORCID https://orcid.org/0000-0002-3673-1804
Ruolei DongDepartment of Bioengineering, University of California, Berkeley, CA, USA.
Robert RogersCenter for Digital Health Innovation, University of California, San Francisco, CA, USA.
Jacqueline Grupp-PhelanDepartment of Emergency Medicine, University of California, San Francisco, CA, USA.
Atul ButteDepartment of Pediatrics, University of California, San Francisco, CA, USA.
Pavan GuptaCenter for Digital Health Innovation, University of California, San Francisco, CA, USA.
Rachael A CallcutCenter for Digital Health Innovation, University of California, San Francisco, CA, USA.
Rima ArnaoutBakar Computational Health Sciences Institute, University of California, San Francisco, CA, USA.
University of California, San Francisco · US

Funding

Clinical and Translational Science InstituteUL1TR001872 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COLLARD, HAROLD R, JACOBY, VANESSA · 2016 to 2025
$112.1M
Toward efficient performance for deep learning on medical imagingR01HL150394 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Rima Arnaout · 2020 to 2026
$6.2M
R01 Administrative Supplement for AI Prediction of Trauma Resuscitation ResponsivenessR01HL149670 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CALLCUT, RACHAEL A · 2020 to 2024
$4.6M
Genetics and Structure of Trabecular Myocardium in Development and DiseaseK08HL125945 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ARNAOUT, RIMA · 2015 to 2019
$863k
NCATS NIH HHS UL1 TR001872NHLBI NIH HHS K08 HL125945NHLBI NIH HHS R01 HL149670NHLBI NIH HHS R01 HL150394NIH HHS UL1 TR001872
6 · The paper itself

Abstract

objectivePediatric focused assessment with sonography for trauma (FAST) is a sequence of ultrasound views rapidly performed by clinicians to diagnose hemorrhage. A technical limitation of FAST is the lack of expertise to consistently acquire all required views. We sought to develop an accurate deep learning view classifier using a large heterogeneous dataset of clinician-performed pediatric FAST.

methodsWe developed and conducted a retrospective cohort analysis of a deep learning view classifier on real-world FAST studies performed on injured children less than 18 years old in two pediatric emergency departments by 30 different clinicians. FAST was randomly distributed to training, validation, and test datasets, 70:20:10; each child was represented in only one dataset. The primary outcome was view classifier accuracy for video clips and still frames.

resultsThere were 699 FAST studies, representing 4925 video clips and 1,062,612 still frames, performed by 30 different clinicians. The overall classification accuracy was 97.8% (95% confidence interval [CI]: 96.0-99.0) for video clips and 93.4% (95% CI: 93.3-93.6) for still frames. Per view still frames were classified with an accuracy: 96.0% (95% CI: 95.9-96.1) cardiac, 99.8% (95% CI: 99.8-99.8) pleural, 95.2% (95% CI: 95.0-95.3) abdominal upper quadrants, and 95.9% (95% CI: 95.8-96.0) suprapubic.

conclusionA deep learning classifier can accurately predict pediatric FAST views. Accurate view classification is important for quality assurance and feasibility of a multi-stage deep learning FAST model to enhance the evaluation of injured children.

Indexed as

Deep LearningFocused Assessment with Sonography for TraumaAdolescentChildEmergency Service, HospitalHumansRetrospective StudiesUltrasonographyabdominal injuries/diagnostic imagingdeep learningmachine learningpediatric traumaultrasonography

Identifiers

PMID34741469
PMCPMC9072593
OpenAlexW3209000341

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.