Evidence map›Paper›PMID 36564742›Full record

ArticleBMC nephrology2022

Automated lung ultrasound image assessment using artificial intelligence to identify fluid overload in dialysis patients.

Grace Feng Ling Tan, Tiehua Du, Justin Shuang Liu, Chung Cheen Chai, Chan Maung Nyein, Allen Yan Lun Liu

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  18. Can Crowdsourced Annotations Improve AI-based Congestion Scoring For Bedside Lung Ultrasound?Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention · 2024
    Article
  19. Review
  20. Deep Learning for Detection and Localization of B-Lines in Lung Ultrasound.IEEE journal of biomedical and health informatics · 2023
    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

6 authors at 3 institutions in 1 country.

Grace Feng Ling TanDepartment of Medicine, Division of Renal Medicine, Khoo Teck Puat Hospital, Singapore, 768828, Singapore. grace.tan@ktph.com.sg.
Tiehua DuNanyang Polytechnic, Ave 8, Singapore, 569830, Singapore.
Justin Shuang LiuMinistry of Health Holdings Pte Ltd, Maritime Square, Singapore, 099253, Singapore.
Chung Cheen ChaiDepartment of Medicine, Division of Renal Medicine, Khoo Teck Puat Hospital, Singapore, 768828, Singapore.
Chan Maung NyeinDepartment of Medicine, Division of Renal Medicine, Khoo Teck Puat Hospital, Singapore, 768828, Singapore.
Allen Yan Lun LiuDepartment of Medicine, Division of Renal Medicine, Khoo Teck Puat Hospital, Singapore, 768828, Singapore.
Khoo Teck Puat Hospital · SGMinistry of Health · SGNanyang Polytechnic · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFluid assessment is challenging, and fluid overload poses a significant problem among dialysis patients, with pulmonary oedema being the most serious consequence. Our study aims to develop a simple objective fluid assessment strategy using lung ultrasound (LUS) and artificial intelligence (AI) to assess the fluid status of dialysis patients.

methodsThis was a single-centre study of 76 hemodialysis and peritoneal dialysis patients carried out between July 2020 to May 2022. The fluid status of dialysis patients was assessed via a simplified 8-point LUS method using a portable handheld ultrasound device (HHUSD), clinical examination and bioimpedance analysis (BIA). The primary outcome was the performance of 8-point LUS using a portable HHUSD in diagnosing fluid overload compared to physical examination and BIA. The secondary outcome was to develop and validate a novel AI software program to quantify B-line count and assess the fluid status of dialysis patients.

resultsOur study showed a moderate correlation between LUS B-line count and fluid overload assessed by clinical examination (r = 0.475, p < 0.001) and BIA (r = 0.356. p < 0.001). The use of AI to detect B-lines on LUS in our study for dialysis patients was shown to have good agreement with LUS B lines observed by physicians; (r = 0.825, p < 0.001) for the training dataset and (r = 0.844, p < 0.001) for the validation dataset.

conclusionOur study confirms that 8-point LUS using HHUSD, with AI-based detection of B lines, can provide clinically useful information on the assessment of hydration status and diagnosis of fluid overload for dialysis patients in a user-friendly and time-efficient way.

Indexed as

Heart FailurePulmonary EdemaWater-Electrolyte ImbalanceArtificial IntelligenceHumansLungRenal DialysisUltrasonographyArtificial intelligenceB linesHaemodialysisHandheld ultrasoundLung ultrasoundPeritoneal dialysisPOCUSPulmonary oedema

Identifiers

PMID36564742
PMCPMC9789672
OpenAlexW4313237534

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.