Evidence map›Paper›PMID 37003997›Full record

Observational studyBMC infectious diseases2023

The value of lung ultrasound in COVID-19 pneumonia, verified by high resolution computed tomography assessed by artificial intelligence.

Robert Chrzan, Kamil Polok, Jakub Antczak, Andżelika Siwiec-Koźlik, Wojciech Jagiełło, Tadeusz Popiela

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04513210 (Reliability of Standardized Protocol of Ultrasound of the Lungs in Prediction of Severity, Length of Hospitalization and Long-term Complications and of Covid-19 Infection), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 34% 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.

NCT04513210 completednot on this map

Reliability of Standardized Protocol of Ultrasound of the Lungs in Prediction of Severity, Length of Hospitalization and Long-term Complications and of Covid-19 Infection

TypeobservationalSponsorJagiellonian UniversityRan2020 to 2023Enrolled94ConditionsCovid19
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Robert ChrzanDepartment of Radiology, Jagiellonian University Medical College, Kopernika 19, 31-501, Krakow, Poland. robert.chrzan@uj.edu.pl.
Kamil PolokDepartment of Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Krakow, Poland.
Jakub AntczakDepartment of Neurology, Jagiellonian University Medical College, Krakow, Poland.
Andżelika Siwiec-KoźlikDepartment of Rheumatology and Immunology, Jagiellonian University Medical College, Krakow, Poland.
Wojciech JagiełłoSecond Department of Internal Medicine, Jagiellonian University Medical College, Krakow, Poland.
Tadeusz PopielaDepartment of Radiology, Jagiellonian University Medical College, Kopernika 19, 31-501, Krakow, Poland.
Jagiellonian University · PL

Funding

Narodowe Centrum Badań i Rozwoju SZPITALE-JEDNOIMIENNE/18/2020
6 · The paper itself

Abstract

backgroundLung ultrasound (LUS) is an increasingly popular imaging method in clinical practice. It became particularly important during the COVID-19 pandemic due to its mobility and ease of use compared to high-resolution computed tomography (HRCT). The objective of this study was to assess the value of LUS in quantifying the degree of lung involvement and in discrimination of lesion types in the course of COVID-19 pneumonia as compared to HRCT analyzed by the artificial intelligence (AI).

methodsThis was a prospective observational study including adult patients hospitalized due to COVID-19 in whom initial HRCT and LUS were performed with an interval < 72 h. HRCT assessment was performed automatically by AI. We evaluated the correlations between the inflammation volume assessed both in LUS and HRCT, between LUS results and the HRCT structure of inflammation, and between LUS and the laboratory markers of inflammation. Additionally we compared the LUS results in subgroups depending on the respiratory failure throughout the hospitalization.

resultsStudy group comprised 65 patients, median 63 years old. For both lungs, the median LUS score was 19 (IQR-interquartile range 11-24) and the median CT score was 22 (IQR 16-26). Strong correlations were found between LUS and CT scores (for both lungs r = 0.75), and between LUS score and percentage inflammation volume (PIV) (r = 0.69). The correlations remained significant, if weakened, for individual lung lobes. The correlations between LUS score and the value of the percentage consolidation volume (PCV) divided by percentage ground glass volume (PGV), were weak or not significant. We found significant correlation between LUS score and C-reactive protein (r = 0.55), and between LUS score and interleukin 6 (r = 0.39). LUS score was significantly higher in subgroups with more severe respiratory failure.

conclusionsLUS can be regarded as an accurate method to evaluate the extent of COVID-19 pneumonia and as a promising tool to estimate its clinical severity. Evaluation of LUS in the assessment of the structure of inflammation, requires further studies in the course of the disease.

trial registrationThe study has been preregistered 13 Aug 2020 on clinicaltrials.gov with the number NCT04513210.

Indexed as

COVID-19Respiratory InsufficiencyAdultArtificial IntelligenceHumansInflammationLungMiddle AgedPandemicsSARS-CoV-2TomographyTomography, X-Ray ComputedUltrasonographyArtificial intelligenceCOVID-19HRCTLUS

Identifiers

PMID37003997
PMCPMC10064611
OpenAlexW4362473308

What OpenQuestion holds

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Registered trials

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.