Evidence map›Paper›PMID 37286904›Full record

ArticleJournal of digital imaging2023

Using Deep Learning to Detect the Presence and Location of Hemoperitoneum on the Focused Assessment with Sonography in Trauma (FAST) Examination in Adults.

Megan M Leo, Ilkay Yildiz Potter, Mohsen Zahiri, Ashkan Vaziri, Christine F Jung, James A Feldman

Open access · bronzeAbstract read
In one paragraph

Article in Journal of digital imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. AI-Enhanced POCUS in Emergency Care.Diagnostics (Basel, Switzerland) · 2026
    Review
  8. Review
  9. Review
  10. SonoGif.com: A Free Online Tool to Remove Protected Health Information From Any Ultrasound Clip.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025
    Article
  11. Review
  12. Article
  13. Review
  14. Artificial Intelligence in Emergency Medicine: A Primer for the Nonexpert.Journal of the American College of Emergency Physicians open · 2025
    Article
  15. Article
  16. Review
  17. 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 4 institutions in 1 country.

Megan M LeoBoston University School of Medicine, Boston, MA, USA. megan.leo@bmc.org.ORCID http://orcid.org/0000-0001-5299-2492
Ilkay Yildiz PotterBioSensics, LLC, Newton, MA, USA.
Mohsen ZahiriBioSensics, LLC, Newton, MA, USA.
Ashkan VaziriBioSensics, LLC, Newton, MA, USA.
Christine F JungDivision of Emergency Ultrasound, Department of Emergency Medicine, John H. Stroger Jr. Hospital of Cook County, Chicago, IL, USA.
James A FeldmanBoston University School of Medicine, Boston, MA, USA.
BioSensics (United States) · USBoston Medical Center · USBoston University · USRosalind Franklin University of Medicine and Science · US

Funding

Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
Portable Ultrasound System for Automated Detection of Abdominal Free-FluidR44GM123821 · NIGMS · BIOSENSICS, LLC · PI FELDMAN, JAMES ALAN, VAZIRI, ASHKAN · 2020 to 2021
$1.5M
NCATS NIH HHS UL1 TR001430NIGMS NIH HHS R44 GM123821
6 · The paper itself

Abstract

Abdominal ultrasonography has become an integral component of the evaluation of trauma patients. Internal hemorrhage can be rapidly diagnosed by finding free fluid with point-of-care ultrasound (POCUS) and expedite decisions to perform lifesaving interventions. However, the widespread clinical application of ultrasound is limited by the expertise required for image interpretation. This study aimed to develop a deep learning algorithm to identify the presence and location of hemoperitoneum on POCUS to assist novice clinicians in accurate interpretation of the Focused Assessment with Sonography in Trauma (FAST) exam. We analyzed right upper quadrant (RUQ) FAST exams obtained from 94 adult patients (44 confirmed hemoperitoneum) using the YoloV3 object detection algorithm. Exams were partitioned via fivefold stratified sampling for training, validation, and hold-out testing. We assessed each exam image-by-image using YoloV3 and determined hemoperitoneum presence for the exam using the detection with highest confidence score. We determined the detection threshold as the score that maximizes the geometric mean of sensitivity and specificity over the validation set. The algorithm had 95% sensitivity, 94% specificity, 95% accuracy, and 97% AUC over the test set, significantly outperforming three recent methods. The algorithm also exhibited strength in localization, while the detected box sizes varied with a 56% IOU averaged over positive cases. Image processing demonstrated only 57-ms latency, which is adequate for real-time use at the bedside. These results suggest that a deep learning algorithm can rapidly and accurately identify the presence and location of free fluid in the RUQ of the FAST exam in adult patients with hemoperitoneum.

Indexed as

Deep LearningFocused Assessment with Sonography for TraumaAdultHemoperitoneumHumansSensitivity and SpecificityUltrasonographyArtificial intelligenceDeep learningEmergency ultrasoundFocused Assessment with Sonography in TraumaPoint-of-care ultrasoundTrauma

Identifiers

PMID37286904
PMCPMC10501965
OpenAlexW4379745507

What OpenQuestion holds

Textmetadata
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.