Evidence map›Paper›PMID 39811554›Full record

ArticleERJ open research2025

Impact of ultrasound settings on lung vertical artefacts: an observational study in mechanically ventilated patients.

João Leote, Andreia Gonçalves, Júlia Fonseca, Ricardo Loução, Hermínia Dias, Maria Inês Ribeiro, Ricardo Meireles, Rita Varudo, Jacobo Bacariza, Filipe Gonzalez and 1 more

Abstract read
In one paragraph

Article in ERJ open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. To B or not to B-lines.Journal of anesthesia, analgesia and critical care · 2024
    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

11 authors.

João LeoteCritical Care Department, Hospital Garcia de Orta EPE, Almada, Portugal.ORCID https://orcid.org/0000-0001-9659-8438
Andreia GonçalvesEscola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisbon, Portugal.
Júlia FonsecaEscola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisbon, Portugal.
Ricardo LouçãoCenter of Neurosurgery, University Hospital of Cologne, Cologne, Germany.
Hermínia DiasEscola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisbon, Portugal.
Maria Inês RibeiroCritical Care Department, Hospital Garcia de Orta EPE, Almada, Portugal.
Ricardo MeirelesCritical Care Department, Hospital Garcia de Orta EPE, Almada, Portugal.
Rita VarudoCritical Care Department, Hospital Garcia de Orta EPE, Almada, Portugal.
Jacobo BacarizaCritical Care Department, Hospital Garcia de Orta EPE, Almada, Portugal.
Filipe GonzalezCritical Care Department, Hospital Garcia de Orta EPE, Almada, Portugal.
EchoCrit group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The number of vertical artefacts (VAs) in lung ultrasound (LUS) impacts patients' clinical management. This study aimed to demonstrate the influence of ultrasound settings on the number of VAs in patients under invasive mechanical ventilation (IMV). Methods: Patients under IMV were recruited for LUS, including three breathing cycles with a motionless curvilinear probe on the thoracic region with the most VAs. Three experts in LUS were asked about the number of VAs at random, and blinded after altering the settings for a total of 20 test recordings per patient. The correlation between expert classifications was tested after grading the classifications. The number of VAs across clinicians was compared between baseline recordings and test condition recordings to determine statistical differences. Results: 29 patients were enrolled with a median Sequential Organ Failure Assessment score of 6 (interquartile range (IQR) 3). IMV was mainly due to stroke (n=10) and pneumonia (n=6). LUS was made between days 1 and 6 (IQR). Baseline recordings showed a median of 2±2 VAs in inspiration and a median of 1±2 in expiration from a total of 3636 expert classifications, with a strong agreement within patients. A probe frequency of 8 MHz, artefact filtering, speckle reduction and frame average reduced the median VA number by one. A power of -20 dB and dynamic range of 32 dB abolished the VAs. A gain above 90% increased the median number of VAs by one. Conclusion: In this

Identifiers

PMID39811554
PMCPMC11726585

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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.