Evidence map›Paper›PMID 40025516›Full record

ArticleCardiovascular ultrasound2025

Performance of a point-of-care ultrasound platform for artificial intelligence-enabled assessment of pulmonary B-lines.

Ashkan Labaf, Linda Åhman-Persson, Leo Silvén Husu, J Gustav Smith, Annika Ingvarsson, Anna Werther Evaldsson

Abstract read
In one paragraph

Article in Cardiovascular ultrasound, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. AI-Enhanced POCUS in Emergency Care.Diagnostics (Basel, Switzerland) · 2026
    Review
  3. Review
  4. 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.

Ashkan LabafDepartment of Clinical Sciences Lund, Cardiology, Section for Heart Failure and Valvular Disease, Lund University, Skåne University Hospital, Klinikgatan 15, Lund, 221 85, Sweden. ashkan.labaf@med.lu.se.
Linda Åhman-PerssonDepartment of Internal and Emergency Medicine, Skåne University Hospital, Malmö, Sweden.
Leo Silvén HusuDepartment of Internal and Emergency Medicine, Skåne University Hospital, Malmö, Sweden.
J Gustav SmithDepartment of Clinical Sciences Lund, Cardiology, Section for Heart Failure and Valvular Disease, Lund University, Skåne University Hospital, Klinikgatan 15, Lund, 221 85, Sweden.
Annika IngvarssonDepartment of Clinical Sciences Lund, Cardiology, Section for Heart Failure and Valvular Disease, Lund University, Skåne University Hospital, Klinikgatan 15, Lund, 221 85, Sweden.
Anna Werther EvaldssonDepartment of Clinical Sciences Lund, Cardiology, Section for Heart Failure and Valvular Disease, Lund University, Skåne University Hospital, Klinikgatan 15, Lund, 221 85, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incorporation of artificial intelligence (AI) into point-of-care ultrasound (POCUS) platforms has rapidly increased. The number of B-lines present on lung ultrasound (LUS) serve as a useful tool for the assessment of pulmonary congestion. Interpretation, however, requires experience and therefore AI automation has been pursued. This study aimed to test the agreement between the AI software embedded in a major vendor POCUS system and visual expert assessment.

methodsThis single-center prospective study included 55 patients hospitalized for various respiratory symptoms, predominantly acutely decompensated heart failure. A 12-zone protocol was used. Two experts in LUS independently categorized B-lines into 0, 1-2, 3-4, and ≥ 5. The intraclass correlation coefficient (ICC) was used to determine agreement.

resultsA total of 672 LUS zones were obtained, with 584 (87%) eligible for analysis. Compared with expert reviewers, the AI significantly overcounted number of B-lines per patient (23.5 vs. 2.8, p < 0.001). A greater proportion of zones with > 5 B-lines was found by the AI than by the reviewers (38% vs. 4%, p < 0.001). The ICC between the AI and reviewers was 0.28 for the total sum of B-lines and 0.37 for the zone-by-zone method. The interreviewer agreement was excellent, with ICCs of 0.92 and 0.91, respectively.

conclusionThis study demonstrated excellent interrater reliability of B-line counts from experts but poor agreement with the AI software embedded in a major vendor system, primarily due to overcounting. Our findings indicate that further development is needed to increase the accuracy of AI tools in LUS.

Indexed as

Artificial IntelligenceHeart FailureLungPoint-of-Care SystemsAgedFemaleHumansMaleMiddle AgedProspective StudiesReproducibility of ResultsUltrasonographyArtificial intelligenceB-linesLung ultrasoundPOCUS

Identifiers

PMID40025516
PMCPMC11874383

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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.