Respiratory failure & ventilation

Prospective Real-Time Validation of a Lung Ultrasound Deep Learning Model in the ICU

Crit Care MedPublished Diagnostic accuracy study

Authors' conclusion

A previously validated DL classification model performs equally well in real-time at the bedside when platformed on a portable device.

Study context

Population
Critically ill ICU patients receiving oxygen therapy and eligible for respiratory imaging; unstable patients or those unable to undergo lung ultrasound (LUS) excluded400 clips
Participants
100 patients
Comparison
Real-time deep learning (DL) model vs blinded expert annotation (gold standard) for A vs B line pattern on LUS
Outcome
Identification of B line pattern
Methodological detailsprospective, observational, real-time bedside deployment, blinded expert review, two tertiary-care sites, 56 patients mechanically ventilated
  • Prospective
  • Observational
  • Real-time bedside deployment
  • Blinded expert review
  • Two tertiary-care sites
  • 56 patients mechanically ventilated

Performance

As reported in the abstract

Test or modelAccuracySensitivitySpecificity
Real-time inference95%93%96%

Real-time inference

Accuracy95%
Sensitivity93%
Specificity96%

Further findings

Varying prediction thresholds (4 approaches)

Real-time modification of sensitivity and specificity according to clinical priorities is possible

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Prospective Real-Time Validation of a Lung Ultrasound Deep Learning Model in the ICU. Crit Care Med. Published 20 January 2023. doi:10.1097/ccm.0000000000005759

Composed by AI from the published abstract and checked against it. How Briefs are made →

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