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Visual versus automatic ultrasound scoring of lung B-lines: reliability and consistency between systems.

Abstract：

AIMS:To evaluate the agreement between a visual and an automatic counting system of lung B-lines by ultrasound (US) as well as to test the inter- and intra-observer reliability of both systems in patients with lung diseases. MATERIAL AND METHODS:We included four patients with different lung conditions. Four ultrasonographers expert in lung US blindly, independently and consecutively performed, in two rounds, a US B-mode assessment of 8 lung intercostal spaces of each patient. Each US assessment consisted of a visual and an automatic counting of B-lines. RESULTS:Agreement between visual and automatic counting of B-lines was good to excellent [intraclass correlation coefficient (ICC) 0.79-0.84, p<0.001]. Intra-observer reliability was good to excellent [ICC 0.62-0.99, p<0.001] except for one investigator in whom it was close to moderate for the automatic system [ICC 0.49, p<0.05]. Inter-observer reliability was excellent for both systems in both rounds [ICC 0.86-0.90, p<0.001]. CONCLUSIONS:US automatic counting was consistent with US visual counting of lung B-lines, as performed by experts in the field. Both systems showed a high intra- and interobserver reliability.

journal_name

Med Ultrason

journal_title

Medical ultrasonography

authors

Short J,Acebes C,Rodriguez-de-Lema G,La Paglia GMC,Pavón M,Sánchez-Pernaute O,Vazquez JC,Romero-Bueno F,Garrido J,Naredo E

doi

10.11152/mu-1885

subject

Has Abstract

pub_date

2019-02-17 00:00:00

pages

45-49

issue

1

eissn

1844-4172

issn

2066-8643

journal_volume

21

pub_type

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