{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:48:55Z","timestamp":1791618535780,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100021708","name":"New South Wales Government","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021708","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the agreement between artificial intelligence (AI) interpretation and expert emergency physician sonologist review of echocardiograms performed in the Emergency Department (ED).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective multicentre agreement study in four Australian EDs. A total of 195 echocardiograms (2016\u20132023) underwent three\u2010stage adjudicated human expert review. Human reports were compared with us2.ai reports. Agreement across 10 validated parameters was reported as percentage exact match with 95% confidence intervals and kappa under two pre\u2010specified tiers: Guideline Compliant (GC; ASE\/EACVI multi\u2010view criteria) and Pragmatic (PR; any available measurement). Reference standard reliability was quantified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Pooled agreement was 76% at both tiers (GC\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009875; PR\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091323); AI returned an interpretation in 46% of evaluations at GC and 70% at PR. Four structural parameters reached 78%\u201387%: right atrial size 87% (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.62), right ventricular (RV) contractility 83% (\u03ba\u2009=\u20090.42), left ventricular (LV) size 83% (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.52) and RV size 78% (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.37). Binary LV systolic agreement was 79% GC and 83% PR. Expert reviewers agreed on 85% of interpretations. Pericardial effusion, aortic regurgitation and mitral stenosis, present in 7%\u201320% of patients, are not reported in the current us2.ai algorithm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>AI agreed with expert review in about three\u2010quarters of evaluations but provided a guideline\u2010compliant interpretation in less than half; a pragmatic approach raised yield to 70% at the same agreement. The AI withheld classifications that experts could reach; its validated scope covers only part of what ED echocardiography must address, and reports did not mark unassessed parameters. This study reports agreement, not accuracy. For now, human expert review of AI reports is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70364","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:01:56Z","timestamp":1791615716000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Artificial Intelligence Echocardiographic Interpretation in the Emergency Department: Agreement, Interpretation Yield and Reporting Scope"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9691-9438","authenticated-orcid":false,"given":"Vijay","family":"Manivel","sequence":"first","affiliation":[{"name":"Emergency Department Nepean Hospital  Sydney Australia"},{"name":"The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5127-9465","authenticated-orcid":false,"given":"Michael","family":"Hession","sequence":"additional","affiliation":[{"name":"Emergency Department Blacktown Mt Druitt Hospital  Sydney Australia"},{"name":"Western Sydney University  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3429-5153","authenticated-orcid":false,"given":"Behzad","family":"Mirmiran","sequence":"additional","affiliation":[{"name":"Emergency Department Nepean Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8954-1002","authenticated-orcid":false,"given":"Patrick","family":"Feeny","sequence":"additional","affiliation":[{"name":"Emergency Department Royal Adelaide Hospital  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3178-6536","authenticated-orcid":false,"given":"Nadi","family":"Pandithage","sequence":"additional","affiliation":[{"name":"Emergency Department Royal Darwin Hospital  Darwin Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8601-8435","authenticated-orcid":false,"given":"Nasim","family":"Erfani","sequence":"additional","affiliation":[{"name":"Emergency Department Nepean Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8895-8006","authenticated-orcid":false,"given":"Riaz","family":"Humayun","sequence":"additional","affiliation":[{"name":"Emergency Department Blacktown Mt Druitt Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9349-6124","authenticated-orcid":false,"given":"Steven","family":"Beatty","sequence":"additional","affiliation":[{"name":"Senior Medical Radiation Practitioner, Blacktown Mt Druitt Hospital  Sydney 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