{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T14:43:47Z","timestamp":1792680227210,"version":"4.5.0"},"reference-count":0,"publisher":"SRUMB - Romanian Society for Ultrasonography in Medicine and Biology","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Ultrason"],"abstract":"<jats:p>Aim: This review was done to evaluate diagnostic accuracy of LUS against established ARDS reference standards in adult populations. Material and methods: Four electronic databases were searched through June 2025 without language restrictions. Two reviewers independently screened studies, extracted data, and assessed quality using QUADAS\u20112. Bivariate random\u2011effects models generated pooled sensitivity, specificity, likelihood ratios, diagnostic odds ratios (DORs), and hierarchical summary receiver\u2011operating characteristic (HSROC) curves. Subgroup analyses explored pattern\u2011 versus score\u2011based protocols and prospective study designs. Publication bias was assessed via Deeks\u2019 funnel\u2011plot test. Results: Fourteen studies (531 ARDS\u2010positive; 1354 ARDS\u2010negative; pre\u2011test probability=28%) met inclusion criteria. Overall pooled sensitivity was 0.84 (95%CI: 0.69\u20130.92) and specificity 0.94 (95%CI: 0.83\u20130.98), with an AUROC of 0.95 (95%CI: 0.93\u20130.96). The positive likelihood ratio was 13.3 (95%CI: 5.0\u201335.9) and negative likelihood ratio 0.17 (95%CI: 0.09\u20130.34), corresponding to a DOR of 77 (95%CI: 26\u2013227). Pattern\u2011based protocols achieved sensitivity 0.82 and specificity 0.96 (AUROC=0.96), while score\u2011based approaches yielded sensitivity 0.90 and specificity 0.83 (AUROC=0.93). Deeks\u2019 test indicated potential publication bias (p=0.004). Conclusions: LUS demonstrates excellent rule\u2011in and rule\u2011out performance for ARDS in critically ill adults, rivalling CT accuracy without its drawbacks. Adoption of standardized LUS protocols and integration into ARDS diagnostic pathways could enhance early detection, optimize management, and reduce reliance on ionizing imaging.<\/jats:p>","DOI":"10.11152\/mu-4582","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T09:21:21Z","timestamp":1768987281000},"page":"88","source":"Crossref","is-referenced-by-count":1,"title":["Diagnostic accuracy of lung ultrasound for the identification of acute respiratory distress syndrome: A systematic review and meta-analysis"],"prefix":"10.11152","volume":"28","author":[{"given":"Chunyan","family":"Ji","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingzhu","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilan","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4840","published-online":{"date-parts":[[2026,3,18]]},"container-title":["Medical Ultrasonography"],"original-title":[],"link":[{"URL":"https:\/\/www.medultrason.ro\/medultrason\/index.php\/medultrason\/article\/viewFile\/4582\/2639","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.medultrason.ro\/medultrason\/index.php\/medultrason\/article\/viewFile\/4582\/2639","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T17:39:35Z","timestamp":1773855575000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.medultrason.ro\/medultrason\/index.php\/medultrason\/article\/view\/4582"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,18]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,3,18]]}},"URL":"https:\/\/doi.org\/10.11152\/mu-4582","relation":{},"ISSN":["2066-8643","1844-4172"],"issn-type":[{"value":"2066-8643","type":"electronic"},{"value":"1844-4172","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,18]]}}}