  Lung ultrasound (LUS) is an important imaging modality used by emergency
physicians to assess pulmonary congestion at the patient bedside. B-line
artifacts in LUS videos are key findings associated with pulmonary congestion.
Not only can the interpretation of LUS be challenging for novice operators, but
visual quantification of B-lines remains subject to observer variability. In
this work, we investigate the strengths and weaknesses of multiple deep
learning approaches for automated B-line detection and localization in LUS
videos. We curate and publish, BEDLUS, a new ultrasound dataset comprising
1,419 videos from 113 patients with a total of 15,755 expert-annotated B-lines.
Based on this dataset, we present a benchmark of established deep learning
methods applied to the task of B-line detection. To pave the way for
interpretable quantification of B-lines, we propose a novel "single-point"
approach to B-line localization using only the point of origin. Our results
show that (a) the area under the receiver operating characteristic curve ranges
from 0.864 to 0.955 for the benchmarked detection methods, (b) within this
range, the best performance is achieved by models that leverage multiple
successive frames as input, and (c) the proposed single-point approach for
B-line localization reaches an F1-score of 0.65, performing on par with the
inter-observer agreement. The dataset and developed methods can facilitate
further biomedical research on automated interpretation of lung ultrasound with
the potential to expand the clinical utility.
