Classification of Severe and Critical Covid-19 Using Deep Learning and Radiomics
Li, Cong6,7; Dong, Di6,7; Li, Liang3; Gong, Wei3; Li, Xiaohu1; Bai, Yan2,8; Wang, Meiyun2,8; Hu, Zhenhua6,7; Zha, Yunfei3; Tian, Jie4,5
刊名IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS
2020-12-01
卷号24期号:12页码:3585-3594
关键词COVID-19 radiomics deep learning computed tomography (CT)
ISSN号2168-2194
DOI10.1109/JBHI.2020.3036722
英文摘要

Objective: The coronavirus disease 2019 (COVID-19) is rapidly spreading inside China and internationally. We aimed to construct a model integrating information from radiomics and deep learning (DL) features to discriminate critical cases from severe cases of COVID-19 using computed tomography (CT) images. Methods: We retrospectively enrolled 217 patients from three centers in China, including 82 patients with severe disease and 135 with critical disease. Patients were randomly divided into a training cohort (n = 174) and a test cohort (n = 43). We extracted 102 3-dimensional radiomic features from automatically segmented lung volume and selected the significant features. We also developed a 3-dimensional DL network based on center-cropped slices. Using multivariable logistic regression, we then created a merged model based on significant radiomic features and DL scores. We employed the area under the receiver operating characteristic curve (AUC) to evaluate the model's performance. We then conducted cross validation, stratified analysis, survival analysis, and decision curve analysis to evaluate the robustness of our method. Results: The merged model can distinguish critical patients with AUCs of 0.909 (95% confidence interval [CI]: 0.859-0.952) and 0.861 (95% CI: 0.753-0.968) in the training and test cohorts, respectively. Stratified analysis indicated that our model was not affected by sex, age, or chronic disease. Moreover, the results of the merged model showed a strong correlation with patient outcomes. Significance: A model combining radiomic and DL features of the lung could help distinguish critical cases from severe cases of COVID-19.

资助项目National Key R&D Program of China[2017YFC1308700] ; National Key R&D Program of China[2017YFA0205200] ; National Key R&D Program of China[2017YFC1309100] ; National Key R&D Program of China[2016YFC0102600] ; National Natural Science Foundation of China[82022036] ; National Natural Science Foundation of China[91959130] ; National Natural Science Foundation of China[81971776] ; National Natural Science Foundation of China[81771924] ; National Natural Science Foundation of China[6202790004] ; National Natural Science Foundation of China[81930053] ; National Natural Science Foundation of China[61622117] ; National Natural Science Foundation of China[81671759] ; Scientific Instrument Developing Project of the Chinese Academy of Sciences[YZ201672] ; Beijing Natural Science Foundation[L182061] ; Beijing Natural Science Foundation[JQ19027] ; Strategic Priority Research Program of Chinese Academy of Sciences[XDB 38040200] ; Beijing Nova Program[Z181100006218046] ; Project of High-Level Talents Team Introduction in Zhuhai City[Zhuhai HLHPTP201703] ; Youth Innovation Promotion Association CAS[2017175]
WOS关键词ARTIFICIAL-INTELLIGENCE ; BIOMARKER ; NETWORK
WOS研究方向Computer Science ; Mathematical & Computational Biology ; Medical Informatics
语种英语
出版者IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC
WOS记录号WOS:000597173000024
资助机构National Key R&D Program of China ; National Natural Science Foundation of China ; Scientific Instrument Developing Project of the Chinese Academy of Sciences ; Beijing Natural Science Foundation ; Strategic Priority Research Program of Chinese Academy of Sciences ; Beijing Nova Program ; Project of High-Level Talents Team Introduction in Zhuhai City ; Youth Innovation Promotion Association CAS
内容类型期刊论文
源URL[http://ir.ia.ac.cn/handle/173211/42728]  
专题自动化研究所_中国科学院分子影像重点实验室
通讯作者Hu, Zhenhua; Zha, Yunfei; Tian, Jie
作者单位1.Anhui Med Univ, Affiliated Hosp 1, Dept Radiol, Hefei 230022, Peoples R China
2.Zhengzhou Univ, Peoples Hosp, Zhengzhou 450003, Henan, Peoples R China
3.Wuhan Univ, Renmin Hosp, Dept Radiol, Wuhan 430060, Peoples R China
4.Guangzhou First Peoples Hosp, Dept Radiol, Guangzhou 510000, Peoples R China
5.Beihang Univ, Sch Med, Beijing Adv Innovat Ctr Big Data Based Precis Med, Beijing 100190, Peoples R China
6.Chinese Acad Sci, Inst Automat, State Key Lab Management & Control Complex Syst, CAS Key Lab Mol Imaging, Beijing 100190, Peoples R China
7.Univ Chinese Acad Sci, Sch Artificial Intelligence, Beijing 100190, Peoples R China
8.Zhengzhou Univ, Henan Prov Peoples Hosp, Dept Med Imaging, Zhengzhou 450003, Henan, Peoples R China
推荐引用方式
GB/T 7714
Li, Cong,Dong, Di,Li, Liang,et al. Classification of Severe and Critical Covid-19 Using Deep Learning and Radiomics[J]. IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS,2020,24(12):3585-3594.
APA Li, Cong.,Dong, Di.,Li, Liang.,Gong, Wei.,Li, Xiaohu.,...&Tian, Jie.(2020).Classification of Severe and Critical Covid-19 Using Deep Learning and Radiomics.IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS,24(12),3585-3594.
MLA Li, Cong,et al."Classification of Severe and Critical Covid-19 Using Deep Learning and Radiomics".IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS 24.12(2020):3585-3594.
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