Evidence map›Paper›PMID 31793851›Full record

ArticleRadiology2020

Deep Learning Enables Automatic Classification of Emphysema Pattern at CT.

Stephen M Humphries, Aleena M Notary, Juan Pablo Centeno, Matthew J Strand, James D Crapo, Edwin K Silverman, David A Lynch, Genetic Epidemiology of COPD (COPDGene) Investigators

Abstract readMulticenter Study
In one paragraph

Article in Radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Stephen M HumphriesFrom the Department of Radiology (S.M.H., A.M.N., J.P.C., D.A.L.), Division of Biostatistics and Bioinformatics (M.J.S.), and Department of Medicine (J.D.C.), National Jewish Health, 1400 Jackson St, Denver, CO 80206-2761; and Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass (E.K.S.).ORCID 0000-0002-5113-4530
Aleena M NotaryFrom the Department of Radiology (S.M.H., A.M.N., J.P.C., D.A.L.), Division of Biostatistics and Bioinformatics (M.J.S.), and Department of Medicine (J.D.C.), National Jewish Health, 1400 Jackson St, Denver, CO 80206-2761; and Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass (E.K.S.).
Juan Pablo CentenoFrom the Department of Radiology (S.M.H., A.M.N., J.P.C., D.A.L.), Division of Biostatistics and Bioinformatics (M.J.S.), and Department of Medicine (J.D.C.), National Jewish Health, 1400 Jackson St, Denver, CO 80206-2761; and Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass (E.K.S.).
Matthew J StrandFrom the Department of Radiology (S.M.H., A.M.N., J.P.C., D.A.L.), Division of Biostatistics and Bioinformatics (M.J.S.), and Department of Medicine (J.D.C.), National Jewish Health, 1400 Jackson St, Denver, CO 80206-2761; and Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass (E.K.S.).
James D CrapoFrom the Department of Radiology (S.M.H., A.M.N., J.P.C., D.A.L.), Division of Biostatistics and Bioinformatics (M.J.S.), and Department of Medicine (J.D.C.), National Jewish Health, 1400 Jackson St, Denver, CO 80206-2761; and Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass (E.K.S.).ORCID 0000-0002-1262-5230
Edwin K SilvermanFrom the Department of Radiology (S.M.H., A.M.N., J.P.C., D.A.L.), Division of Biostatistics and Bioinformatics (M.J.S.), and Department of Medicine (J.D.C.), National Jewish Health, 1400 Jackson St, Denver, CO 80206-2761; and Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass (E.K.S.).
David A LynchFrom the Department of Radiology (S.M.H., A.M.N., J.P.C., D.A.L.), Division of Biostatistics and Bioinformatics (M.J.S.), and Department of Medicine (J.D.C.), National Jewish Health, 1400 Jackson St, Denver, CO 80206-2761; and Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass (E.K.S.).ORCID 0000-0002-6329-2325
Genetic Epidemiology of COPD (COPDGene) InvestigatorsFrom the Department of Radiology (S.M.H., A.M.N., J.P.C., D.A.L.), Division of Biostatistics and Bioinformatics (M.J.S.), and Department of Medicine (J.D.C.), National Jewish Health, 1400 Jackson St, Denver, CO 80206-2761; and Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass (E.K.S.).

Funding

Genetic Epidemiology of COPDU01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2007 to 2021
$56.9M
Genetic Epidemiology of COPDU01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2007 to 2021
$20.7M
NHLBI NIH HHS U01 HL089856NHLBI NIH HHS U01 HL089897
6 · The paper itself

Abstract

BackgroundPattern of emphysema at chest CT, scored visually by using the Fleischner Society system, is associated with physiologic impairment and mortality risk.PurposeTo determine whether participant-level emphysema pattern could predict impairment and mortality when classified by using a deep learning method.Materials and MethodsThis retrospective analysis of Genetic Epidemiology of COPD (COPDGene) study participants enrolled between 2007 and 2011 included those with baseline CT, visual emphysema scores, and survival data through 2018. Participants were partitioned into nonoverlapping sets of 2407 for algorithm training, 100 for validation and parameter tuning, and 7143 for testing. A deep learning algorithm using convolutional neural network and long short-term memory architectures was trained to classify pattern of emphysema according to Fleischner criteria. Deep learning scores were compared with visual scores and clinical parameters including pulmonary function tests. Cox proportional hazard models were used to evaluate relationships between emphysema scores and survival. The algorithm was also tested by using CT and clinical data in 1962 participants enrolled in the Evaluation of COPD Longitudinally to Identify Predictive Surrogate End-points (ECLIPSE) study.ResultsA total of 7143 COPDGene participants (mean age ± standard deviation, 59.8 years ± 8.9; 3734 men and 3409 women) were evaluated. Deep learning emphysema classifications were associated with impaired pulmonary function tests, 6-minute walk distance, and St George's Respiratory Questionnaire at univariate analysis (

Indexed as

AgedAged, 80 and overDeep LearningFemaleHumansImage Interpretation, Computer-AssistedLungMaleMiddle AgedProspective StudiesPulmonary EmphysemaRetrospective StudiesSeverity of Illness IndexTomography, X-Ray Computed

Identifiers

PMID31793851
PMCPMC6996603

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.