Evidence map›Paper›PMID 33447023›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2020

Prediction of Obstructive Lung Disease from Chest Radiographs via Deep Learning Trained on Pulmonary Function Data.

Joyce D Schroeder, Ricardo Bigolin Lanfredi, Tao Li, Jessica Chan, Clement Vachet, Robert Paine Iii, Vivek Srikumar, Tolga Tasdizen

Open access · goldAbstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
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

17 citing papers in PubMed, 40 citations in OpenAlex.

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  14. Effect of image resolution on automated classification of chest X-rays.Journal of medical imaging (Bellingham, Wash.) · 2023
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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 at 1 institution in 1 country.

Joyce D SchroederDepartment of Radiology and Imaging Sciences, School of Medicine, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0002-7451-4886
Ricardo Bigolin LanfrediDepartment of Electrical and Computer Engineering, Scientific Computing and Imaging Institute (SCI), University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-8740-5796
Tao LiSchool of Computing, University of Utah, Salt Lake City, UT, USA.
Jessica ChanDepartment of Radiology and Imaging Sciences, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Clement VachetBiomedical Imaging and Data Analytics Core, SCI, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0002-8771-1803
Robert Paine IiiDivision of Pulmonary and Critical Care Medicine, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Vivek SrikumarSchool of Computing, University of Utah, Salt Lake City, UT, USA.
Tolga TasdizenDepartment of Electrical and Computer Engineering, Scientific Computing and Imaging Institute (SCI), University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-6574-0366
University of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic obstructive pulmonary disease (COPD), the third leading cause of death worldwide, is often underdiagnosed. Purpose: To develop machine learning methods to predict COPD using chest radiographs and a convolutional neural network (CNN) trained with near-concurrent pulmonary function test (PFT) data. Comparison is made to natural language processing (NLP) of the associated radiologist text reports. Materials and Methods: This IRB-approved single-institution retrospective study uses 6749 two-view chest radiograph exams (2012-2017, 4436 unique subjects, 54% female, 46% male), same-day associated radiologist text reports, and PFT exams acquired within 180 days. The Image Model (Resnet18 pre-trained with ImageNet CNN) is trained using frontal and lateral radiographs and PFTs with 10% of the subjects for validation and 19% for testing. The NLP Model is trained using radiologist text reports and PFTs. The primary metric of model comparison is the area under the receiver operating characteristic curve (AUC). Results: The Image Model achieves an AUC of 0.814 for prediction of obstructive lung disease (FEV1/FVC <0.7) from chest radiographs and performs better than the NLP Model (AUC 0.704, p<0.001) from radiologist text reports where FEV1 = forced expiratory volume in 1 second and FVC = forced vital capacity. The Image Model performs better for prediction of severe or very severe COPD (FEV1 <0.5) with an AUC of 0.837 versus the NLP model AUC of 0.770 (p<0.001). Conclusion: A CNN Image Model trained on physiologic lung function data (PFTs) can be applied to chest radiographs for quantitative prediction of obstructive lung disease with good accuracy.

Indexed as

Deep LearningPulmonary Disease, Chronic ObstructiveFemaleHumansLungMaleRetrospective StudiesVital Capacitychronic obstructive pulmonary diseasemachine learningnatural language processingquantitative image analysis

Identifiers

PMID33447023
PMCPMC7801924
OpenAlexW3118630706

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.