Evidence map›Paper›PMID 33739635›Full record

ArticleKorean journal of radiology2021

Machine Learning-Based Prediction of COVID-19 Severity and Progression to Critical Illness Using CT Imaging and Clinical Data.

Subhanik Purkayastha, Yanhe Xiao, Zhicheng Jiao, Rujapa Thepumnoeysuk, Kasey Halsey, Jing Wu, Thi My Linh Tran, Ben Hsieh, Ji Whae Choi, Dongcui Wang and 12 more

Abstract read
In one paragraph

Article in Korean journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Radiomics analysis in medical imaging research.Journal of medical radiation sciences · 2023
    Article
  11. Article
  12. Article
  13. Predicting the Disease Severity of Virus Infection.Advances in experimental medicine and biology · 2022
    Article
  14. Looking Ahead to 2022 for theKorean journal of radiology · 2022
    Article
  15. Review
  16. Article
  17. Article
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

22 authors.

Subhanik Purkayastha *Department of Diagnostic Imaging, Rhode Island Hospital, Providence, RI, USA.ORCID 0000-0003-3067-2070
Yanhe Xiao *Department of Radiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0003-1553-0883
Zhicheng JiaoDepartment of Radiology, Center for Biomedical Image Computation and Analytics, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-6968-0919
Rujapa ThepumnoeysukDepartment of Diagnostic Imaging, Rhode Island Hospital, Providence, RI, USA.ORCID 0000-0002-1637-1768
Kasey HalseyDepartment of Diagnostic Imaging, Rhode Island Hospital, Providence, RI, USA.ORCID 0000-0002-6746-8615
Jing WuDepartment of Radiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0001-9602-7387
Thi My Linh TranDepartment of Diagnostic Imaging, Rhode Island Hospital, Providence, RI, USA.ORCID 0000-0002-8126-1258
Ben HsiehDepartment of Diagnostic Imaging, Rhode Island Hospital, Providence, RI, USA.ORCID 0000-0001-5209-801X
Ji Whae ChoiDepartment of Diagnostic Imaging, Rhode Island Hospital, Providence, RI, USA.ORCID 0000-0003-1061-3102
Dongcui WangDepartment of Radiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0002-4435-2214
Martin VallièresDepartment of Computer Science, Université de Sherbrooke, Sherbrooke, Canada.ORCID 0000-0001-7639-8172
Robin WangDepartment of Radiology, Center for Biomedical Image Computation and Analytics, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0001-7369-0602
Scott CollinsDepartment of Diagnostic Imaging, Rhode Island Hospital, Providence, RI, USA.ORCID 0000-0002-8117-164X
Xue FengCarina Medical, Lexington, KY, USA.ORCID 0000-0002-2181-9889
Michael FeldmanDepartment of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-6661-4940
Paul J ZhangDepartment of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0001-6810-8681
Michael AtalayDepartment of Diagnostic Imaging, Rhode Island Hospital, Providence, RI, USA.ORCID 0000-0003-3549-2634
Ronnie SebroDepartment of Radiology, Center for Biomedical Image Computation and Analytics, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0001-7232-4416
Li YangDepartment of Radiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0001-5973-3653
Yong FanDepartment of Radiology, Center for Biomedical Image Computation and Analytics, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0001-9869-4685
Wei Hua LiaoDepartment of Radiology, Xiangya Hospital, Central South University, Changsha, China. owenliao@csu.edu.cn.ORCID 0000-0002-1926-3527
Harrison X BaiDepartment of Diagnostic Imaging, Rhode Island Hospital, Providence, RI, USA.ORCID 0000-0002-7460-8866

Funding

Personalized Functional Network Modeling to Characterize and Predict Psychopathology in YouthR01EB022573 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI Yong Fan, Theodore Satterthwaite · 2016 to 2026
$6.0M
Individualized Closed Loop TMS for Working Memory EnhancementR01MH120811 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI FAN, YONG, OATHES, DESMOND · 2019 to 2023
$3.5M
Anatomic biomarkers of chronic kidney disease progression among childrenR21DK117297 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI FAN, YONG, TASIAN, GREGORY EDWARD · 2019 to 2020
$469k
Learning radiomic signatures to early predict response of rectal cancer patients to neoadjuvant chemoradiation therapyR21CA223358 · NCI · UNIVERSITY OF PENNSYLVANIA · PI FAN, YONG · 2018 to 2019
$380k
Deep learning for renal tumor characterizationR03CA249554 · NCI · RHODE ISLAND HOSPITAL · PI BAI, HARRISON · 2020 to 2021
$162k
Amazon Web Services Diagnostic Development InitiativeBrown COVID-19 Research Seed AwardNational Institutes of Health/National Cancer Institute R03 grantNational Institutes of Health/National Cancer Institute R03 grant R03CA249554NCI NIH HHS R03 CA249554NCI NIH HHS R21 CA223358NIBIB NIH HHS R01 EB022573NIDDK NIH HHS R21 DK117297NIH HHS CA223358NIH HHS DK117297NIH HHS EB022573NIH HHS MH120811NIMH NIH HHS R01 MH120811RSNA Research Scholar Grant
6 · The paper itself

Abstract

objectiveTo develop a machine learning (ML) pipeline based on radiomics to predict Coronavirus Disease 2019 (COVID-19) severity and the future deterioration to critical illness using CT and clinical variables. MATERIALS AND

methodsClinical data were collected from 981 patients from a multi-institutional international cohort with real-time polymerase chain reaction-confirmed COVID-19. Radiomics features were extracted from chest CT of the patients. The data of the cohort were randomly divided into training, validation, and test sets using a 7:1:2 ratio. A ML pipeline consisting of a model to predict severity and time-to-event model to predict progression to critical illness were trained on radiomics features and clinical variables. The receiver operating characteristic area under the curve (ROC-AUC), concordance index (C-index), and time-dependent ROC-AUC were calculated to determine model performance, which was compared with consensus CT severity scores obtained by visual interpretation by radiologists.

resultsAmong 981 patients with confirmed COVID-19, 274 patients developed critical illness. Radiomics features and clinical variables resulted in the best performance for the prediction of disease severity with a highest test ROC-AUC of 0.76 compared with 0.70 (0.76 vs. 0.70,

conclusionCT radiomics features combined with clinical variables were predictive of COVID-19 severity and progression to critical illness with fairly high accuracy.

Indexed as

Machine LearningSeverity of Illness IndexCOVID-19Critical IllnessHumansMaleMiddle AgedRetrospective StudiesROC CurveSARS-CoV-2Tomography, X-Ray ComputedCOVID-19CTMachine learningRadiomicsSeverity

Identifiers

PMID33739635
PMCPMC8236359

What OpenQuestion holds

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LicenceCC BY-NC
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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.