Evidence map›Paper›PMID 33928257›Full record

ArticleRadiology. Artificial intelligence2021

Combining Initial Radiographs and Clinical Variables Improves Deep Learning Prognostication in Patients with COVID-19 from the Emergency Department.

Young Joon Fred Kwon, Danielle Toussie, Mark Finkelstein, Mario A Cedillo, Samuel Z Maron, Sayan Manna, Nicholas Voutsinas, Corey Eber, Adam Jacobi, Adam Bernheim and 6 more

Abstract read
In one paragraph

Article in Radiology. Artificial intelligence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

16 authors.

Young Joon Fred KwonDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0002-0893-9472
Danielle ToussieDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0002-8947-7002
Mark FinkelsteinDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0003-0576-4109
Mario A CedilloDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0002-2014-4664
Samuel Z MaronDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0002-9805-2268
Sayan MannaDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0001-8649-2592
Nicholas VoutsinasDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0003-1177-758X
Corey EberDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0003-3290-420X
Adam JacobiDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0002-9057-9129
Adam BernheimDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.
Yogesh Sean GuptaDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.
Michael S ChungDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0002-0976-4088
Zahi A FayadDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0002-3439-7347
Benjamin S GlicksbergDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0003-4515-8090
Eric K OermannDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0002-1876-5963
Anthony B CostaDepartment of Diagnostic, Molecular, and Interventional Radiology (Y.J.F.K., D.T., M.F., M.A.C., S.Z.M., S.M., N.V., C.E., A.J., A.B., Y.S.G., M.S.C., Z.A.F.), Department of Neurosurgery (Y.J.F.K., E.K.O., A.B.C.), Sinai BioDesign (Y.J.F.K., A.B.C.), BioMedical Engineering and Imaging Institute (Z.A.F.), Mount Sinai COVID Informatics Center (Z.A.F., B.S.G.), and The Hasso Plattner Institute for Digital Health at Mount Sinai (B.S.G.), Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, Box 1136, New York, NY 10029-6574.ORCID 0000-0002-2202-6450

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo train a deep learning classification algorithm to predict chest radiograph severity scores and clinical outcomes in patients with coronavirus disease 2019 (COVID-19). MATERIALS AND

methodsIn this retrospective cohort study, patients aged 21-50 years who presented to the emergency department (ED) of a multicenter urban health system from March 10 to 26, 2020, with COVID-19 confirmation at real-time reverse-transcription polymerase chain reaction screening were identified. The initial chest radiographs, clinical variables, and outcomes, including admission, intubation, and survival, were collected within 30 days (

resultsThe model trained on the chest radiograph severity score produced the following areas under the receiver operating characteristic curves (AUCs): 0.80 (95% CI: 0.73, 0.88) for the chest radiograph severity score, 0.76 (95% CI: 0.68, 0.84) for admission, 0.66 (95% CI: 0.56, 0.75) for intubation, and 0.59 (95% CI: 0.49, 0.69) for death. The model trained on clinical variables produced an AUC of 0.64 (95% CI: 0.55, 0.73) for intubation and an AUC of 0.59 (95% CI: 0.50, 0.68) for death. Combining chest radiography and clinical variables increased the AUC of intubation and death to 0.88 (95% CI: 0.79, 0.96) and 0.82 (95% CI: 0.72, 0.91), respectively.

conclusionThe combination of imaging and clinical information improves outcome predictions.

Identifiers

PMID33928257
PMCPMC7754832

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