Evidence map›Paper›PMID 34017001›Full record

ArticleNature communications2021

Deep learning predicts cardiovascular disease risks from lung cancer screening low dose computed tomography.

Hanqing Chao, Hongming Shan, Fatemeh Homayounieh, Ramandeep Singh, Ruhani Doda Khera, Hengtao Guo, Timothy Su, Ge Wang, Mannudeep K Kalra, Pingkun Yan

Abstract readValidation Study
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
–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

51 citing papers in PubMed.

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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

10 authors.

Hanqing ChaoDepartment of Biomedical Engineering, Biomedical Imaging Center, Rensselaer Polytechnic Institute, Troy, NY, USA.ORCID 0000-0001-5973-2343
Hongming ShanDepartment of Biomedical Engineering, Biomedical Imaging Center, Rensselaer Polytechnic Institute, Troy, NY, USA.ORCID 0000-0002-0604-3197
Fatemeh HomayouniehDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-0402-4037
Ramandeep SinghDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-5840-9907
Ruhani Doda KheraDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Hengtao GuoDepartment of Biomedical Engineering, Biomedical Imaging Center, Rensselaer Polytechnic Institute, Troy, NY, USA.
Timothy SuNiskayuna High School, Niskayuna, NY, USA.
Ge WangDepartment of Biomedical Engineering, Biomedical Imaging Center, Rensselaer Polytechnic Institute, Troy, NY, USA. wangg6@rpi.edu.ORCID 0000-0002-2656-7705
Mannudeep K KalraDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. mkalra@mgh.harvard.edu.ORCID 0000-0001-9938-7476
Pingkun YanDepartment of Biomedical Engineering, Biomedical Imaging Center, Rensselaer Polytechnic Institute, Troy, NY, USA. yanp2@rpi.edu.ORCID 0000-0002-9779-2141

Funding

Deep Radiomic Analysis of Coronary Heart Disease with Lung Screening CTR56HL145172 · NHLBI · RENSSELAER POLYTECHNIC INSTITUTE · PI KALRA, MANNUDEEP KARANVIR SINGH, YAN, PINGKUN · 2019 to 2019
$370k
NHLBI NIH HHS R56 HL145172
6 · The paper itself

Abstract

Cancer patients have a higher risk of cardiovascular disease (CVD) mortality than the general population. Low dose computed tomography (LDCT) for lung cancer screening offers an opportunity for simultaneous CVD risk estimation in at-risk patients. Our deep learning CVD risk prediction model, trained with 30,286 LDCTs from the National Lung Cancer Screening Trial, achieves an area under the curve (AUC) of 0.871 on a separate test set of 2,085 subjects and identifies patients with high CVD mortality risks (AUC of 0.768). We validate our model against ECG-gated cardiac CT based markers, including coronary artery calcification (CAC) score, CAD-RADS score, and MESA 10-year risk score from an independent dataset of 335 subjects. Our work shows that, in high-risk patients, deep learning can convert LDCT for lung cancer screening into a dual-screening quantitative tool for CVD risk estimation.

Indexed as

Deep LearningAdultAgedAged, 80 and overCardiovascular DiseasesClinical Trials as TopicCoronary VesselsDatasets as TopicElectrocardiographyFemaleFollow-Up StudiesHumansImage Processing, Computer-AssistedLungLung NeoplasmsMale

Identifiers

PMID34017001
PMCPMC8137697

What OpenQuestion holds

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LicenceCC BY
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.