Evidence map›Paper›PMID 34412614›Full record

ArticleBMC infectious diseases2021

Quantitative CT for detecting COVID‑19 pneumonia in suspected cases.

Weiping Lu, Jianguo Wei, Tingting Xu, Miao Ding, Xiaoyan Li, Mengxue He, Kai Chen, Xiaodan Yang, Huiyuan She, Bingcang Huang

Abstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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.

Weiping LuNingxia Medical University, Yinchuan, 750004, Ningxia, China.
Jianguo WeiNingxia Medical University, Yinchuan, 750004, Ningxia, China.
Tingting XuDepartment of Radiology, Gongli Hospital, 219 Miaopu Road, Pudong New Area, Shanghai, 200135, China.
Miao DingDepartment of Radiology, Gongli Hospital, 219 Miaopu Road, Pudong New Area, Shanghai, 200135, China.
Xiaoyan LiDepartment of Radiology, Gongli Hospital, 219 Miaopu Road, Pudong New Area, Shanghai, 200135, China.
Mengxue HeDepartment of Radiology, Gongli Hospital, 219 Miaopu Road, Pudong New Area, Shanghai, 200135, China.
Kai ChenDepartment of Radiology, Gongli Hospital, 219 Miaopu Road, Pudong New Area, Shanghai, 200135, China.
Xiaodan YangDepartment of Radiology, Gongli Hospital, 219 Miaopu Road, Pudong New Area, Shanghai, 200135, China.
Huiyuan SheDepartment of Infectious Diseases, Gongli Hospital, 219 Miaopu Road, Pudong New Area, Shanghai, 200135, China. shehuiy@sina.com.
Bingcang HuangDepartment of Radiology, Gongli Hospital, 219 Miaopu Road, Pudong New Area, Shanghai, 200135, China. hbc9209@sina.com.

Funding

Health and Family Planning Committee of Pudong New Area PWRl2017-04the Key Discipline Construction Project of Pudong New Area Health and Family Planning Commission PWZxk2017-26the Science and Technology Development Fund of Pudong New Area PKJ2017-Y23
6 · The paper itself

Abstract

backgroundCorona Virus Disease 2019 (COVID-19) is currently a worldwide pandemic and has a huge impact on public health and socio-economic development. The purpose of this study is to explore the diagnostic value of the quantitative computed tomography (CT) method by using different threshold segmentation techniques to distinguish between patients with or without COVID-19 pneumonia.

methodsA total of 47 patients with suspected COVID-19 were retrospectively analyzed, including nine patients with positive real-time fluorescence reverse transcription polymerase chain reaction (RT-PCR) test (confirmed case group) and 38 patients with negative RT-PCR test (excluded case group). An improved 3D convolutional neural network (VB-Net) was used to automatically extract lung lesions. Eight different threshold segmentation methods were used to define the ground glass opacity (GGO) and consolidation. The receiver operating characteristic (ROC) curves were used to compare the performance of various parameters with different thresholds for diagnosing COVID-19 pneumonia.

resultsThe volume of GGO (VOGGO) and GGO percentage in the whole lung (GGOPITWL) were the most effective values for diagnosing COVID-19 at a threshold of - 300 HU, with areas under the curve (AUCs) of 0.769 and 0.769, sensitivity of 66.67 and 66.67%, specificity of 94.74 and 86.84%. Compared with VOGGO or GGOPITWL at a threshold of - 300 Hounsfield units (HU), the consolidation percentage in the whole lung (CPITWL) with thresholds at - 400 HU, - 350 HU, and - 250 HU were statistically different. There were statistical differences in the infection volume and percentage of the whole lung, right lung, and lobes between the two groups. VOGGO, GGOPITWL, and volume of consolidation (VOC) were also statistically different at the threshold of - 300 HU.

conclusionsQuantitative CT provides an image quantification method for the auxiliary diagnosis of COVID-19 and is expected to assist in confirming patients with COVID-19 pneumonia in suspected cases.

Indexed as

COVID-19Artificial IntelligenceHumansPneumoniaRetrospective StudiesSARS-CoV-2Tomography, X-Ray ComputedArtificial intelligenceCOVID-19Quantitative CTSuspected casesThreshold segmentation

Identifiers

PMID34412614
PMCPMC8374412

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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.