Evidence map›Paper›PMID 34580550›Full record

ArticlePattern recognition letters2021

A practical artificial intelligence system to diagnose COVID-19 using computed tomography: A multinational external validation study.

Ali Abbasian Ardakani, Robert M Kwee, Mohammad Mirza-Aghazadeh-Attari, Horacio Matías Castro, Taha Yusuf Kuzan, Kübra Murzoğlu Altintoprak, Giulia Besutti, Filippo Monelli, Fariborz Faeghi, U Rajendra Acharya and 1 more

Abstract read
In one paragraph

Article in Pattern recognition letters, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Role of Artificial Intelligence in COVID-19 Detection.Sensors (Basel, Switzerland) · 2021
    Pooled it
  3. Article
  4. Article
  5. An implementation of a hybrid method based on machine learning to identify biomarkers in the Covid-19 diagnosis using DNA sequences.Chemometrics and intelligent laboratory systems : an international journal sponsored by the Chemometrics Society · 2022
    Article
  6. Article
  7. 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

11 authors.

Ali Abbasian ArdakaniRadiology Technology Department, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Robert M KweeDepartment of Radiology, Zuyderland Medical Center, Heerlen/Sittard-Geleen, the Netherlands.
Mohammad Mirza-Aghazadeh-AttariMedical Radiation Sciences Research Group, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Horacio Matías CastroPulmonology Department, Hospital Italiano de Buenos Aires, Argentina.
Taha Yusuf KuzanDepartment of Radiology, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, Istanbul, Turkey.
Kübra Murzoğlu AltintoprakDepartment of Radiology, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, Istanbul, Turkey.
Giulia BesuttiRadiology Department, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Filippo MonelliRadiology Department, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Fariborz FaeghiRadiology Technology Department, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
U Rajendra AcharyaNgee Ann Polytechnic, Department of Electronics and Computer Engineering, 599489, Singapore.
Afshin MohammadiDepartment of Radiology, Faculty of Medicine, Urmia University of Medical Science, Urmia, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Computed tomography has gained an important role in the early diagnosis of COVID-19 pneumonia. However, the ever-increasing number of patients has overwhelmed radiology departments and has caused a reduction in quality of services. Artificial intelligence (AI) systems are the remedy to the current situation. However, the lack of application in real-world conditions has limited their consideration in clinical settings. This study validated a clinical AI system, COVIDiag, to aid radiologists in accurate and rapid evaluation of COVID-19 cases. 50 COVID-19 and 50 non-COVID-19 pneumonia cases were included from each of five centers: Argentina, Turkey, Iran, Netherlands, and Italy. The Dutch database included only 50 COVID-19 cases. The performance parameters namely sensitivity, specificity, accuracy, and area under the ROC curve (AUC) were computed for each database using COVIDiag model. The most common pattern of involvement among COVID-19 cases in all databases were bilateral involvement of upper and lower lobes with ground-glass opacities. The best sensitivity of 92.0% was recorded for the Italian database. The system achieved an AUC of 0.983, 0.914, 0.910, and 0.882 for Argentina, Turkey, Iran, and Italy, respectively. The model obtained a sensitivity of 86.0% for the Dutch database. COVIDiag model could diagnose COVID-19 pneumonia in all of cohorts with AUC of 0.921 (sensitivity, specificity, and accuracy of 88.8%, 87.0%, and 88.0%, respectively). Our study confirmed the accuracy of our proposed AI model (COVIDiag) in the diagnosis of COVID-19 cases. Furthermore, the system demonstrated consistent optimal diagnostic performance on multinational databases, which is critical to determine the generalizability and objectivity of the proposed COVIDiag model. Our results are significant as they provide real-world evidence regarding the applicability of AI systems in clinical medicine.

Indexed as

Artificial intelligenceCoronavirus infectionsMachine learningPneumoniaTomography, X-ray computed

Identifiers

PMID34580550
PMCPMC8457921

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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.