Evidence map›Paper›PMID 34594233›Full record

ArticleFrontiers in physiology2021

Using Artificial Intelligence for Automatic Segmentation of CT Lung Images in Acute Respiratory Distress Syndrome.

Peter Herrmann, Mattia Busana, Massimo Cressoni, Joachim Lotz, Onnen Moerer, Leif Saager, Konrad Meissner, Michael Quintel, Luciano Gattinoni

Open access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
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

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
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  6. Lung Imaging and Artificial Intelligence in ARDS.Journal of clinical medicine · 2024
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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

9 authors at 3 institutions in 2 countries.

Peter HerrmannDepartment of Anesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Mattia BusanaDepartment of Anesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Massimo CressoniUnit of Radiology, IRCCS Policlinico San Donato, Milan, Italy.
Joachim LotzInstitute for Diagnostic and Interventional Radiology, University Medical Center Göttingen, Göttingen, Germany.
Onnen MoererDepartment of Anesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Leif SaagerDepartment of Anesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Konrad MeissnerDepartment of Anesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Michael QuintelDepartment of Anesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Luciano GattinoniDepartment of Anesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Universitätsmedizin Göttingen · DEDeggendorf Institute of Technology · DEIRCCS Policlinico San Donato · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Knowledge of gas volume, tissue mass and recruitability measured by the quantitative CT scan analysis (CT-qa) is important when setting the mechanical ventilation in acute respiratory distress syndrome (ARDS). Yet, the manual segmentation of the lung requires a considerable workload. Our goal was to provide an automatic, clinically applicable and reliable lung segmentation procedure. Therefore, a convolutional neural network (CNN) was used to train an artificial intelligence (AI) algorithm on 15 healthy subjects (1,302 slices), 100 ARDS patients (12,279 slices), and 20 COVID-19 (1,817 slices). Eighty percent of this populations was used for training, 20% for testing. The AI and manual segmentation at slice level were compared by intersection over union (IoU). The CT-qa variables were compared by regression and Bland Altman analysis. The AI-segmentation of a single patient required 5-10 s vs. 1-2 h of the manual. At slice level, the algorithm showed on the test set an IOU across all CT slices of 91.3 ± 10.0, 85.2 ± 13.9, and 84.7 ± 14.0%, and across all lung volumes of 96.3 ± 0.6, 88.9 ± 3.1, and 86.3 ± 6.5% for normal lungs, ARDS and COVID-19, respectively, with a U-shape in the performance: better in the lung middle region, worse at the apex and base. At patient level, on the test set, the total lung volume measured by AI and manual segmentation had a

Indexed as

ARDSdeep learningDeepLTKfully automatic lung segmentationLabVIEWMalunamechanical ventilationU-Net

Identifiers

PMID34594233
PMCPMC8476971
OpenAlexW3199540621

What OpenQuestion holds

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LicenceCC BY
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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.