Evidence map›Paper›PMID 35318368›Full record

ArticleScientific reports2022

Human-level COVID-19 diagnosis from low-dose CT scans using a two-stage time-distributed capsule network.

Parnian Afshar, Moezedin Javad Rafiee, Farnoosh Naderkhani, Shahin Heidarian, Nastaran Enshaei, Anastasia Oikonomou, Faranak Babaki Fard, Reut Anconina, Keyvan Farahani, Konstantinos N Plataniotis and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Performance of AI Approaches for COVID-19 Diagnosis Using Chest CT Scans: The Impact of Architecture and Dataset.RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin · 2026
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  5. Review
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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

11 authors.

Parnian AfsharConcordia Institute for Information Systems Engineering (CIISE), Concordia University, Montreal, Canada.
Moezedin Javad RafieeDepartment of Medicine and Diagnostic Radiology, McGill University Health Center-Research Institute, Montreal, QC, Canada.
Farnoosh NaderkhaniConcordia Institute for Information Systems Engineering (CIISE), Concordia University, Montreal, Canada.
Shahin HeidarianDepartment of Electrical and Computer Engineering, Concordia University, Montreal, QC, Canada.
Nastaran EnshaeiConcordia Institute for Information Systems Engineering (CIISE), Concordia University, Montreal, Canada.
Anastasia OikonomouDepartment of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.ORCID 0000-0001-6996-237X
Faranak Babaki FardFaculty of Medicine, University of Montreal, Montreal, QC, Canada.
Reut AnconinaDepartment of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Keyvan FarahaniCenter for Biomedical Informatics and Information Technology, National Cancer Institute (NCI), Rockville, MD, USA.
Konstantinos N PlataniotisDepartment of Electrical and Computer Engineering, University of Toronto, Toronto, Canada.
Arash MohammadiConcordia Institute for Information Systems Engineering (CIISE), Concordia University, Montreal, Canada. arash.mohammadi@concordia.ca.ORCID 0000-0003-1972-7923

Funding

Gouvernement du Canada | Natural Sciences and Engineering Research Council of Canada (Conseil de Recherches en Sciences Naturelles et en Génie du Canada) 501100000038
6 · The paper itself

Abstract

Reverse transcription-polymerase chain reaction is currently the gold standard in COVID-19 diagnosis. It can, however, take days to provide the diagnosis, and false negative rate is relatively high. Imaging, in particular chest computed tomography (CT), can assist with diagnosis and assessment of this disease. Nevertheless, it is shown that standard dose CT scan gives significant radiation burden to patients, especially those in need of multiple scans. In this study, we consider low-dose and ultra-low-dose (LDCT and ULDCT) scan protocols that reduce the radiation exposure close to that of a single X-ray, while maintaining an acceptable resolution for diagnosis purposes. Since thoracic radiology expertise may not be widely available during the pandemic, we develop an Artificial Intelligence (AI)-based framework using a collected dataset of LDCT/ULDCT scans, to study the hypothesis that the AI model can provide human-level performance. The AI model uses a two stage capsule network architecture and can rapidly classify COVID-19, community acquired pneumonia (CAP), and normal cases, using LDCT/ULDCT scans. Based on a cross validation, the AI model achieves COVID-19 sensitivity of [Formula: see text], CAP sensitivity of [Formula: see text], normal cases sensitivity (specificity) of [Formula: see text], and accuracy of [Formula: see text]. By incorporating clinical data (demographic and symptoms), the performance further improves to COVID-19 sensitivity of [Formula: see text], CAP sensitivity of [Formula: see text], normal cases sensitivity (specificity) of [Formula: see text] , and accuracy of [Formula: see text]. The proposed AI model achieves human-level diagnosis based on the LDCT/ULDCT scans with reduced radiation exposure. We believe that the proposed AI model has the potential to assist the radiologists to accurately and promptly diagnose COVID-19 infection and help control the transmission chain during the pandemic.

Indexed as

Artificial IntelligenceCOVID-19COVID-19 TestingHumansRadionuclide ImagingTomography, X-Ray Computed

Identifiers

PMID35318368
PMCPMC8940967

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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.