Evidence map›Paper›PMID 37284031›Full record

ArticleResearch in diagnostic and interventional imaging2022

Additional value of chest CT AI-based quantification of lung involvement in predicting death and ICU admission for COVID-19 patients.

Eloise Galzin, Laurent Roche, Anna Vlachomitrou, Olivier Nempont, Heike Carolus, Alexander Schmidt-Richberg, Peng Jin, Pedro Rodrigues, Tobias Klinder, Jean-Christophe Richard and 16 more

Abstract read
In one paragraph

Article in Research in diagnostic and interventional imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

26 authors.

Eloise GalzinDepartment of Radiology, Hospices Civils de Lyon, Lyon, France.
Laurent RocheDepartment of Biostatistics, Hospices Civils de Lyon, Lyon F-69003, France.
Anna VlachomitrouPhilips France, 33 rue de Verdun, CS 60 055, Suresnes Cedex 92156, France.
Olivier NempontPhilips France, 33 rue de Verdun, CS 60 055, Suresnes Cedex 92156, France.
Heike CarolusPhilips Research, Röntgenstrasse 24-26, Hamburg D-22335, Germany.
Alexander Schmidt-RichbergPhilips Research, Röntgenstrasse 24-26, Hamburg D-22335, Germany.
Peng JinPhilips Medical Systems Nederland BV (Philips Healthcare), the Netherlands.
Pedro RodriguesPhilips Medical Systems Nederland BV (Philips Healthcare), the Netherlands.
Tobias KlinderPhilips Research, Röntgenstrasse 24-26, Hamburg D-22335, Germany.
Jean-Christophe RichardDepartment of Critical Care Medicine, Hôpital De La Croix Rousse, Hospices Civils de Lyon, Lyon, France.
Karim TazarourteResearch on Healthcare Performance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France.
Marion DouplatResearch on Healthcare Performance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France.
Alain SigalEmergency department and SAMU 69, Hospices civils de Lyon, France.
Maude Bouscambert-DuchampLaboratoire de Virologie, Institut des Agents Infectieux de Lyon, Centre National de Référence des virus respiratoires France Sud, Centre de Biologie et de Pathologie Nord, Hospices Civils de Lyon, Lyon F-69317, France.
Salim Aymeric Si-MohamedDepartment of Radiology, Hospices Civils de Lyon, Lyon, France.
Sylvain GouttardDepartment of Radiology, Hospices Civils de Lyon, Lyon, France.
Adeline MansuyDepartment of Radiology, Hospices Civils de Lyon, Lyon, France.
François TalbotDepartment of Information Technology, Hospices Civils de Lyon, Lyon, France.
Jean-Baptiste PialatDepartment of Radiology, Hospices Civils de Lyon, Lyon, France.
Olivier RouvièreDepartment of Radiology, Hospices Civils de Lyon, Lyon, France.
Laurent MilotDepartment of Radiology, Hospices Civils de Lyon, Lyon, France.
François CottonDepartment of Radiology, Hospices Civils de Lyon, Lyon, France.
Philippe DouekDepartment of Radiology, Hospices Civils de Lyon, Lyon, France.
Antoine DuclosResearch on Healthcare Performance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France.
Muriel RabilloudDepartment of Biostatistics, Hospices Civils de Lyon, Lyon F-69003, France.
Loic BousselDepartment of Radiology, Hospices Civils de Lyon, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: We evaluated the contribution of lung lesion quantification on chest CT using a clinical Artificial Intelligence (AI) software in predicting death and intensive care units (ICU) admission for COVID-19 patients. Methods: For 349 patients with positive COVID-19-PCR test that underwent a chest CT scan at admittance or during hospitalization, we applied the AI for lung and lung lesion segmentation to obtain lesion volume (LV), and LV/Total Lung Volume (TLV) ratio. ROC analysis was used to extract the best CT criterion in predicting death and ICU admission. Two prognostic models using multivariate logistic regressions were constructed to predict each outcome and were compared using AUC values. The first model ("Clinical") was based on patients' characteristics and clinical symptoms only. The second model ("Clinical+LV/TLV") included also the best CT criterion. Results: LV/TLV ratio demonstrated best performance for both outcomes; AUC of 67.8% (95% CI: 59.5 - 76.1) and 81.1% (95% CI: 75.7 - 86.5) respectively. Regarding death prediction, AUC values were 76.2% (95% CI: 69.9 - 82.6) and 79.9% (95%IC: 74.4 - 85.5) for the "Clinical" and the "Clinical+LV/TLV" models respectively, showing significant performance increase (+ 3.7%; p-value<0.001) when adding LV/TLV ratio. Similarly, for ICU admission prediction, AUC values were 74.9% (IC 95%: 69.2 - 80.6) and 84.8% (IC 95%: 80.4 - 89.2) respectively corresponding to significant performance increase (+ 10%: p-value<0.001). Conclusions: Using a clinical AI software to quantify the COVID-19 lung involvement on chest CT, combined with clinical variables, allows better prediction of death and ICU admission.

Indexed as

AIChest-CTCOVID-19ICUPrognosis

Identifiers

PMID37284031
PMCPMC9716289

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LicenceCC BY-NC-ND
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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.