Evidence map›Paper›PMID 37520010›Full record

ArticleResearch in diagnostic and interventional imaging2022

Value and prognostic impact of a deep learning segmentation model of COVID-19 lung lesions on low-dose chest CT.

Axel Bartoli, Joris Fournel, Arnaud Maurin, Baptiste Marchi, Paul Habert, Maxime Castelli, Jean-Yves Gaubert, Sebastien Cortaredona, Jean-Christophe Lagier, Matthieu Million and 3 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 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

13 authors.

Axel BartoliDepartment of Radiology, Hôpital de la Timone Adultes, AP-HM. 264, rue Saint-Pierre, 13385 Marseille Cedex 05, France.
Joris FournelDepartment of Radiology, Hôpital de la Timone Adultes, AP-HM. 264, rue Saint-Pierre, 13385 Marseille Cedex 05, France.
Arnaud MaurinDepartment of Radiology, Hôpital de la Timone Adultes, AP-HM. 264, rue Saint-Pierre, 13385 Marseille Cedex 05, France.
Baptiste MarchiDepartment of Radiology, Hôpital de la Timone Adultes, AP-HM. 264, rue Saint-Pierre, 13385 Marseille Cedex 05, France.
Paul HabertDepartment of Radiology, Hôpital de la Timone Adultes, AP-HM. 264, rue Saint-Pierre, 13385 Marseille Cedex 05, France.
Maxime CastelliDepartment of Radiology, Hôpital de la Timone Adultes, AP-HM. 264, rue Saint-Pierre, 13385 Marseille Cedex 05, France.
Jean-Yves GaubertDepartment of Radiology, Hôpital de la Timone Adultes, AP-HM. 264, rue Saint-Pierre, 13385 Marseille Cedex 05, France.
Sebastien CortaredonaInstitut Hospitalo-Universitaire Méditerannée Infection, 19-21 boulevard Jean Moulin, 13005, Marseille, France.
Jean-Christophe LagierInstitut Hospitalo-Universitaire Méditerannée Infection, 19-21 boulevard Jean Moulin, 13005, Marseille, France.
Matthieu MillionInstitut Hospitalo-Universitaire Méditerannée Infection, 19-21 boulevard Jean Moulin, 13005, Marseille, France.
Didier RaoultInstitut Hospitalo-Universitaire Méditerannée Infection, 19-21 boulevard Jean Moulin, 13005, Marseille, France.
Badih GhattasI2M - UMR CNRS 7373, Aix-Marseille University. CNRS, Centrale Marseille, 13453 Marseille, France.
Alexis JacquierDepartment of Radiology, Hôpital de la Timone Adultes, AP-HM. 264, rue Saint-Pierre, 13385 Marseille Cedex 05, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: 1) To develop a deep learning (DL) pipeline allowing quantification of COVID-19 pulmonary lesions on low-dose computed tomography (LDCT). 2) To assess the prognostic value of DL-driven lesion quantification. Methods: This monocentric retrospective study included training and test datasets taken from 144 and 30 patients, respectively. The reference was the manual segmentation of 3 labels: normal lung, ground-glass opacity(GGO) and consolidation(Cons). Model performance was evaluated with technical metrics, disease volume and extent. Intra- and interobserver agreement were recorded. The prognostic value of DL-driven disease extent was assessed in 1621 distinct patients using C-statistics. The end point was a combined outcome defined as death, hospitalization>10 days, intensive care unit hospitalization or oxygen therapy. Results: The Dice coefficients for lesion (GGO+Cons) segmentations were 0.75±0.08, exceeding the values for human interobserver (0.70±0.08; 0.70±0.10) and intraobserver measures (0.72±0.09). DL-driven lesion quantification had a stronger correlation with the reference than inter- or intraobserver measures. After stepwise selection and adjustment for clinical characteristics, quantification significantly increased the prognostic accuracy of the model (0.82 vs. 0.90; Conclusions: A DL-driven model can provide reproducible and accurate segmentation of COVID-19 lesions on LDCT. Automatic lesion quantification has independent prognostic value for the identification of high-risk patients.

Indexed as

ACE, angiotensin-converting enzymeArtificial intelligenceBMI, body mass indexCNN, convolutional neural networkCons, consolidationCOVID-19COVID-19, coronavirus disease 2019CT-SS, chest tomography severity scoreDeep learningDiagnostic imagingDL, deep learningDSC, Dice similarity coefficientGGO, ground-glass opacityICU, intensive care unitLDCT, low-dose computed tomographyMAE, mean absolute errorMultidetector computed tomographyMVSF, mean volume similarity fractionROC, receiver operating characteristic

Identifiers

PMID37520010
PMCPMC8939894

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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.