Evidence map›Paper›PMID 37844797›Full record

ArticleChest2024

A Deep Learning-Based Radiomic Classifier for Usual Interstitial Pneumonia.

Jonathan H Chung, Lydia Chelala, Janelle Vu Pugashetti, Jennifer M Wang, Ayodeji Adegunsoye, Alexander W Matyga, Lauren Keith, Kai Ludwig, Sahar Zafari, Sahand Ghodrati and 7 more

Abstract readMulticenter Study
In one paragraph

Article in Chest, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Pulmonary Fibrosis-Focusing on the Future: Aspen Lung Conference 2024 Summary.American journal of respiratory cell and molecular biology · 2025
    Article
  11. Article
  12. Review
  13. Review
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  15. Response.Chest · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Jonathan H ChungDepartment of Radiology, University of Chicago, Chicago, IL.
Lydia ChelalaDepartment of Radiology, University of Chicago, Chicago, IL.
Janelle Vu PugashettiDivision of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI.
Jennifer M WangDivision of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI.
Ayodeji AdegunsoyeDivision of Pulmonary and Critical Care Medicine, University of Chicago, Chicago, IL.
Alexander W MatygaDepartment of Radiology, University of Chicago, Chicago, IL.
Lauren KeithImbio, Inc, Minneapolis, MN.
Kai LudwigImbio, Inc, Minneapolis, MN.
Sahar ZafariImbio, Inc, Minneapolis, MN.
Sahand GhodratiDepartment of Radiology, University of California at Davis, Sacramento, CA.
Ahmadreza GhasemiesfeDepartment of Radiology, University of California at Davis, Sacramento, CA.
Henry GuoDepartment of Radiology, Stanford University, Palo Alto, CA.
Eleanor SooHeart and Lung Imaging, Ltd, London, England.
Stephen LyenHeart and Lung Imaging, Ltd, London, England.
Charles SayerHeart and Lung Imaging, Ltd, London, England.
Charles HattImbio, Inc, Minneapolis, MN.
Justin M OldhamDivision of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI; Department of Epidemiology, University of Michigan, Ann Arbor, MI. Electronic address: oldhamj@med.umich.edu.

Funding

PULMONARY CELLULAR AND MOLECULAR BIOLOGY TRAININGT32HL007749 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Robert Pickett Dickson · 1993 to 2026
$19.9M
Proteomic Profiling of Idiopathic Pulmonary Fibrosis Progression TrajectoryR01HL169166 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Justin M Oldham · 2023 to 2026
$2.7M
Improving Pulmonary Fibrosis Classification with Genomics Informed Phenotypic ClustersK23HL146942 · NHLBI · UNIVERSITY OF CHICAGO · PI ADEGUNSOYE, AYODEJI · 2020 to 2024
$810k
NHLBI NIH HHS K23 HL146942NHLBI NIH HHS R01 HL169166NHLBI NIH HHS T32 HL007749
6 · The paper itself

Abstract

backgroundBecause chest CT scan has largely supplanted surgical lung biopsy for diagnosing most cases of interstitial lung disease (ILD), tools to standardize CT scan interpretation are urgently needed. RESEARCH QUESTION: Does a deep learning (DL)-based classifier for usual interstitial pneumonia (UIP) derived using CT scan features accurately discriminate radiologist-determined visual UIP? STUDY DESIGN AND

methodsA retrospective cohort study was performed. Chest CT scans acquired in individuals with and without ILD were drawn from a variety of public and private data sources. Using radiologist-determined visual UIP as ground truth, a convolutional neural network was used to learn discrete CT scan features of UIP, with outputs used to predict the likelihood of UIP using a linear support vector machine. Test performance characteristics were assessed in an independent performance cohort and multicenter ILD clinical cohort. Transplant-free survival was compared between UIP classification approaches using the Kaplan-Meier estimator and Cox proportional hazards regression.

resultsA total of 2,907 chest CT scans were included in the training (n = 1,934), validation (n = 408), and performance (n = 565) data sets. The prevalence of radiologist-determined visual UIP was 12.4% and 37.1% in the performance and ILD clinical cohorts, respectively. The DL-based UIP classifier predicted visual UIP in the performance cohort with sensitivity and specificity of 93% and 86%, respectively, and in the multicenter ILD clinical cohort with 81% and 77%, respectively. DL-based and visual UIP classification similarly discriminated survival, and outcomes were consistent among cases with positive DL-based UIP classification irrespective of visual classification.

interpretationA DL-based classifier for UIP demonstrated good test performance across a wide range of UIP prevalence and similarly discriminated survival when compared with radiologist-determined UIP. This automated tool could efficiently screen for UIP in patients undergoing chest CT scan and identify a high-risk phenotype among those with known ILD.

Indexed as

Deep LearningIdiopathic Pulmonary FibrosisLung Diseases, InterstitialHumansLungRadiomicsRetrospective Studiesdeep learningidiopathic pulmonary fibrosisinterstitial lung diseaseprogressive pulmonary fibrosisradiomicusual interstitial pneumonia

Identifiers

PMID37844797
PMCPMC11026174

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.