Evidence map›Paper›PMID 40933743›Full record

ArticleJournal of intensive medicine2025

Deep learning integration of chest computed tomography and plasma proteomics to identify novel aspects of severe COVID-19 pneumonia.

Yucai Hong, Lin Chen, Yang Yu, Ziyue Zhao, Ronghua Wu, Rui Gong, Yandong Cheng, Lingmin Yuan, Shaojun Zheng, Cheng Zheng and 33 more

Abstract read
In one paragraph

Article in Journal of intensive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Artificial intelligence in respiratory medicine: From diagnosis to treatment and future directions.Chinese medical journal pulmonary and critical care medicine · 2026
    Review
  3. 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

43 authors.

Yucai HongDepartment of Emergency Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Lin ChenDepartment of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Yang YuDepartment of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Ziyue ZhaoDepartment of Clinical Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Ronghua WuDepartment of Radiology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, China.
Rui GongDepartment of Laboratory, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, China.
Yandong ChengDepartment of Critical Care Medicine, Longyou County People's Hospital, Quzhou, Zhejiang, China.
Lingmin YuanDepartment of Critical Care Medicine, Longyou County People's Hospital, Quzhou, Zhejiang, China.
Shaojun ZhengEmergency Department, Longyou County People's Hospital, Quzhou, Zhejiang, China.
Cheng ZhengDepartment of Critical Care Medicine, Taizhou Municipal Hospital, Taizhou, Zhejiang, China.
Ronghai LinDepartment of Critical Care Medicine, Taizhou Municipal Hospital, Taizhou, Zhejiang, China.
Jianping ChenEmergency Department, Dongyang People' Hospital of Wenzhou Medical University, Jinhua, Zhejiang, China.
Kangwei SunEmergency Department, Dongyang People' Hospital of Wenzhou Medical University, Jinhua, Zhejiang, China.
Ping XuEmergency Department, Zigong Fourth People's Hospital, Zigong, Sichuan, China.
Li YeEmergency Department, Fushun People's Hospital, Fushun, Liaoning, China.
Chaoting HanEmergency Department, Zigong Fourth People's Hospital, Zigong, Sichuan, China.
Xihao ZhouDepartment of Clinical Laboratory, Fushun People's Hospital, Fushun, Liaoning, China.
Yaqing LiuIntensive care unit, Longquan People's Hospital, Lishui, Zhejiang, China.
Jianhua YuIntensive care unit, Longquan People's Hospital, Lishui, Zhejiang, China.
Yaqin ZhengClinical Laboratory, Longquan People's Hospital, Lishui, Zhejiang, China.
Jie YangDepartment of Emergency Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Jiajie HuangDepartment of Emergency Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Juan ChenDepartment of Critical Care Medicine, The Affiliated Xiangshan Hospital of Wenzhou Medical University, Ningbo, Zhejiang, China.
Junjie FangDepartment of Critical Care Medicine, The Affiliated Xiangshan Hospital of Wenzhou Medical University, Ningbo, Zhejiang, China.
Chensong ChenDepartment of Critical Care Medicine, The Affiliated Xiangshan Hospital of Wenzhou Medical University, Ningbo, Zhejiang, China.
Bo FanDepartment of Respiratory and Critical Care Medicine, First People's Hospital of Jiashan, Jiaxing, Zhejiang, China.
Honglong FangDepartment of Critical Care Medicine, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Baning YeDepartment of Critical Care Medicine, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.
Xiyun ChenDepartment of Geriatric Rehabilitation, Tiantai New City Orthopedics and Traumatology Hospital, Tiantai, Taizhou, Zhejiang, China.
Xiaoli QianDepartment of Respiratory and Critical Care Medicine, Xiaoshan District Second People's Hospital, Hangzhou, Zhejiang, China.
Junxiang ChenDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, USA.
Haitao YuDepartment of Clinical Laboratory, Key Laboratory of Precision Medicine in Diagnosis and Monitoring Research of Zhejiang Province, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Jun ZhangDepartment of Clinical Laboratory, Key Laboratory of Precision Medicine in Diagnosis and Monitoring Research of Zhejiang Province, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Xi-Ming PanDepartment of Emergency Medicine, The People's Hospital of Suichang County, Lishui, Zhejiang, China.
Yi-Xing ZhanDepartment of Emergency Medicine, The People's Hospital of Suichang County, Lishui, Zhejiang, China.
You-Hai ZhengDepartment of Emergency Medicine, The People's Hospital of Suichang County, Lishui, Zhejiang, China.
Zhang-Hong HuangIntensive Care Unit, The People's Hospital of Suichang County, Lishui, Zhejiang, China.
Chao ZhongIntensive care unit, Ninghai First Hospital, Ningbo, Zhejiang, China.
Ning LiuDepartment of Emergency Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Hongying NiDepartment of Critical Care Medicine, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, China.
Gengsheng ZhangDepartment of Critical Care Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine, Key Laboratory of Multiple Organ Failure (Zhejiang University), Ministry of Education, Hangzhou, Zhejiang, China.
Zhongheng ZhangDepartment of Emergency Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Chinese Multi-omics Advances In Sepsis (CMAISE) Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Heterogeneity is a critical characteristic of severe coronavirus disease 2019 (COVID-19) pneumonia. Integrating chest computed tomography (CT) imaging and plasma proteomics holds the potential to elucidate Image-Expression Axes (IEAs) that can effectively address this disease heterogeneity. Methods: A cohort of subjects diagnosed with severe COVID-19 pneumonia at 12 participating hospitals between December 2022 and March 2023 was prospectively screened for eligibility. Context-aware self-supervised representation learning (CSRL) was employed to extract intricate features from CT images. Quantification of plasma proteins was achieved using the Olink® inflammation panel. A deep learning model was meticulously trained, with CSRL features serving as input and the proteomic data as the target. This trained model facilitated the construction of IEAs, offering a representation of the underlying disease heterogeneity. The potential of these IEAs for prognostic and predictive enrichment was subsequently explored via conventional regression models. Results: The study cohort comprised 1979 eligible patients, who were stratified into a training set of 630 individuals and a testing set of 1349 individuals. Three distinct IEAs were identified: IEA1 was correlated with shock conditions, IEA2 was associated with the systemic inflammatory response syndrome (SIRS), and IEA3 was reflective of the coagulation profile. Notably, IEA1 (odds ratio [OR]= 0.52, 95 % confidence interval [CI]: 0.40 to 0.67, Conclusions: Our comprehensive approach, seamlessly integrating advanced deep learning techniques, proteomic profiling, and clinical data, has unraveled intricate interdependencies between IEAs, protein abundance patterns, therapeutic interventions, and ultimate patient outcomes in the context of severe COVID-19 pneumonia. These discoveries make a significant contribution to the rapidly advancing field of precision medicine, paving the way for tailored therapeutic strategies that can significantly impact patient care.

Indexed as

Covid-19HeterogeneitySelf-supervised representation learningSystemic inflammatory response syndrome

Identifiers

PMID40933743
PMCPMC12417366

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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.