Evidence map›Paper›PMID 40951492›Full record

ArticleNarra J2025

Designing the CORI score for COVID-19 diagnosis in parallel with deep learning-based imaging models.

Telly Kamelia, Benny Zulkarnaien, Wita Septiyanti, Rahmi Afifi, Adila Krisnadhi, Cleopas M Rumende, Ari Wibisono, Gladhi Guarddin, Dina Chahyati, Reyhan E Yunus and 10 more

Abstract readMulticenter Study
In one paragraph

Article in Narra J, 2025. 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. Review
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

20 authors.

Telly KameliaDivision of Respirology and Critical Care, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Benny ZulkarnaienDepartment of Radiology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Wita SeptiyantiDepartment of Radiology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Rahmi AfifiDepartment of Radiology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Adila KrisnadhiFaculty of Computer Science, Universitas Indonesia, Jakarta, Indonesia.
Cleopas M RumendeDivision of Respirology and Critical Care, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Ari WibisonoFaculty of Computer Science, Universitas Indonesia, Jakarta, Indonesia.
Gladhi GuarddinFaculty of Computer Science, Universitas Indonesia, Jakarta, Indonesia.
Dina ChahyatiFaculty of Computer Science, Universitas Indonesia, Jakarta, Indonesia.
Reyhan E YunusDepartment of Radiology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Dhita P PratamaFaculty of Computer Science, Universitas Indonesia, Jakarta, Indonesia.
Irda N RahmawatiDepartment of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Dewi NareswariDepartment of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Maharani FalerisyaDepartment of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Raissa SalsabilaDepartment of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Bagus DI BarunaDepartment of Radiology, Bunda Jakarta General Hospital, Jakarta, Indonesia.
Anggraini IrianiDepartment of Clinical Pathology, Bunda Jakarta General Hospital, Jakarta, Indonesia.
Finny NandipintoDepartment of Radiology, Bunda Margonda General Hospital, Jakarta, Indonesia.
Ceva WicaksonoDivision of Respirology and Critical Care, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Ivan R SiniIRSI Research and Training Centre, Jakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has triggered a global health crisis and placed unprecedented strain on healthcare systems, particularly in resource-limited settings where access to RT-PCR testing is often restricted. Alternative diagnostic strategies are therefore critical. Chest X-rays, when integrated with artificial intelligence (AI), offers a promising approach for COVID-19 detection. The aim of this study was to develop an AI-assisted diagnostic model that combines chest X-ray images and clinical data to generate a COVID-19 Risk Index (CORI) Score and to implement a deep learning model based on ResNet architecture. Between April 2020 and July 2021, a multicenter cohort study was conducted across three hospitals in Jakarta, Indonesia, involving 367 participants categorized into three groups: 100 COVID-19 positive, 100 with non-COVID-19 pneumonia, and 100 healthy individuals. Clinical parameters (e.g., fever, cough, oxygen saturation) and laboratory findings (e.g., D-dimer and C-reactive protein levels) were collected alongside chest X-ray images. Both the CORI Score and the ResNet model were trained using this integrated dataset. During internal validation, the ResNet model achieved 91% accuracy, 94% sensitivity, and 92% specificity. In external validation, it correctly identified 82 of 100 COVID-19 cases. The combined use of imaging, clinical, and laboratory data yielded an area under the ROC curve of 0.98 and a sensitivity exceeding 95%. The CORI Score demonstrated strong diagnostic performance, with 96.6% accuracy, 98% sensitivity, 95.4% specificity, a 99.5% negative predictive value, and a 91.1% positive predictive value. Despite limitations-including retrospective data collection, inter-hospital variability, and limited external validation-the ResNet-based AI model and the CORI Score show substantial promise as diagnostic tools for COVID-19, with performance comparable to that of experienced thoracic radiologists in Indonesia.

Indexed as

COVID-19Deep LearningAdultAgedArtificial IntelligenceFemaleHumansIndonesiaMaleMiddle AgedRadiography, ThoracicSARS-CoV-2artificial intelligenceCOVID-19diagnosticscoring systemX-ray

Identifiers

PMID40951492
PMCPMC12425504

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.