Prediction of COVID-19 Severity Using Chest Computed Tomography and Laboratory Measurements: Evaluation Using a Machine Learning Approach (Preprint) Article Swipe

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Daowei Li , Qiang Zhang , Yue Tan , Xinghuo Feng , Yuanyi Yue , Yuhan Bai , Jimeng Li , Jiahang Li , Youjun Xu , Shiyu Chen , Si-Yu Xiao , Muyan Sun , Xiaona Li , Fang Zhu · YOU? · · 2020 · Open Access · · DOI: https://doi.org/10.2196/preprints.21604

BACKGROUND Most of the mortality resulting from COVID-19 has been associated with severe disease. Effective treatment of severe cases remains a challenge due to the lack of early detection of the infection. OBJECTIVE This study aimed to develop an effective prediction model for COVID-19 severity by combining radiological outcome with clinical biochemical indexes. METHODS A total of 46 patients with COVID-19 (10 severe, 36 nonsevere) were examined. To build the prediction model, a set of 27 severe and 151 nonsevere clinical laboratory records and computerized tomography (CT) records were collected from these patients. We managed to extract specific features from the patients’ CT images by using a recently published convolutional neural network. We also trained a machine learning model combining these features with clinical laboratory results. RESULTS We present a prediction model combining patients’ radiological outcomes with their clinical biochemical indexes to identify severe COVID-19 cases. The prediction model yielded a cross-validated area under the receiver operating characteristic (AUROC) score of 0.93 and an F₁ score of 0.89, which showed a 6% and 15% improvement, respectively, compared to the models based on laboratory test features only. In addition, we developed a statistical model for forecasting COVID-19 severity based on the results of patients’ laboratory tests performed before they were classified as severe cases; this model yielded an AUROC score of 0.81. CONCLUSIONS To our knowledge, this is the first report predicting the clinical progression of COVID-19, as well as forecasting severity, based on a combined analysis using laboratory tests and CT images.

Type

preprint

Language

en

Landing Page

https://doi.org/10.2196/preprints.21604

OA Status

gold

References

29

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10

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https://openalex.org/W4205588517

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https://openalex.org/W4205588517

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DOI

https://doi.org/10.2196/preprints.21604

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Title

Prediction of COVID-19 Severity Using Chest Computed Tomography and Laboratory Measurements: Evaluation Using a Machine Learning Approach (Preprint)

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Type

preprint

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en

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2020

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2020-06-18

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Authors

Daowei Li, Qiang Zhang, Yue Tan, Xinghuo Feng, Yuanyi Yue, Yuhan Bai, Jimeng Li, Jiahang Li, Youjun Xu, Shiyu Chen, Si-Yu Xiao, Muyan Sun, Xiaona Li, Fang Zhu

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Landing page

https://doi.org/10.2196/preprints.21604

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Yes

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gold

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https://doi.org/10.2196/preprints.21604

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Concepts

Coronavirus disease 2019 (COVID-19), Radiological weapon, Medicine, Preprint, Receiver operating characteristic, Computed tomography, Machine learning, Artificial intelligence, Predictive modelling, Internal medicine, Radiology, Computer science, Disease, World Wide Web, Infectious disease (medical specialty)

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29

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10

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