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10.1186/s12967-020-02692-3

http://scihub22266oqcxt.onion/10.1186/s12967-020-02692-3
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33413480!7790050!33413480
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suck abstract from ncbi


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pmid33413480      J+Transl+Med 2021 ; 19 (1): 29
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  • CT radiomics facilitates more accurate diagnosis of COVID-19 pneumonia: compared with CO-RADS #MMPMID33413480
  • Liu H; Ren H; Wu Z; Xu H; Zhang S; Li J; Hou L; Chi R; Zheng H; Chen Y; Duan S; Li H; Xie Z; Wang D
  • J Transl Med 2021[Jan]; 19 (1): 29 PMID33413480show ga
  • BACKGROUND: Limited data was available for rapid and accurate detection of COVID-19 using CT-based machine learning model. This study aimed to investigate the value of chest CT radiomics for diagnosing COVID-19 pneumonia compared with clinical model and COVID-19 reporting and data system (CO-RADS), and develop an open-source diagnostic tool with the constructed radiomics model. METHODS: This study enrolled 115 laboratory-confirmed COVID-19 and 435 non-COVID-19 pneumonia patients (training dataset, n = 379; validation dataset, n = 131; testing dataset, n = 40). Key radiomics features extracted from chest CT images were selected to build a radiomics signature using least absolute shrinkage and selection operator (LASSO) regression. Clinical and clinico-radiomics combined models were constructed. The combined model was further validated in the viral pneumonia cohort, and compared with performance of two radiologists using CO-RADS. The diagnostic performance was assessed by receiver operating characteristics curve (ROC) analysis, calibration curve, and decision curve analysis (DCA). RESULTS: Eight radiomics features and 5 clinical variables were selected to construct the combined radiomics model, which outperformed the clinical model in diagnosing COVID-19 pneumonia with an area under the ROC (AUC) of 0.98 and good calibration in the validation cohort. The combined model also performed better in distinguishing COVID-19 from other viral pneumonia with an AUC of 0.93 compared with 0.75 (P = 0.03) for clinical model, and 0.69 (P = 0.008) or 0.82 (P = 0.15) for two trained radiologists using CO-RADS. The sensitivity and specificity of the combined model can be achieved to 0.85 and 0.90. The DCA confirmed the clinical utility of the combined model. An easy-to-use open-source diagnostic tool was developed using the combined model. CONCLUSIONS: The combined radiomics model outperformed clinical model and CO-RADS for diagnosing COVID-19 pneumonia, which can facilitate more rapid and accurate detection.
  • |*SARS-CoV-2[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19 Testing/*methods/statistics & numerical data[MESH]
  • |COVID-19/*diagnosis/*diagnostic imaging/epidemiology[MESH]
  • |China/epidemiology[MESH]
  • |Female[MESH]
  • |High-Throughput Screening Assays/methods/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Machine Learning[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Models, Statistical[MESH]
  • |Nomograms[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis/*diagnostic imaging/epidemiology[MESH]
  • |Radiographic Image Interpretation, Computer-Assisted/methods/statistics & numerical data[MESH]
  • |Retrospective Studies[MESH]
  • |Sensitivity and Specificity[MESH]
  • |Tomography, X-Ray Computed/*methods/statistics & numerical data[MESH]


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