论文标题
使用从CT扫描提取的深度学习特征来预测COVID-19患者的结果
Using Deep Learning-based Features Extracted from CT scans to Predict Outcomes in COVID-19 Patients
论文作者
论文摘要
Covid-19-大流行对日常生活产生了相当大的影响。通过为受影响的受影响提供必要的资源来解决该疾病至关重要。但是,考虑到确定要求的因素的数量,对所需资源的估计并不是一项琐碎的任务。可以通过预测感染患者需要重症监护病房(ICU)支持以及影响其影响的每个因素的重要性的可能性来解决此问题。此外,为了帮助医生确定死亡高风险的患者,还计算了死亡的可能性。为了确定患者的结果(ICU入院和死亡),提出了一种新的方法,通过结合多模式特征,从计算机断层扫描(CT)扫描和电子健康记录(EHR)数据中提取。深度学习模型可以从CT扫描中提取定量特征。这些功能以及直接从EHR数据库中读取的功能被馈入机器学习模型,以最终输出患者结果的概率。这项工作既展示了应用一系列深度学习方法的能力,以普遍量化胸部CT扫描,以及将这些定量指标与患者结局联系起来的能力。通过在ICU入院预测中实现0.77的接收器操作特征曲线(AUC),在内部策划的数据集上测试提出的方法的有效性是通过在内部策划的数据集上进行测试,使用最佳性能分类器在死亡预测中的平均AUC为0.73。
The COVID-19 pandemic has had a considerable impact on day-to-day life. Tackling the disease by providing the necessary resources to the affected is of paramount importance. However, estimation of the required resources is not a trivial task given the number of factors which determine the requirement. This issue can be addressed by predicting the probability that an infected patient requires Intensive Care Unit (ICU) support and the importance of each of the factors that influence it. Moreover, to assist the doctors in determining the patients at high risk of fatality, the probability of death is also calculated. For determining both the patient outcomes (ICU admission and death), a novel methodology is proposed by combining multi-modal features, extracted from Computed Tomography (CT) scans and Electronic Health Record (EHR) data. Deep learning models are leveraged to extract quantitative features from CT scans. These features combined with those directly read from the EHR database are fed into machine learning models to eventually output the probabilities of patient outcomes. This work demonstrates both the ability to apply a broad set of deep learning methods for general quantification of Chest CT scans and the ability to link these quantitative metrics to patient outcomes. The effectiveness of the proposed method is shown by testing it on an internally curated dataset, achieving a mean area under Receiver operating characteristic curve (AUC) of 0.77 on ICU admission prediction and a mean AUC of 0.73 on death prediction using the best performing classifiers.