Deep radiomics-based survival prediction in patients with chronic obstructive pulmonary disease
Abstract Heterogeneous clinical manifestations and progression of chronic obstructive pulmonary disease (COPD) affect patient health risk assessment, stratification, and management. Pulmonary function tests are used to diagnose and classify the severity of COPD, but they cannot fully represent the t...
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Nature Portfolio
2021
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oai:doaj.org-article:88b1bb1db855437aabb5bc493f7c66092021-12-02T16:06:42ZDeep radiomics-based survival prediction in patients with chronic obstructive pulmonary disease10.1038/s41598-021-94535-42045-2322https://doaj.org/article/88b1bb1db855437aabb5bc493f7c66092021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-94535-4https://doaj.org/toc/2045-2322Abstract Heterogeneous clinical manifestations and progression of chronic obstructive pulmonary disease (COPD) affect patient health risk assessment, stratification, and management. Pulmonary function tests are used to diagnose and classify the severity of COPD, but they cannot fully represent the type or range of pathophysiologic abnormalities of the disease. To evaluate whether deep radiomics from chest computed tomography (CT) images can predict mortality in patients with COPD, we designed a convolutional neural network (CNN) model for extracting representative features from CT images and then performed random survival forest to predict survival in COPD patients. We trained CNN-based binary classifier based on six-minute walk distance results (> 440 m or not) and extracted high-throughput image features (i.e., deep radiomics) directly from the last fully connected layer of it. The various sizes of fully connected layers and combinations of deep features were experimented using a discovery cohort with 344 patients from the Korean Obstructive Lung Disease cohort and an external validation cohort with 102 patients from Penang General Hospital in Malaysia. In the integrative analysis of discovery and external validation cohorts, with combining 256 deep features from the coronal slice of the vertebral body and two sagittal slices of the left/right lung, deep radiomics for survival prediction achieved concordance indices of 0.8008 (95% CI, 0.7642–0.8373) and 0.7156 (95% CI, 0.7024–0.7288), respectively. Deep radiomics from CT images could be used to predict mortality in COPD patients.Jihye YunYoung Hoon ChoSang Min LeeJeongeun HwangJae Seung LeeYeon-Mok OhSang-Do LeeLi-Cher LohChoo-Khoon OngJoon Beom SeoNamkug KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021) |
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Medicine R Science Q Jihye Yun Young Hoon Cho Sang Min Lee Jeongeun Hwang Jae Seung Lee Yeon-Mok Oh Sang-Do Lee Li-Cher Loh Choo-Khoon Ong Joon Beom Seo Namkug Kim Deep radiomics-based survival prediction in patients with chronic obstructive pulmonary disease |
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Abstract Heterogeneous clinical manifestations and progression of chronic obstructive pulmonary disease (COPD) affect patient health risk assessment, stratification, and management. Pulmonary function tests are used to diagnose and classify the severity of COPD, but they cannot fully represent the type or range of pathophysiologic abnormalities of the disease. To evaluate whether deep radiomics from chest computed tomography (CT) images can predict mortality in patients with COPD, we designed a convolutional neural network (CNN) model for extracting representative features from CT images and then performed random survival forest to predict survival in COPD patients. We trained CNN-based binary classifier based on six-minute walk distance results (> 440 m or not) and extracted high-throughput image features (i.e., deep radiomics) directly from the last fully connected layer of it. The various sizes of fully connected layers and combinations of deep features were experimented using a discovery cohort with 344 patients from the Korean Obstructive Lung Disease cohort and an external validation cohort with 102 patients from Penang General Hospital in Malaysia. In the integrative analysis of discovery and external validation cohorts, with combining 256 deep features from the coronal slice of the vertebral body and two sagittal slices of the left/right lung, deep radiomics for survival prediction achieved concordance indices of 0.8008 (95% CI, 0.7642–0.8373) and 0.7156 (95% CI, 0.7024–0.7288), respectively. Deep radiomics from CT images could be used to predict mortality in COPD patients. |
format |
article |
author |
Jihye Yun Young Hoon Cho Sang Min Lee Jeongeun Hwang Jae Seung Lee Yeon-Mok Oh Sang-Do Lee Li-Cher Loh Choo-Khoon Ong Joon Beom Seo Namkug Kim |
author_facet |
Jihye Yun Young Hoon Cho Sang Min Lee Jeongeun Hwang Jae Seung Lee Yeon-Mok Oh Sang-Do Lee Li-Cher Loh Choo-Khoon Ong Joon Beom Seo Namkug Kim |
author_sort |
Jihye Yun |
title |
Deep radiomics-based survival prediction in patients with chronic obstructive pulmonary disease |
title_short |
Deep radiomics-based survival prediction in patients with chronic obstructive pulmonary disease |
title_full |
Deep radiomics-based survival prediction in patients with chronic obstructive pulmonary disease |
title_fullStr |
Deep radiomics-based survival prediction in patients with chronic obstructive pulmonary disease |
title_full_unstemmed |
Deep radiomics-based survival prediction in patients with chronic obstructive pulmonary disease |
title_sort |
deep radiomics-based survival prediction in patients with chronic obstructive pulmonary disease |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/88b1bb1db855437aabb5bc493f7c6609 |
work_keys_str_mv |
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