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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Autores principales: 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
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/88b1bb1db855437aabb5bc493f7c6609
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle 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
description 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
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