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arXiv 2007.10416eess.IVcs.CV
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Integrative Analysis for COVID-19 Patient Outcome Prediction

Rensselaer Polytechnic Institute(伦斯勒理工学院);Massachusetts General Hospital(麻省总医院);Harvard Medical School(哈佛医学院);Firoozgar Hospital(菲鲁兹加尔医院);Iran University of Medical Sciences(伊朗医科大学);Azienda Ospedaliero-universitaria di Cagliari(卡利亚里大学医院)
Hanqing Chao, Xi Fang, Jiajin Zhang, Fatemeh Homayounieh, Chiara D. Arru, Subba R. Digumarthy, Rosa Babaei, Hadi K. Mobin, Iman Mohseni, Luca Saba, Alessandro C… 展开作者

Hanqing Chao, Xi Fang, Jiajin Zhang, Fatemeh Homayounieh, Chiara D. Arru, Subba R. Digumarthy, Rosa Babaei, Hadi K. Mobin, Iman Mohseni, Luca Saba, Alessandro Carriero, Zeno Falaschi, Alessio Pasche, Ge Wang, Mannudeep K. Kalra, Pingkun Yan

英文摘要:

While image analysis of chest computed tomography (CT) for COVID-19 diagnosis has been intensively studied, little work has been performed for image-based patient outcome prediction. Management of high-risk patients with early intervention is a key to lower the fatality rate of COVID-19 pneumonia, as a majority of patients recover naturally. Therefore, an accurate prediction of disease progression with baseline imaging at the time of the initial presentation can help in patient management. In lieu of only size and volume information of pulmonary abnormalities and features through deep learning based image segmentation, here we combine radiomics of lung opacities and non-imaging features from demographic data, vital signs, and laboratory findings to predict need for intensive care unit (ICU) admission. To our knowledge, this is the first study that uses holistic information of a patient including both imaging and non-imaging data for outcome prediction. The proposed methods were thoroughly evaluated on datasets separately collected from three hospitals, one in the United States, one in Iran, and another in Italy, with a total 295 patients with reverse transcription polymerase chain reaction (RT-PCR) assay positive COVID-19 pneumonia. Our experimental results demonstrate that adding non-imaging features can significantly improve the performance of prediction to achieve AUC up to 0.884 and sensitivity as high as 96.1%, which can be valuable to provide clinical decision support in managing COVID-19 patients. Our methods may also be applied to other lung diseases including but not limited to community acquired pneumonia. The source code of our work is available at https://github.com/DIAL-RPI/COVID19-ICUPrediction.

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