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A Fully Automatic Deep Learning System for COVID-19 Diagnostic and Prognostic Analysis
Wang, Shuo.
Zha, Yunfei.
Li, Weimin.
Wu, Qingxia.
Li, Xiaohu.
Niu, Meng.
Wang, Meiyun.
Qiu, Xiaoming.
Li, Hongjun.
Yu, He.
Gong, Wei.
Bai, Yan.
Li, Li.
Zhu, Yongbei.
Wang, Liusu.
Tian, Jie.
Acceso Abierto
Atribución-NoComercial-SinDerivadas
10.1101/2020.03.24.20042317
Coronavirus disease 2019 (COVID-19) has spread globally, and medical resources become insufficient in many regions. Fast diagnosis of COVID-19, and finding high-risk patients with worse prognosis for early prevention and medical resources optimization is important. Here, we proposed a fully automatic deep learning system for COVID-19 diagnostic and prognostic analysis by routinely used computed tomography. We retrospectively collected 5372 patients with computed tomography images from 7 cities or provinces. Firstly, 4106 patients with computed tomography images and gene information were used to pre-train the DL system, making it learn lung features. Afterwards, 1266 patients (924 with COVID-19, and 471 had follow-up for 5+ days; 342 with other pneumonia) from 6 cities or provinces were enrolled to train and externally validate the performance of the deep learning system. In the 4 external validation sets, the deep learning system achieved good performance in identifying COVID-19 from other pneumonia (AUC=0.87 and 0.88) and viral pneumonia (AUC=0.86). Moreover, the deep learning system succeeded to stratify patients into high-risk and low-risk groups whose hospital-stay time have significant difference (p=0.013 and 0.014). Without human-assistance, the deep learning system automatically focused on abnormal areas that showed consistent characteristics with reported radiological findings. Deep learning provides a convenient tool for fast screening COVID-19 and finding potential high-risk patients, which may be helpful for medical resource optimization and early prevention before patients show severe symptoms.
www.medrxiv.org
2020
Artículo
https://www.medrxiv.org/content/10.1101/2020.03.24.20042317v1.full.pdf
Inglés
VIRUS RESPIRATORIOS
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