TY - JOUR
T1 - AI-driven quantification, staging and outcome prediction of COVID-19 pneumonia
AU - Chassagnon, Guillaume
AU - Vakalopoulou, Maria
AU - Battistella, Enzo
AU - Christodoulidis, Stergios
AU - Hoang-Thi, Trieu Nghi
AU - Dangeard, Severine
AU - Deutsch, Eric
AU - Andre, Fabrice
AU - Guillo, Enora
AU - Halm, Nara
AU - El Hajj, Stefany
AU - Bompard, Florian
AU - Neveu, Sophie
AU - Hani, Chahinez
AU - Saab, Ines
AU - Campredon, Aliénor
AU - Koulakian, Hasmik
AU - Bennani, Souhail
AU - Freche, Gael
AU - Barat, Maxime
AU - Lombard, Aurelien
AU - Fournier, Laure
AU - Monnier, Hippolyte
AU - Grand, Téodor
AU - Gregory, Jules
AU - Nguyen, Yann
AU - Khalil, Antoine
AU - Mahdjoub, Elyas
AU - Brillet, Pierre Yves
AU - Tran Ba, Stéphane
AU - Bousson, Valérie
AU - Mekki, Ahmed
AU - Carlier, Robert Yves
AU - Revel, Marie Pierre
AU - Paragios, Nikos
N1 - Publisher Copyright:
© 2020 The Author(s)
PY - 2021/1/1
Y1 - 2021/1/1
N2 - Coronavirus disease 2019 (COVID-19) emerged in 2019 and disseminated around the world rapidly. Computed tomography (CT) imaging has been proven to be an important tool for screening, disease quantification and staging. The latter is of extreme importance for organizational anticipation (availability of intensive care unit beds, patient management planning) as well as to accelerate drug development through rapid, reproducible and quantified assessment of treatment response. Even if currently there are no specific guidelines for the staging of the patients, CT together with some clinical and biological biomarkers are used. In this study, we collected a multi-center cohort and we investigated the use of medical imaging and artificial intelligence for disease quantification, staging and outcome prediction. Our approach relies on automatic deep learning-based disease quantification using an ensemble of architectures, and a data-driven consensus for the staging and outcome prediction of the patients fusing imaging biomarkers with clinical and biological attributes. Highly promising results on multiple external/independent evaluation cohorts as well as comparisons with expert human readers demonstrate the potentials of our approach.
AB - Coronavirus disease 2019 (COVID-19) emerged in 2019 and disseminated around the world rapidly. Computed tomography (CT) imaging has been proven to be an important tool for screening, disease quantification and staging. The latter is of extreme importance for organizational anticipation (availability of intensive care unit beds, patient management planning) as well as to accelerate drug development through rapid, reproducible and quantified assessment of treatment response. Even if currently there are no specific guidelines for the staging of the patients, CT together with some clinical and biological biomarkers are used. In this study, we collected a multi-center cohort and we investigated the use of medical imaging and artificial intelligence for disease quantification, staging and outcome prediction. Our approach relies on automatic deep learning-based disease quantification using an ensemble of architectures, and a data-driven consensus for the staging and outcome prediction of the patients fusing imaging biomarkers with clinical and biological attributes. Highly promising results on multiple external/independent evaluation cohorts as well as comparisons with expert human readers demonstrate the potentials of our approach.
KW - Artifial intelligence
KW - Biomarker discovery
KW - COVID 19 pneumonia
KW - Deep learning
KW - Ensemble methods
KW - Prognosis
KW - Staging
UR - http://www.scopus.com/inward/record.url?scp=85095434755&partnerID=8YFLogxK
U2 - 10.1016/j.media.2020.101860
DO - 10.1016/j.media.2020.101860
M3 - Article
C2 - 33171345
AN - SCOPUS:85095434755
SN - 1361-8415
VL - 67
JO - Medical Image Analysis
JF - Medical Image Analysis
M1 - 101860
ER -