Duan Lizhen, Zhang Longjiang, Lu Guangming, Guo Lili, Duan Shaofeng, Zhou Changsheng
Department of Medical Imaging, The Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University, Huai'an 223300, China.
Department of Medical Imaging, Jinling Hospital, School of Medicine, Nanjing University, Nanjing 210002, China.
Diagnostics (Basel). 2023 Apr 19;13(8):1479. doi: 10.3390/diagnostics13081479.
This study aimed to develop a computed tomography (CT)-based radiomics model to predict the outcome of COVID-19 pneumonia. In total of 44 patients with confirmed diagnosis of COVID-19 were retrospectively enrolled in this study. The radiomics model and subtracted radiomics model were developed to assess the prognosis of COVID-19 and compare differences between the aggravate and relief groups. Each radiomic signature consisted of 10 selected features and showed good performance in differentiating between the aggravate and relief groups. The sensitivity, specificity, and accuracy of the first model were 98.1%, 97.3%, and 97.6%, respectively (AUC = 0.99). The sensitivity, specificity, and accuracy of the second model were 100%, 97.3%, and 98.4%, respectively (AUC = 1.00). There was no significant difference between the models. The radiomics models revealed good performance for predicting the outcome of COVID-19 in the early stage. The CT-based radiomic signature can provide valuable information to identify potential severe COVID-19 patients and aid clinical decisions.
本研究旨在开发一种基于计算机断层扫描(CT)的放射组学模型,以预测新型冠状病毒肺炎(COVID-19)的预后。本研究回顾性纳入了44例确诊为COVID-19的患者。开发了放射组学模型和减法放射组学模型,以评估COVID-19的预后,并比较加重组和缓解组之间的差异。每个放射组学特征由10个选定特征组成,在区分加重组和缓解组方面表现良好。第一个模型的敏感性、特异性和准确性分别为98.1%、97.3%和97.6%(AUC = 0.99)。第二个模型的敏感性、特异性和准确性分别为100%、97.3%和98.4%(AUC = 1.00)。两个模型之间无显著差异。放射组学模型在预测COVID-19早期预后方面表现良好。基于CT的放射组学特征可为识别潜在的重症COVID-19患者提供有价值的信息,并有助于临床决策。