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Development and validation of chest CT-based imaging biomarkers for early stage COVID-19 screening
Xuanyu Mao; Xiao-Ping Liu; Miao Xiong; Xu Yang; Xiaoqing Jin; Zhiqiang Li; Shuang Zhou; Hang Chang.
Affiliation
  • Xuanyu Mao; Department of Emergency, Zhongnan Hospital of Wuhan University
  • Xiao-Ping Liu; Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei province, China
  • Miao Xiong; Department of Radiology, Wuhan Third Hospital (Tongren Hospital of Wuhan University)
  • Xu Yang; Key Laboratory of Modern Toxicology of Ministry of Education, School of Public Health, Nanjing Medical University, Nanjing, China
  • Xiaoqing Jin; Department of Emergency, Zhongnan Hospital of Wuhan University
  • Zhiqiang Li; Department of Neurosurgery, Zhongnan Hospital of Wuhan University
  • Shuang Zhou; Radiology Department, Hubei Provincial Hospital of TCM, Hubei Institute of Traditional Medicine, Wuhan, China
  • Hang Chang; Department of Emergency, Zhongnan Hospital of Wuhan University
Preprint in English | medRxiv | ID: ppmedrxiv-20103473
ABSTRACT
Coronavirus Disease 2019 (COVID-19) is currently a global pandemic, and the early screening of COVID-19 is one of the key factors for COVID-19 control and treatment. Here, we developed and validated chest CT-based imaging biomarkers for COVID-19 patient screening. We identified the vasculature-like signals from CT images and found that, compared to healthy and community acquired pneumonia (CAP) patients, the COVID-19 patients revealed significantly higher abundance of these signals. Furthermore, unsupervised feature learning leads to the discovery of clinical-relevant imaging biomarkers from the vasculature-like signals for accurate and sensitive COVID-19 screening that has been double-blindly validated in an independent hospital (sensitivity 0.941, specificity 0.904, AUC 0.952). Our findings could open a new avenue to assist screening of COVID-19 patients.
License
cc_by_nc_nd
Full text: Available Collection: Preprints Database: medRxiv Type of study: Prognostic study Language: English Year: 2020 Document type: Preprint
Full text: Available Collection: Preprints Database: medRxiv Type of study: Prognostic study Language: English Year: 2020 Document type: Preprint
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