Document Type
Article
Publication Date
3-13-2021
Publication Title
Aging
Volume
13
Issue
7
First page number:
9186
Last page number:
9224
Abstract
With the continued transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) throughout the world, identification of highly suspected COVID-19 patients remains an urgent priority. In this study, we developed and validated COVID-19 risk scores to identify patients with COVID-19. In this study, for patient-wise analysis, three signatures, including the risk score using radiomic features only, the risk score using clinical factors only, and the risk score combining radiomic features and clinical variables, show an excellent performance in differentiating COVID-19 from other viral-induced pneumonias in the validation set. For lesion-wise analysis, the risk score using three radiomic features only also achieved an excellent AUC value. In contrast, the performance of 130 radiologists based on the chest CT images alone without the clinical characteristics included was moderate as compared to the risk scores developed. The risk scores depicting the correlation of CT radiomics and clinical factors with COVID-19 could be used to accurately identify patients with COVID-19, which would have clinically translatable diagnostic and therapeutic implications from a precision medicine perspective.
Keywords
Chest CT; Coronavirus disease 2019; COVID-19; Nomogram; Radiomics; Severe acute respiratory syndrome coronavirus 2
Disciplines
Bacterial Infections and Mycoses | Pulmonology
File Format
File Size
3324 KB
Language
English
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Repository Citation
Chen, Z.,
Li, X.,
Li, J.,
Zhang, S.,
Zhou, P.,
Yu, X.,
Ren, Y.,
Wang, J.,
Zhang, L.,
Li, Y.,
Wu, B.,
Hou, Y.,
Zhang, K.,
Tang, R.,
Liu, Y.,
Ding, Z.,
Yang, B.,
Deng, Q.,
Lin, Q.,
Nie, K.,
Cai, Z.,
Ma, S.,
Kuang, Y.
(2021).
A COVID-19 Risk Score Combining Chest CT Radiomics and Clinical Characteristics to Differentiate COVID-19 Pneumonia From Other Viral Pneumonias.
Aging, 13(7),
9186-9224.
http://dx.doi.org/10.18632/aging.202735