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Session: Multi-Disciplinary General ePoster Viewing [Return to Session]

Computational Triage of Severe Patients Caused by Coronavirus Disease 2019 Pneumonia On CT Images with Radiomic Signatures

T Iwasaki1*, H Arimura2, K Ninomiya2, H Iwanaga1, (1) The University of Tokyo Hospital, Tokyo, JP, (2) Kyushu University, Fukuoka, JP


PO-GePV-M-54 (Sunday, 7/10/2022)   [Eastern Time (GMT-4)]

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Purpose: This study aimed to investigate a computational approach to triage the severe patients caused by coronavirus disease 2019 (COVID-19) pneumonia on CT image using radiomic signatures.

Methods: 263 cases were selected from a COVID-19 open database, and they were divided to 180 training [60 severe cases (critically ill and severe), 120 non-severe cases (regular and COVID-19 negative)] and 83 test (25 severe cases, 58 non-severe cases) cases. Two training datasets, each of which included 120 cases, were made from the 60 severe cases and 60 non-severe cases, which were randomly selected twice from the 120 non-severe cases. 270 radiomic features (histogram and texture features) were extracted from an original CT image and four wavelet filtered CT images. Then, 9 triage models were built by combining three feature selection with three machine learning methods. Significant features were chosen to construct radiomic signatures by using p-value-based selection, logistic regression and permutation importance. The three machine learning models were a logistic regression, random forest and support vector machine with the radiomic signatures constructed from a 5-fold cross validation. Finally, the model which showed the highest area under the receiver operating characteristics curve (AUC) for the test dataset was considered as a final classification model.

Results: In the validation of the training step, AUCs of the model using a logistic regression showed 0.875 with permutation importance. In the test, the highest AUC was 0.668.

Conclusion: Triage models using radiomic signatures could be useful in assessment of severity of COVID-19 pneumonia for clinical triage.


CT, Cross Validation


IM/TH- Informatics: Data archiving - Imaging

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