Interstitial lung disease diagnosis and prognosis using an AI system integrating longitudinal data.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
20 04 2023
Historique:
received: 16 06 2022
accepted: 29 03 2023
medline: 24 4 2023
pubmed: 21 4 2023
entrez: 20 04 2023
Statut: epublish

Résumé

For accurate diagnosis of interstitial lung disease (ILD), a consensus of radiologic, pathological, and clinical findings is vital. Management of ILD also requires thorough follow-up with computed tomography (CT) studies and lung function tests to assess disease progression, severity, and response to treatment. However, accurate classification of ILD subtypes can be challenging, especially for those not accustomed to reading chest CTs regularly. Dynamic models to predict patient survival rates based on longitudinal data are challenging to create due to disease complexity, variation, and irregular visit intervals. Here, we utilize RadImageNet pretrained models to diagnose five types of ILD with multimodal data and a transformer model to determine a patient's 3-year survival rate. When clinical history and associated CT scans are available, the proposed deep learning system can help clinicians diagnose and classify ILD patients and, importantly, dynamically predict disease progression and prognosis.

Identifiants

pubmed: 37080956
doi: 10.1038/s41467-023-37720-5
pii: 10.1038/s41467-023-37720-5
pmc: PMC10119160
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

2272

Subventions

Organisme : NCATS NIH HHS
ID : TL1 TR004420
Pays : United States

Informations de copyright

© 2023. The Author(s).

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Auteurs

Xueyan Mei (X)

BioMedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA. xueyan.mei@icahn.mssm.edu.

Zelong Liu (Z)

BioMedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Ayushi Singh (A)

Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Marcia Lange (M)

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Priyanka Boddu (P)

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Jingqi Q X Gong (JQX)

Department of Pharmaceutical Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Justine Lee (J)

Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Cody DeMarco (C)

Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Chendi Cao (C)

BioMedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Samantha Platt (S)

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Ganesh Sivakumar (G)

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Benjamin Gross (B)

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Mingqian Huang (M)

Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Joy Masseaux (J)

Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Sakshi Dua (S)

Department of Medicine, Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Adam Bernheim (A)

Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Michael Chung (M)

Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Timothy Deyer (T)

Department of Radiology, Cornell Medicine, New York, NY, USA.
Department of Radiology, East River Medical Imaging, New York, NY, USA.

Adam Jacobi (A)

Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Maria Padilla (M)

Department of Medicine, Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Zahi A Fayad (ZA)

BioMedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA. zahi.fayad@mssm.edu.
Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. zahi.fayad@mssm.edu.

Yang Yang (Y)

BioMedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA. yang.yang4@ucsf.edu.
Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. yang.yang4@ucsf.edu.
Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA. yang.yang4@ucsf.edu.

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