用AI分析肺部CT,提前预测新冠后遗症患者肺纤维化风险。
Predicting Risk of Pulmonary Fibrosis Formation in PASC Patients
- 融合深度学习与影像组学,从多中心CT数据中提取特征。
- 分类准确率82.2%,AUC达85.5%,可有效识别肺纤维化迹象。
- 可视化技术帮助医生理解模型判断,适合临床科研与慢病管理。
虽然新冠疫情急性期已过,但其长期影响仍以急性后遗症(PASC,即长新冠)形式持续存在,其持续时间与管理策略尚不明确。PASC表现为疲劳、呼吸困难、神经功能障碍(如脑雾)、心血管、肺及肌肉骨骼异常等多样症状,超出急性感染期范畴,给临床评估、诊断与治疗带来挑战。本文聚焦于提示肺部纤维化损伤的影像特征,该病表现为肺组织瘢痕化,可能影响长期呼吸功能。研究提出一种新型多中心胸部CT分析框架,结合深度学习与影像组学进行纤维化预测。方法利用卷积神经网络(CNN)和可解释特征提取,在分类任务中达到82.2%准确率与85.5% AUC。通过Grad-CAM可视化与影像组学特征分析,验证了其在提供临床相关洞察方面的有效性。首次在文献中展示了深度学习驱动的计算方法在长新冠相关肺纤维化早期检测与风险评估中的潜力。
原文摘要 · Abstract (English)
While the acute phase of the COVID-19 pandemic has subsided, its long-term effects persist through Post-Acute Sequelae of COVID-19 (PASC), commonly known as Long COVID. There remains substantial uncertainty regarding both its duration and optimal management strategies. PASC manifests as a diverse array of persistent or newly emerging symptoms--ranging from fatigue, dyspnea, and neurologic impairments (e.g., brain fog), to cardiovascular, pulmonary, and musculoskeletal abnormalities--that extend beyond the acute infection phase. This heterogeneous presentation poses substantial challenges for clinical assessment, diagnosis, and treatment planning. In this paper, we focus on imaging findings that may suggest fibrotic damage in the lungs, a critical manifestation characterized by scarring of lung tissue, which can potentially affect long-term respiratory function in patients with PASC. This study introduces a novel multi-center chest CT analysis framework that combines deep learning and radiomics for fibrosis prediction. Our approach leverages convolutional neural networks (CNNs) and interpretable feature extraction, achieving 82.2% accuracy and 85.5% AUC in classification tasks. We demonstrate the effectiveness of Grad-CAM visualization and radiomics-based feature analysis in providing clinically relevant insights for PASC-related lung fibrosis prediction. Our findings highlight the potential of deep learning-driven computational methods for early detection and risk assessment of PASC-related lung fibrosis--presented for the first time in the literature.
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