Radiomics Is Effective for Distinguishing Coronavirus Disease 2019 Pneumonia From Influenza Virus Pneumonia

Objectives: To develop and validate a radiomics model for distinguishing coronavirus disease 2019 (COVID-19) pneumonia from influenza virus pneumonia.Materials and Methods: A radiomics model was developed on the basis of 56 patients with COVID-19 pneumonia and 90 patients with influenza virus pneumo...

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Main Authors: Liaoyi Lin, Jinjin Liu, Qingshan Deng, Na Li, Jingye Pan, Houzhang Sun, Shichao Quan
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2021.663965/full
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author Liaoyi Lin
Jinjin Liu
Qingshan Deng
Na Li
Jingye Pan
Houzhang Sun
Shichao Quan
author_facet Liaoyi Lin
Jinjin Liu
Qingshan Deng
Na Li
Jingye Pan
Houzhang Sun
Shichao Quan
author_sort Liaoyi Lin
collection DOAJ
description Objectives: To develop and validate a radiomics model for distinguishing coronavirus disease 2019 (COVID-19) pneumonia from influenza virus pneumonia.Materials and Methods: A radiomics model was developed on the basis of 56 patients with COVID-19 pneumonia and 90 patients with influenza virus pneumonia in this retrospective study. Radiomics features were extracted from CT images. The radiomics features were reduced by the Max-Relevance and Min-Redundancy algorithm and the least absolute shrinkage and selection operator method. The radiomics model was built using the multivariate backward stepwise logistic regression. A nomogram of the radiomics model was established, and the decision curve showed the clinical usefulness of the radiomics nomogram.Results: The radiomics features, consisting of nine selected features, were significantly different between COVID-19 pneumonia and influenza virus pneumonia in both training and validation data sets. The receiver operator characteristic curve of the radiomics model showed good discrimination in the training sample [area under the receiver operating characteristic curve (AUC), 0.909; 95% confidence interval (CI), 0.859–0.958] and in the validation sample (AUC, 0.911; 95% CI, 0.753–1.000). The nomogram was established and had good calibration. Decision curve analysis showed that the radiomics nomogram was clinically useful.Conclusions: The radiomics model has good performance for distinguishing COVID-19 pneumonia from influenza virus pneumonia and may aid in the diagnosis of COVID-19 pneumonia.
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spelling doaj.art-e86d0a59b89a4e40811ca5c21d8cb0152022-12-21T18:42:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-06-01910.3389/fpubh.2021.663965663965Radiomics Is Effective for Distinguishing Coronavirus Disease 2019 Pneumonia From Influenza Virus PneumoniaLiaoyi Lin0Jinjin Liu1Qingshan Deng2Na Li3Jingye Pan4Houzhang Sun5Shichao Quan6Department of Radiology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Radiology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Radiology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Radiology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Intensive Care Unit, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Radiology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of General Medicine, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaObjectives: To develop and validate a radiomics model for distinguishing coronavirus disease 2019 (COVID-19) pneumonia from influenza virus pneumonia.Materials and Methods: A radiomics model was developed on the basis of 56 patients with COVID-19 pneumonia and 90 patients with influenza virus pneumonia in this retrospective study. Radiomics features were extracted from CT images. The radiomics features were reduced by the Max-Relevance and Min-Redundancy algorithm and the least absolute shrinkage and selection operator method. The radiomics model was built using the multivariate backward stepwise logistic regression. A nomogram of the radiomics model was established, and the decision curve showed the clinical usefulness of the radiomics nomogram.Results: The radiomics features, consisting of nine selected features, were significantly different between COVID-19 pneumonia and influenza virus pneumonia in both training and validation data sets. The receiver operator characteristic curve of the radiomics model showed good discrimination in the training sample [area under the receiver operating characteristic curve (AUC), 0.909; 95% confidence interval (CI), 0.859–0.958] and in the validation sample (AUC, 0.911; 95% CI, 0.753–1.000). The nomogram was established and had good calibration. Decision curve analysis showed that the radiomics nomogram was clinically useful.Conclusions: The radiomics model has good performance for distinguishing COVID-19 pneumonia from influenza virus pneumonia and may aid in the diagnosis of COVID-19 pneumonia.https://www.frontiersin.org/articles/10.3389/fpubh.2021.663965/fullCOVID-19influenzanomogramradiomicscomputed tomography
spellingShingle Liaoyi Lin
Jinjin Liu
Qingshan Deng
Na Li
Jingye Pan
Houzhang Sun
Shichao Quan
Radiomics Is Effective for Distinguishing Coronavirus Disease 2019 Pneumonia From Influenza Virus Pneumonia
Frontiers in Public Health
COVID-19
influenza
nomogram
radiomics
computed tomography
title Radiomics Is Effective for Distinguishing Coronavirus Disease 2019 Pneumonia From Influenza Virus Pneumonia
title_full Radiomics Is Effective for Distinguishing Coronavirus Disease 2019 Pneumonia From Influenza Virus Pneumonia
title_fullStr Radiomics Is Effective for Distinguishing Coronavirus Disease 2019 Pneumonia From Influenza Virus Pneumonia
title_full_unstemmed Radiomics Is Effective for Distinguishing Coronavirus Disease 2019 Pneumonia From Influenza Virus Pneumonia
title_short Radiomics Is Effective for Distinguishing Coronavirus Disease 2019 Pneumonia From Influenza Virus Pneumonia
title_sort radiomics is effective for distinguishing coronavirus disease 2019 pneumonia from influenza virus pneumonia
topic COVID-19
influenza
nomogram
radiomics
computed tomography
url https://www.frontiersin.org/articles/10.3389/fpubh.2021.663965/full
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