Deep learning for detecting and early predicting chronic obstructive pulmonary disease from spirogram time series

Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung condition characterized by airflow obstruction. Current diagnostic methods primarily rely on identifying prominent features in spirometry (Volume-Flow time series) to detect COPD, but they are not adept at predicting future COPD risk bas...

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Main Authors: Mei, S, Li, X, Zhou, Y, Xu, J, Zhang, Y, Wan, Y, Cao, S, Zhao, Q, Geng, S, Xie, J, Chen, S, Hong, S
Format: Journal article
Language:English
Published: Nature Research 2025
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author Mei, S
Li, X
Zhou, Y
Xu, J
Zhang, Y
Wan, Y
Cao, S
Zhao, Q
Geng, S
Xie, J
Chen, S
Hong, S
author_facet Mei, S
Li, X
Zhou, Y
Xu, J
Zhang, Y
Wan, Y
Cao, S
Zhao, Q
Geng, S
Xie, J
Chen, S
Hong, S
author_sort Mei, S
collection OXFORD
description Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung condition characterized by airflow obstruction. Current diagnostic methods primarily rely on identifying prominent features in spirometry (Volume-Flow time series) to detect COPD, but they are not adept at predicting future COPD risk based on subtle data patterns. In this study, we introduce a novel deep learning-based approach, DeepSpiro, aimed at the early prediction of future COPD risk. DeepSpiro consists of four key components: SpiroSmoother for stabilizing the Volume-Flow curve, SpiroEncoder for capturing volume variability-pattern through key patches of varying lengths, SpiroExplainer for integrating heterogeneous data and explaining predictions through volume attention, and SpiroPredictor for predicting the disease risk of undiagnosed high-risk patients based on key patch concavity, with prediction horizons of 1–5 years, or even longer. Evaluated on the UK Biobank dataset, DeepSpiro achieved an AUC of 0.8328 for COPD detection and demonstrated strong predictive performance for future COPD risk (p-value < 0.001). In summary, DeepSpiro can effectively predict the long-term progression of COPD disease.
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spelling oxford-uuid:65dc3043-9696-41c8-9ad8-21dcb4c7d14f2025-02-15T20:09:06ZDeep learning for detecting and early predicting chronic obstructive pulmonary disease from spirogram time seriesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:65dc3043-9696-41c8-9ad8-21dcb4c7d14fEnglishJisc Publications RouterNature Research2025Mei, SLi, XZhou, YXu, JZhang, YWan, YCao, SZhao, QGeng, SXie, JChen, SHong, SChronic Obstructive Pulmonary Disease (COPD) is a chronic lung condition characterized by airflow obstruction. Current diagnostic methods primarily rely on identifying prominent features in spirometry (Volume-Flow time series) to detect COPD, but they are not adept at predicting future COPD risk based on subtle data patterns. In this study, we introduce a novel deep learning-based approach, DeepSpiro, aimed at the early prediction of future COPD risk. DeepSpiro consists of four key components: SpiroSmoother for stabilizing the Volume-Flow curve, SpiroEncoder for capturing volume variability-pattern through key patches of varying lengths, SpiroExplainer for integrating heterogeneous data and explaining predictions through volume attention, and SpiroPredictor for predicting the disease risk of undiagnosed high-risk patients based on key patch concavity, with prediction horizons of 1–5 years, or even longer. Evaluated on the UK Biobank dataset, DeepSpiro achieved an AUC of 0.8328 for COPD detection and demonstrated strong predictive performance for future COPD risk (p-value < 0.001). In summary, DeepSpiro can effectively predict the long-term progression of COPD disease.
spellingShingle Mei, S
Li, X
Zhou, Y
Xu, J
Zhang, Y
Wan, Y
Cao, S
Zhao, Q
Geng, S
Xie, J
Chen, S
Hong, S
Deep learning for detecting and early predicting chronic obstructive pulmonary disease from spirogram time series
title Deep learning for detecting and early predicting chronic obstructive pulmonary disease from spirogram time series
title_full Deep learning for detecting and early predicting chronic obstructive pulmonary disease from spirogram time series
title_fullStr Deep learning for detecting and early predicting chronic obstructive pulmonary disease from spirogram time series
title_full_unstemmed Deep learning for detecting and early predicting chronic obstructive pulmonary disease from spirogram time series
title_short Deep learning for detecting and early predicting chronic obstructive pulmonary disease from spirogram time series
title_sort deep learning for detecting and early predicting chronic obstructive pulmonary disease from spirogram time series
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