单位:[1]Department of Radiology, Beijing Xiaotangshan Hospital, Beijing, China.[2]Department of Respiratory and Critical Care Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.北京朝阳医院[3]Intensive Care Unit, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.北京朝阳医院[4]Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.医技科室影像中心放射科首都医科大学附属北京友谊医院[5]Institute of Advanced Research, Infervision Medical Technology Co., Ltd., Beijing, China
Our study aimed to investigate the performance of deep learning (DL)-based diagnostic systems in alerting against COVID-19, especially among asymptomatic individuals coming from overseas, and to analyze the features of identified asymptomatic patients in detail.DL diagnostic systems were deployed to assist in the screening of COVID-19, including the pneumonia system and pulmonary nodules system. 1,917 overseas returnees who underwent CT examination and rRT-PCR tests were enrolled. DL pneumonia system promptly alerted clinicians to suspected COVID-19 after CT examinations while the performance was evaluated with rRT-PCR results as the reference. The radiological features of asymptomatic COVID-19 cases were described according to the Nomenclature of the Fleischner Society.Fifty-three cases were confirmed as COVID-19 patients by rRT-PCR tests, including 5 asymptomatic cases. DL pneumonia system correctly alerted 50 cases as suspected COVID-19 with a sensitivity of 0.9434 and specificity of 0.9592 (within 2 minutes per case); while the pulmonary nodules system alerted 2 of the 3 missed asymptomatic cases. Additionally, five asymptomatic patients presented different characteristics such as elevated creatine kinase level and prolonged prothrombin time, as well as atypical radiological features.DL diagnostic systems are promising complementary approaches for prompt screening of imported COVID-19 patients, even the imported asymptomatic cases. Unique clinical and radiological characteristics of asymptomatic cases might be of great value in screening as well.DL-based systems are practical, efficient, and reliable to assist radiologists in screening COVID-19 patients. Differential features of asymptomatic patients might be useful to clinicians in the frontline to differentiate asymptomatic cases.Copyright (c) 2022 Dawei Dong, Zujin Luo, Yue Zheng, Ying Liang, Pengfei Zhao, Linlin Feng, Dawei Wang, Ying Cao, Zhenhao Zhao, Yingmin Ma.
基金:
Nation Natural Science Foundation of China (No.81570070) and Beijing Hospitals Authority Clinical Medicine Development of Special Funding Support (No. XMLX201709).
第一作者单位:[1]Department of Radiology, Beijing Xiaotangshan Hospital, Beijing, China.
共同第一作者:
通讯作者:
通讯机构:[2]Department of Respiratory and Critical Care Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.[*1]Department of Respiratory and Critical Care Medicine,
推荐引用方式(GB/T 7714):
Dong Dawei,Luo Zujin,Zheng Yue,et al.Application of deep learning-based diagnostic systems in screening asymptomatic COVID-19 patients among oversea returnees[J].Journal Of Infection In Developing Countries.2022,16(11):1706-1714.doi:10.3855/jidc.15022.
APA:
Dong Dawei,Luo Zujin,Zheng Yue,Liang Ying,Zhao Pengfei...&Ma Yingmin.(2022).Application of deep learning-based diagnostic systems in screening asymptomatic COVID-19 patients among oversea returnees.Journal Of Infection In Developing Countries,16,(11)
MLA:
Dong Dawei,et al."Application of deep learning-based diagnostic systems in screening asymptomatic COVID-19 patients among oversea returnees".Journal Of Infection In Developing Countries 16..11(2022):1706-1714