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Record W3186482562 · doi:10.1186/s12967-021-02992-2

Self-supervised deep learning model for COVID-19 lung CT image segmentation highlighting putative causal relationship among age, underlying disease and COVID-19

2021· article· en· W3186482562 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
fundA Canadian funder is recorded on the work.

Bibliographic record

VenueJournal of Translational Medicine · 2021
Typearticle
Languageen
FieldMedicine
TopicCOVID-19 diagnosis using AI
Canadian institutionsCancerCare ManitobaUniversity of Manitoba
FundersNatural Sciences and Engineering Research Council of CanadaManitoba Medical Service Foundation
KeywordsArtificial intelligenceDeep learningComputer scienceSegmentationCoronavirus disease 2019 (COVID-19)Machine learningMedicinePattern recognition (psychology)DiseasePathologyInfectious disease (medical specialty)

Abstract

fetched live from OpenAlex

BACKGROUND: Coronavirus disease 2019 (COVID-19) is very contagious. Cases appear faster than the available Polymerase Chain Reaction test kits in many countries. Recently, lung computerized tomography (CT) has been used as an auxiliary COVID-19 testing approach. Automatic analysis of the lung CT images is needed to increase the diagnostic efficiency and release the human participant. Deep learning is successful in automatically solving computer vision problems. Thus, it can be introduced to the automatic and rapid COVID-19 CT diagnosis. Many advanced deep learning-based computer vison techniques were developed to increase the model performance but have not been introduced to medical image analysis. METHODS: In this study, we propose a self-supervised two-stage deep learning model to segment COVID-19 lesions (ground-glass opacity and consolidation) from chest CT images to support rapid COVID-19 diagnosis. The proposed deep learning model integrates several advanced computer vision techniques such as generative adversarial image inpainting, focal loss, and lookahead optimizer. Two real-life datasets were used to evaluate the model's performance compared to the previous related works. To explore the clinical and biological mechanism of the predicted lesion segments, we extract some engineered features from the predicted lung lesions. We evaluate their mediation effects on the relationship of age with COVID-19 severity, as well as the relationship of underlying diseases with COVID-19 severity using statistic mediation analysis. RESULTS: The best overall F1 score is observed in the proposed self-supervised two-stage segmentation model (0.63) compared to the two related baseline models (0.55, 0.49). We also identified several CT image phenotypes that mediate the potential causal relationship between underlying diseases with COVID-19 severity as well as the potential causal relationship between age with COVID-19 severity. CONCLUSIONS: This work contributes a promising COVID-19 lung CT image segmentation model and provides predicted lesion segments with potential clinical interpretability. The model could automatically segment the COVID-19 lesions from the raw CT images with higher accuracy than related works. The features of these lesions are associated with COVID-19 severity through mediating the known causal of the COVID-19 severity (age and underlying diseases).

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.009
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: Simulation or modeling
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.794
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.009
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.000
Science and technology studies0.0010.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.094
GPT teacher head0.399
Teacher spread0.305 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it