npj Digital Medicine (Jan 2021)

Deep COVID DeteCT: an international experience on COVID-19 lung detection and prognosis using chest CT

  • Edward H. Lee,
  • Jimmy Zheng,
  • Errol Colak,
  • Maryam Mohammadzadeh,
  • Golnaz Houshmand,
  • Nicholas Bevins,
  • Felipe Kitamura,
  • Emre Altinmakas,
  • Eduardo Pontes Reis,
  • Jae-Kwang Kim,
  • Chad Klochko,
  • Michelle Han,
  • Sadegh Moradian,
  • Ali Mohammadzadeh,
  • Hashem Sharifian,
  • Hassan Hashemi,
  • Kavous Firouznia,
  • Hossien Ghanaati,
  • Masoumeh Gity,
  • Hakan Doğan,
  • Hojjat Salehinejad,
  • Henrique Alves,
  • Jayne Seekins,
  • Nitamar Abdala,
  • Çetin Atasoy,
  • Hamidreza Pouraliakbar,
  • Majid Maleki,
  • S. Simon Wong,
  • Kristen W. Yeom

DOI
https://doi.org/10.1038/s41746-020-00369-1
Journal volume & issue
Vol. 4, no. 1
pp. 1 – 11

Abstract

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Abstract The Coronavirus disease 2019 (COVID-19) presents open questions in how we clinically diagnose and assess disease course. Recently, chest computed tomography (CT) has shown utility for COVID-19 diagnosis. In this study, we developed Deep COVID DeteCT (DCD), a deep learning convolutional neural network (CNN) that uses the entire chest CT volume to automatically predict COVID-19 (COVID+) from non-COVID-19 (COVID−) pneumonia and normal controls. We discuss training strategies and differences in performance across 13 international institutions and 8 countries. The inclusion of non-China sites in training significantly improved classification performance with area under the curve (AUCs) and accuracies above 0.8 on most test sites. Furthermore, using available follow-up scans, we investigate methods to track patient disease course and predict prognosis.