Journal Article

Artificial intelligence–enabled rapid diagnosis of patients with COVID-19

Calcagno, Claudia, Jacobi, Adam, Lee, Hao-Chih, Huang, Mingqian, Li, Shaolin, Xie, Zongyu, Bernheim, Adam, Mani, Venkatesh, Luksza, Marta, Fayad, Zahi A., Little, Brent P., Lin, Bin, Ma, Yixuan, Lv, Jian, Liu, Fang, Zhao, Tongtong, Shan, Hong, Diao, Kai-yue, Deyer, Timothy, Robson, Philip M., Xia, Junli, Chung, Michael, Yang, Yang, Steinberger, Sharon, Liu, Chenyu, Li, Kunwei, Mei, Xueyan, Long, Qihua

2020

Overview

For diagnosis of coronavirus disease 2019 (COVID-19), a SARS-CoV-2 virus-specific reverse transcriptase polymerase chain reaction (RT–PCR) test is routinely used. However, this test can take up to 2 d to complete, serial testing may be required to rule out the possibility of false negative results and there is currently a shortage of RT–PCR test kits, underscoring the urgent need for alternative methods for rapid and accurate diagnosis of patients with COVID-19. Chest computed tomography (CT) is a valuable component in the evaluation of patients with suspected SARS-CoV-2 infection. Nevertheless, CT alone may have limited negative predictive value for ruling out SARS-CoV-2 infection, as some patients may have normal radiological findings at early stages of the disease. In this study, we used artificial intelligence (AI) algorithms to integrate chest CT findings with clinical symptoms, exposure history and laboratory testing to rapidly diagnose patients who are positive for COVID-19. Among a total of 905 patients tested by real-time RT–PCR assay and next-generation sequencing RT–PCR, 419 (46.3%) tested positive for SARS-CoV-2. In a test set of 279 patients, the AI system achieved an area under the curve of 0.92 and had equal sensitivity as compared to a senior thoracic radiologist. The AI system also improved the detection of patients who were positive for COVID-19 via RT–PCR who presented with normal CT scans, correctly identifying 17 of 25 (68%) patients, whereas radiologists classified all of these patients as COVID-19 negative. When CT scans and associated clinical history are available, the proposed AI system can help to rapidly diagnose COVID-19 patients. Artificial intelligence algorithms integrating chest computed tomography scans and clinical information can diagnose COVID-19 with similar accuracy as compared to a senior radiologist.

• Publisher: Nature Publishing Group US,Nature Publishing Group
• Subject: 692/699/255/2514 / 692/700/139 / Adult / Algorithms / Artificial Intelligence / Betacoronavirus - genetics / Betacoronavirus - isolation & purification / Betacoronavirus - pathogenicity / Biomedical and Life Sciences / Biomedicine / Cancer Research / Chest / Computed tomography / Coronavirus Infections - diagnosis / Coronavirus Infections - diagnostic imaging / Coronavirus Infections - genetics / Coronavirus Infections - virology / Coronaviruses / COVID-19 / Diagnosis / Female / Health aspects / Humans / Infectious Diseases / Laboratory tests / Letter / Male / Medical imaging / Metabolic Diseases / Methods / Middle Aged / Molecular Medicine / Neurosciences / Next-generation sequencing / Pandemics / Pneumonia, Viral - diagnosis / Pneumonia, Viral - diagnostic imaging / Pneumonia, Viral - genetics / Pneumonia, Viral - virology / Polymerase chain reaction / Real-Time Polymerase Chain Reaction / RNA-directed DNA polymerase / SARS-CoV-2 / Severe acute respiratory syndrome coronavirus 2 / Signs and symptoms / Technology application / Thorax / Thorax - diagnostic imaging / Thorax - pathology / Thorax - virology / Tomography, X-Ray Computed / Triage (Medicine) / Viral diseases / Viruses