A deep learning model enables accurate prediction and quantification of pulmonary edema from chest X-rays

Bibliographic Details
Title: A deep learning model enables accurate prediction and quantification of pulmonary edema from chest X-rays
Authors: Dominik Schulz, Sebastian Rasch, Markus Heilmaier, Rami Abbassi, Alexander Poszler, Jörg Ulrich, Manuel Steinhardt, Georgios A. Kaissis, Roland M. Schmid, Rickmer Braren, Tobias Lahmer
Source: Critical Care, Vol 27, Iss 1, Pp 1-4 (2023)
Publisher Information: BMC, 2023.
Publication Year: 2023
Collection: LCC:Medical emergencies. Critical care. Intensive care. First aid
Subject Terms: Pulmonary edema, Transpulmonary thermodilution, TPTD, Extravascular lung water, EVLWI, Chest X-ray, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
More Details: Abstract Background A quantitative assessment of pulmonary edema is important because the clinical severity can range from mild impairment to life threatening. A quantitative surrogate measure, although invasive, for pulmonary edema is the extravascular lung water index (EVLWI) extracted from the transpulmonary thermodilution (TPTD). Severity of edema from chest X-rays, to date is based on the subjective classification of radiologists. In this work, we use machine learning to quantitatively predict the severity of pulmonary edema from chest radiography. Methods We retrospectively included 471 X-rays from 431 patients who underwent chest radiography and TPTD measurement within 24 h at our intensive care unit. The EVLWI extracted from the TPTD was used as a quantitative measure for pulmonary edema. We used a deep learning approach and binned the data into two, three, four and five classes increasing the resolution of the EVLWI prediction from the X-rays. Results The accuracy, area under the receiver operating characteristic curve (AUROC) and Mathews correlation coefficient (MCC) in the binary classification models (EVLWI
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1364-8535
Relation: https://doaj.org/toc/1364-8535
DOI: 10.1186/s13054-023-04426-5
Access URL: https://doaj.org/article/d25d726d59194ba085e11a819e301134
Accession Number: edsdoj.25d726d59194ba085e11a819e301134
Database: Directory of Open Access Journals
More Details
ISSN:13648535
DOI:10.1186/s13054-023-04426-5
Published in:Critical Care
Language:English