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{
"id": "ef562736-2539-43ec-81c0-40e0ff7d1f13",
"meta": {
"name": "cxr-risk",
"application_area": "Radiology",
"task": "Classification",
"task_extended": "Survival Classification from chest Xray",
"data_type": "X-ray",
"data_source": "https://biometry.nci.nih.gov/cdas/datasets/plco/21/"
},
"publication": {
"title": "Deep Learning to Assess Long-term Mortality From Chest Radiographs",
"source": "JAMA Network Open",
"year": 2019,
"authors": " Michael T. Lu, Alexander Ivanov, Thomas Mayrhofer, Ahmed Hosny, Hugo J.W.L. Aerts, Udo Hoffmann",
"email": "mlu@mgh.harvard.edu",
"abstract": "Importance: Chest radiography is the most common diagnostic imaging test in medicine and may also provide information about longevity and prognosis. Objective: To develop and test a convolutional neural network (CNN) (named CXR-risk) to predict long-term mortality, including noncancer death, from chest radiographs. Design, Setting, and Participants: In this prognostic study, CXR-risk CNN development (n = 41 856) and testing (n = 10 464) used data from the screening radiography arm of the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO) (n = 52 320), a community cohort of asymptomatic nonsmokers and smokers (aged 55-74 years) enrolled at 10 US sites from November 8, 1993, through July 2, 2001. External testing used data from the screening radiography arm of the National Lung Screening Trial (NLST) (n = 5493), a community cohort of heavy smokers (aged 55-74 years) enrolled at 21 US sites from August 2002, through April 2004. Data analysis was performed from January 1, 2018, to May 23, 2019. Exposure: Deep learning CXR-risk score (very low, low, moderate, high, and very high) based on CNN analysis of the enrollment radiograph. Main Outcomes and Measures: All-cause mortality. Prognostic value was assessed in the context of radiologists diagnostic findings (eg, lung nodule) and standard risk factors (eg, age, sex, and diabetes) and for cause-specific mortality. Results: Among 10 464 PLCO participants (mean (SD) age, 62.4 (5.4) years - 5405 men (51.6%) - median follow-up, 12.2 years (interquartile range, 10.5-12.9 years)) and 5493 NLST test participants (mean (SD) age, 61.7 (5.0) years - 3037 men (55.3%) - median follow-up, 6.3 years (interquartile range, 6.0-6.7 years)), there was a graded association between CXR-risk score and mortality. The very high-risk group had mortality of 53.0% (PLCO) and 33.9% (NLST), which was higher compared with the very low-risk group (PLCO: unadjusted hazard ratio (HR), 18.3 (95% CI, 14.5-23.2) - NLST: unadjusted HR, 15.2 (95% CI, 9.2-25.3) - both P < .001). This association was robust to adjustment for radiologists findings and risk factors (PLCO: adjusted HR (aHR), 4.8 (95% CI, 3.6-6.4) - NLST: aHR, 7.0 (95% CI, 4.0-12.1) - both P < .001). Comparable results were seen for lung cancer death (PLCO: aHR, 11.1 (95% CI, 4.4-27.8) - NLST: aHR, 8.4 (95% CI, 2.5-28.0) - both P ≤ .001) and for noncancer cardiovascular death (PLCO: aHR, 3.6 (95% CI, 2.1-6.2) - NLST: aHR, 47.8 (95% CI, 6.1-374.9) - both P < .001) and respiratory death (PLCO: aHR, 27.5 (95% CI, 7.7-97.8) - NLST: aHR, 31.9 (95% CI, 3.9-263.5) - both P ≤ .001).",
"url": "https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2738349",
"google_scholar": "https://scholar.google.com/scholar?oi=bibs&hl=en&cites=16182133894523406915",
"bibtex": "@article{10.1001/jamanetworkopen.2019.7416, author = {Lu, Michael T. and Ivanov, Alexander and Mayrhofer, Thomas and Hosny, Ahmed and Aerts, Hugo J. W. L. and Hoffmann, Udo}, title = '{Deep Learning to Assess Long-term Mortality From Chest Radiographs}', journal = {JAMA Network Open}, volume = {2}, number = {7}, pages = {e197416-e197416}, year = {2019}, month = {07}, issn = {2574-3805}, doi = {10.1001/jamanetworkopen.2019.7416}, url = {https://doi.org/10.1001/jamanetworkopen.2019.7416},}"
},
"model": {
"description": "CXR-Risk is a CNN that predicts the risk of 12-year all-cause mortality based on a chest radiograph image.",
"provenance": "Conrtibuted by author.",
"architecture": "Convolutional Neural Network (CNN)",
"learning_type": "Supervised learning",
"format": ".pth",
"io": {
"input": {
"format": ["image/png"],
"single": {
"format": ["image/png"],
"dim_limits": [
{
"min": 1,
"max": 4
},
{
"min": 32
},
{
"min": 32
}
],
"description": "Png image of chest X-ray in portrait view."
}
},
"output": [
{
"name": "probabilities",
"type": "label_list",
"description": "Survival probability."
}
]
}
},
"modelhub": {}
}