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_d5980
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022 _a1078-8956
040 _aES-MaONT
100 _aMei, Xueyan
_94475
245 0 0 _aArtificial intelligence–enabled rapid diagnosis of patients with COVID-19
260 _bNature Medicine,
_c2020
300 _a14 págs.
336 _2isbdcontent
_atexto (visual)
337 _2isbdmedia
_aelectrónico
338 _2rdacarrier
_arecurso en línea
520 _aFor 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.
650 7 _aSanidad digital
_2
_92065
650 0 _94348
_aInteligencia Artificial
653 _acoronavirus
653 _aCOVID-19
653 _adeep learning
856 4 _uhttps://www.nature.com/articles/s41591-020-0931-3
_x0
_yAcceso al artículo
942 _2z
_cART