Deep learning for classifying fibrotic lung disease on high-resolution computed tomography: a case-cohort study.

Journal: The Lancet. Respiratory medicine
Published Date:

Abstract

BACKGROUND: Based on international diagnostic guidelines, high-resolution CT plays a central part in the diagnosis of fibrotic lung disease. In the correct clinical context, when high-resolution CT appearances are those of usual interstitial pneumonia, a diagnosis of idiopathic pulmonary fibrosis can be made without surgical lung biopsy. We investigated the use of a deep learning algorithm for provision of automated classification of fibrotic lung disease on high-resolution CT according to criteria specified in two international diagnostic guideline statements: the 2011 American Thoracic Society (ATS)/European Respiratory Society (ERS)/Japanese Respiratory Society (JRS)/Latin American Thoracic Association (ALAT) guidelines for diagnosis and management of idiopathic pulmonary fibrosis and the Fleischner Society diagnostic criteria for idiopathic pulmonary fibrosis.

Authors

  • Simon L F Walsh
    Department of Radiology, King's College Hospital Foundation Trust, London, UK. Electronic address: slfwalsh@gmail.com.
  • Lucio Calandriello
    Department of Radiology, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome, Italy.
  • Mario Silva
    Department of Medicine and Surgery, University of Parma, Parma, Italy.
  • Nicola Sverzellati
    Department of Medicine and Surgery, University of Parma, Parma, Italy.