Jiantao Pu

Kaiwen Geng, Zhiyi Shi, Xiaoyan Zhao et al.

Abstract Background: Pulmonary function tests (PFTs) and computed tomography (CT) imaging are vital in diagnosing, managing, and monitoring lung diseases. A common issue in practice is the lack of access to recorded pulmonary functions despite available chest CT scans. Purpose: To develop and validate a deep learning algorithm for predicting pulmonary function directly from chest CT scans. Methods: The development cohort came from the Pittsburgh Lung Screening Study (PLuSS) (n=3619). The validation cohort came from the Specialized Centers of Clinically Oriented Research (SCCOR) in COPD (n=662). A deep learning model called BeyondCT, combining a three-dimensional (3D) convolutional neural network (CNN) and Vision Transformer (ViT) architecture, was used to predict forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) from non-contrasted inspiratory chest CT scans. A 3D CNN model without ViT was used for comparison. Subject demographics (age, gender, smoking status) were also incorporated into the model. Performance was compared to actual PFTs using mean absolute error (MAE, L), percentage error, and R square. Results: The 3D-CNN model achieved MAEs of 0.395 L and 0.383 L, percentage errors of 13.84% and 18.85%, and R square of 0.665 and 0.679 for FVC and FEV1, respectively. The BeyondCT model without demographics had MAEs of 0.362 L and 0.371 L, percentage errors of 10.89% and 14.96%, and R square of 0.719 and 0.727, respectively. Including demographics improved performance (p<0.05), with MAEs of 0.356 L and 0.353 L, percentage errors of 10.79% and 14.82%, and R square of 0.77 and 0.739 for FVC and FEV1 in the test set. Conclusion: The BeyondCT model showed robust performance in predicting lung function from non-contrast inspiratory chest CT scans.

Shangsi Ren, Cameron A. Beeche, Zhiyi Shi et al.

This study aims to establish the causal relationship network between various factors leading to workday loss in underground coal mines using a novel causal artificial intelligence (AI) method. The analysis utilizes data obtained from the National Institute for Occupational Safety and Health (NIOSH). A total of 101,010 injury records from 3,982 unique underground coal mines spanning the years from 1990 to 2020 were extracted from the NIOSH database. Causal relationships were analyzed and visualized using a novel causal AI method called Grouped Greedy Equivalence Search (GGES). The impact of each variable on workday loss was assessed through intervention do-calculus adjustment (IDA) scores. Model training and validation were performed using the 10-fold cross-validation technique. Performance metrics, including adjacency precision (AP), adjacency recall (AR), arrowhead precision (AHP), and arrowhead recall (AHR), were utilized to evaluate the models. Findings revealed that after 2006, key direct causes of workday loss among mining employees included total mining experience, mean office employees, mean underground employees, county, and total mining experience (years). Total mining experience emerged as the most influential factor, whereas mean employees per mine exhibited the least influence. The analyses emphasized the significant role of total mining experience in determining workday loss. The models achieved optimal performance, with AP, AR, AHP, and AHR values measuring 0.694, 0.653, 0.386, and 0.345, respectively. This study demonstrates the feasibility of utilizing the new GGES method to clarify the causal factors behind the workday loss by analyzing employment demographics and injury records and establish their causal relationship network.

Yi Zhen, Hang Chen, Xu Zhang et al.

To investigate whether and to what extent central serous chorioretinopathy (CSC) depicted on color fundus photographs can be assessed using deep learning technology. We collected a total of 2,504 fundus images acquired on different subjects. We verified the CSC status of these images using their corresponding optical coherence tomography (OCT) images. A total of 1,329 images depicted CSC. These images were preprocessed and normalized. This resulting dataset was randomly split into three parts in the ratio of 8:1:1 respectively for training, validation, and testing purposes. We used the deep learning architecture termed InceptionV3 to train the classifier. We performed nonparametric receiver operating characteristic (ROC) analyses to assess the capability of the developed algorithm to identify CSC. The Kappa coefficient between the two raters was 0.48 (p < 0.001), while the Kappa coefficients between the computer and the two raters were 0.59 (p < 0.001) and 0.33 (p < 0.05).Our experiments showed that the computer algorithm based on deep learning can assess CSC depicted on color fundus photographs in a relatively reliable and consistent way.