论文标题

从常规血液检查中进行中等的Covid-19和其他病毒性肺炎

Triaging moderate COVID-19 and other viral pneumonias from routine blood tests

论文作者

Bao, Forrest Sheng, He, Youbiao, Liu, Jie, Chen, Yuanfang, Li, Qian, Zhang, Christina R., Han, Lei, Zhu, Baoli, Ge, Yaorong, Chen, Shi, Xu, Ming, Ouyang, Liu

论文摘要

COVID-19正在带来致命的后果。它与其他肺炎的传染性和临床相似性使与Covid-19和非旋转19号病毒性肺炎的分离受试者成为优先事项和挑战。但是,即使在美国等发达国家,Covid-19测试也受到现有方法的可用性和成本的极大限制。由于常规血液测试的广泛可用性,我们提议利用机器学习的力量来实现COVID-19测试。使用了两个经过验证的机器学习模型家族,随机森林(RFS)和支持向量机(SVM),以应对挑战。接受了来自208个中期COVID受试者的血液数据的培训和非旋转19个中度病毒性肺炎受试者的86名受试者,最佳结果是在基于SVM的分类器中获得的,其精度为84%,敏感性为88%,特异性为80%,精度为92%。从机器学习和医学角度可以解释结果。设立了一个受隐私保护的Web门户网站,以帮助医务人员的实践,并释放训练有素的模型供开发人员进一步构建其他应用程序。我们希望我们的结果能够帮助世界与这种大流行作斗争,并欢迎对我们对较大人群的方法进行临床验证。

The COVID-19 is sweeping the world with deadly consequences. Its contagious nature and clinical similarity to other pneumonias make separating subjects contracted with COVID-19 and non-COVID-19 viral pneumonia a priority and a challenge. However, COVID-19 testing has been greatly limited by the availability and cost of existing methods, even in developed countries like the US. Intrigued by the wide availability of routine blood tests, we propose to leverage them for COVID-19 testing using the power of machine learning. Two proven-robust machine learning model families, random forests (RFs) and support vector machines (SVMs), are employed to tackle the challenge. Trained on blood data from 208 moderate COVID-19 subjects and 86 subjects with non-COVID-19 moderate viral pneumonia, the best result is obtained in an SVM-based classifier with an accuracy of 84%, a sensitivity of 88%, a specificity of 80%, and a precision of 92%. The results are found explainable from both machine learning and medical perspectives. A privacy-protected web portal is set up to help medical personnel in their practice and the trained models are released for developers to further build other applications. We hope our results can help the world fight this pandemic and welcome clinical verification of our approach on larger populations.

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