Development and Validation of a Deep Learning-Enhanced Prediction Model for the Likelihood of Pulmonary Embolism

Author:

Tian Yu1,Wang Liyang2,Wu Shibin2,Wu Shan1,Zheng Yucong3,Han Rongye1,Bao Qianhui2,Li Lei4,Yang Tao1

Affiliation:

1. Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University

2. Tsinghua University

3. Tsinghua University Hospital, Tsinghua University

4. Beijing Hua Xin Hospital (1st Hospital of Tsinghua University)

Abstract

Abstract Introduction Pulmonary embolism (PE) is a common and potentially fatal disease, and timely and accurate assessment of the risk of PE occurrence in patients with Deep Vein Thrombosis (DVT) is crucial. This study aims to develop a precise and efficient deep learning-based PE risk prediction model, PE-Mind. Materials and Methods We first preprocessed and reduced the high-dimensional clinical features collected from patients. The 37 most important clinical features were grouped, sorted, and connected to capture potential associations between them. The proposed model utilizes a convolutional approach, including three custom-designed residual modules. To validate the model's superiority, we also compared it with five mainstream models. Results The results show that PE-Mind demonstrated the highest accuracy and reliability, achieving an accuracy of 0.7826 and an area under the receiver operating characteristic curve of 0.8641 on the prospective test set, outperforming other models. Based on this, we have also developed a Web server, PulmoRiskAI, for real-time physician operation. Conclusions The proposed method has the potential to become a practical clinical tool, providing doctors with more accurate PE risk assessments and timely identification of high-risk patients.

Publisher

Research Square Platform LLC

Reference27 articles.

1. Diagnosis and management of acute deep vein thrombosis: a joint consensus document from the European Society of Cardiology working groups of aorta and peripheral vascular diseases and pulmonary circulation and right ventricular function;Mazzolai L;Eur Heart J,2018

2. Global Burden of Thrombosis: Epidemiologic Aspects;Wendelboe AM;Circ Res,2016

3. Jiménez D, de Miguel-Díez J, Guijarro R, et al. Trends in the Management and Outcomes of Acute Pulmonary Embolism: Analysis From the RIETE Registry. J Am Coll Cardiol. 2016. 67(2): 162–170. Lucassen W, Geersing GJ, Erkens PM et al.Clinical decision rules for excluding pulmonary embolism: a meta-analysis. Ann Intern Med 2011; 155:448–60. Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): the task force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology ༈ESC༉. Eur Respir J, 2019. [Epub ahead of print].

4. Acute pulmonary embolism: a concise review of diagnosis and management;Hepburn-Brown M;Intern Med J,2019

5. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer;Wells PS;Thromb Haemost,2000

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