Evidence map›Paper›PMID 40766163›Full record

ArticlemedRxiv : the preprint server for health sciences2025

Light Convolutional Neural Network to Detect Chronic Obstructive Pulmonary Disease (COPDxNet): A Multicenter Model Development and External Validation Study.

Akm Shahariar Azad Rabby, Muhammad F A Chaudhary, Pratim Saha, Venkata Sthanam, Arie Nakhmani, Chengcui Zhang, R Graham Barr, Jessica Bon, Christopher B Cooper, Jeffrey L Curtis and 10 more

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Akm Shahariar Azad RabbyCenter for Lung Analytics and Imaging Research (CLAIR), The University of Alabama at Birmingham, Birmingham, AL, 35294.
Muhammad F A ChaudharyCenter for Lung Analytics and Imaging Research (CLAIR), The University of Alabama at Birmingham, Birmingham, AL, 35294.
Pratim SahaCenter for Lung Analytics and Imaging Research (CLAIR), The University of Alabama at Birmingham, Birmingham, AL, 35294.
Venkata SthanamCenter for Lung Analytics and Imaging Research (CLAIR), The University of Alabama at Birmingham, Birmingham, AL, 35294.
Arie NakhmaniCenter for Lung Analytics and Imaging Research (CLAIR), The University of Alabama at Birmingham, Birmingham, AL, 35294.
Chengcui ZhangDepartment of Computer Science, The University of Alabama at Birmingham, AL, 35294.
R Graham BarrDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032.
Jessica BonDivision of Pulmonary, Critical Care, Allergy and Immunology, School of Medicine, Wake Forest University, Winston-Salem, NC, 27109.
Christopher B CooperDepartment of Physiology, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90095.
Jeffrey L CurtisDivision of Pulmonary and Critical Care Medicine, University of Michigan Health System, Ann Arbor, MI, 48109.
Eric A HoffmanDepartment of Radiology, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, 52242.
Robert PaineDivision of Respiratory, Critical Care and Occupational Pulmonary Medicine, University of Utah, Salt Lake City, UT, 84112.
Abhilash Kizhakke PuliyakoteDepartment of Radiology, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, 52242.
Joyce D SchroederDepartment of Radiology, Mayo Clinic, Rochester, MN, 55905.
Jessica C SierenDepartment of Radiology, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, 52242.
Benjamin M SmithMcGill University Health Centre, McGill University, Montreal, QC, Canada.
Prescott G WoodruffDivision of Pulmonary, Critical Care, Allergy and Sleep Medicine, Department of Medicine, University of California, San Francisco, CA, 94115.
Joseph M ReinhardtThe Roy J. Carver Department of Biomedical Engineering, The University of Iowa, Iowa City, IA, 52246.
Surya P BhattCenter for Lung Analytics and Imaging Research (CLAIR), The University of Alabama at Birmingham, Birmingham, AL, 35294.
Sandeep BodduluriCenter for Lung Analytics and Imaging Research (CLAIR), The University of Alabama at Birmingham, Birmingham, AL, 35294.

Funding

ARRA - ADOPT New Technologies for RDC/CDMSU01CA080098 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI SCHNALL, MITCHELL D. · 1999 to 2011
$182.7M
Genetic Epidemiology of COPDU01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2007 to 2021
$56.9M
BIOSTATISTICS DATA MANAGEMENT CENTER FOR ACROINU01CA079778 · NCI · BROWN UNIVERSITY · PI GATSONIS, CONSTANTINE A. · 1999 to 2011
$48.6M
GENETIC EPIDEMIOLOGY OF COPD (COPD GENE) TASK A: STUDY VISIT 4, COLLECTION OF COPDGENE STUDY DATA ANDBIOSPECIMENS AND OVERSIGHT OF THE COPDGENE STUDY75N92023D00011 · NHLBI · NATIONAL JEWISH HEALTH · PI NEWMAN, LEE S · 2023 to 2025
$29.6M
NHLBI TRANS-OMICS FOR PRECISION MEDICINE (TOPMED) FOR THE CENTRALIZED OMICS RESOURCE (CORE) - TASK AREAS 2, 3, AND 4 - 2024 TASK ORDER75N92023D00012 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI OSBORNE, C KENT · 2023 to 2025
$27.9M
SPIROMICS II: Biological underpinnings of COPD heterogeneity and progressionU01HL137880 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WOODRUFF, PRESCOTT G · 2017 to 2021
$27.9M
Genetic Epidemiology of COPDU01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2007 to 2021
$20.7M
Pulmonary Vascular Changes in Early Chronic Obstructive Pulmonary Disease (COPD)R01HL093081 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI R Graham BARR · 2008 to 2026
$17.2M
Understanding the Origins of Early COPDR01HL144718 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI CURTIS, JEFFREY LOUIS, HAN, MEILAN K · 2020 to 2024
$11.3M
SPIROMICS GIC SupportU24HL141762 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COUPER, DAVID J, O'NEAL, WANDA K · 2018 to 2022
$7.2M
Structural Determinants of Disease Progression in COPDR01HL151421 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BHATT, SURYA P., NAKHMANI, ARIE · 2020 to 2024
$2.6M
PROCESS DEVELOPMENT OF TELACEBEC FOR TUBERCULOSIS75N95024D00012 · NIDA · MIDWEST RESEARCH INSTITUTE · PI SLADE, DESMOND · 2024 to 2025
$742k
CLC NIH HHS 75N90024D00012NCI NIH HHS U01 CA079778NCI NIH HHS U01 CA080098NHLBI NIH HHS 75N92023D00011NHLBI NIH HHS 75N92023D00012NHLBI NIH HHS K01 HL163249NHLBI NIH HHS R01 HL093081NHLBI NIH HHS R01 HL144718NHLBI NIH HHS R01 HL151421NHLBI NIH HHS U01 HL089856NHLBI NIH HHS U01 HL089897NHLBI NIH HHS U01 HL137880NHLBI NIH HHS U24 HL141762NIDA NIH HHS 75N95024D00012NIH HHS 75N98024D00012
6 · The paper itself

Abstract

Background: Approximately 70% of adults with chronic obstructive pulmonary disease (COPD) remain undiagnosed. Opportunistic screening using chest computed tomography (CT) scans, commonly acquired in clinical practice, may be used to improve COPD detection through simple, clinically applicable deep-learning models. We developed a lightweight, convolutional neural network (COPDxNet) that utilizes minimally processed chest CT scans to detect COPD. Methods: We analyzed 13,043 inspiratory chest CT scans from the COPDGene participants, (9,675 standard-dose and 3,368 low-dose scans), which we randomly split into training (70%) and test (30%) sets at the participant level to no individual contributed to both sets. COPD was defined by postbronchodilator FEV /FVC < 0.70. We constructed a simple, four-block convolutional model that was trained on pooled data and validated on the held-out standard- and low-dose test sets. External validation was performed using standard-dose CT scans from 2,890 SPIROMICS participants and low-dose CT scans from 7,893 participants in the National Lung Screening Trial (NLST). We evaluated performance using the area under the receiver operating characteristic curve (AUC), sensitivity, specificity, Brier scores, and calibration curves. Findings: On COPDGene standard-dose CT scans, COPDxNet achieved an AUC of 0.92 (95% CI: 0.91 to 0.93), sensitivity of 80.2%, and specificity of 89.4%. On low-dose scans, AUC was 0.88 (95% CI: 0.86 to 0.90). When the COPDxNet model was applied to external validation datasets, it showed an AUC of 0.92 (95% CI: 0.91 to 0.93) in SPIROMICS and 0.82 (95% CI: 0.81 to 0.83) on NLST. The model was well-calibrated, with Brier scores of 0.11 for standard-dose and 0.13 for low-dose CT scans in COPDGene, 0.12 in SPIROMICS, and 0.17 in NLST. Interpretation: COPDxNet demonstrates high discriminative accuracy and generalizability for detecting COPD on standard- and low-dose chest CT scans, supporting its potential for clinical and screening applications across diverse populations.

Identifiers

PMID40766163
PMCPMC12324643

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.