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Stoichita A, Ghita M, Mahler B, Vlasceanu S, Ghinet A, Mosteanu M, Cioacata A, Udrea A, Marcu A, Mitra GD, Ionescu CM, Iliesiu A. Imagistic Findings Using Artificial Intelligence in Vaccinated versus Unvaccinated SARS-CoV-2-Positive Patients Receiving In-Care Treatment at a Tertiary Lung Hospital. J Clin Med 2023; 12:7115. [PMID: 38002725 PMCID: PMC10672398 DOI: 10.3390/jcm12227115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 10/27/2023] [Accepted: 11/04/2023] [Indexed: 11/26/2023] Open
Abstract
BACKGROUND In December 2019 the World Health Organization announced that the widespread severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection had become a global pandemic. The most affected organ by the novel virus is the lung, and imaging exploration of the thorax using computer tomography (CT) scanning and X-ray has had an important impact. MATERIALS AND METHODS We assessed the prevalence of lung lesions in vaccinated versus unvaccinated SARS-CoV-2 patients using an artificial intelligence (AI) platform provided by Medicai. The software analyzes the CT scans, performing the lung and lesion segmentation using a variant of the U-net convolutional network. RESULTS We conducted a cohort study at a tertiary lung hospital in which we included 186 patients: 107 (57.52%) male and 59 (42.47%) females, of which 157 (84.40%) were not vaccinated for SARS-CoV-2. Over five times more unvaccinated patients than vaccinated ones are admitted to the hospital and require imaging investigations. More than twice as many unvaccinated patients have more than 75% of the lungs affected. Patients in the age group 30-39 have had the most lung lesions at almost 69% of both lungs affected. Compared to vaccinated patients with comorbidities, unvaccinated patients with comorbidities had developed increased lung lesions by 5%. CONCLUSION The study revealed a higher percentage of lung lesions among unvaccinated SARS-CoV-2-positive patients admitted to The National Institute of Pulmonology "Marius Nasta" in Bucharest, Romania, underlining the importance of vaccination and also the usefulness of artificial intelligence in CT interpretation.
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Affiliation(s)
- Alexandru Stoichita
- Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania; (B.M.); (S.V.); (A.I.)
- “Marius Nasta” Institute of Pneumology, 050159 Bucharest, Romania; (A.G.); (M.M.); (A.C.)
| | - Maria Ghita
- Research Group of Dynamical Systems and Control, Ghent University, 9052 Ghent, Belgium; (M.G.); (C.M.I.)
- Faculty of Medicine and Health Sciences, Antwerp University, 2610 Wilrijk, Belgium
| | - Beatrice Mahler
- Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania; (B.M.); (S.V.); (A.I.)
- “Marius Nasta” Institute of Pneumology, 050159 Bucharest, Romania; (A.G.); (M.M.); (A.C.)
| | - Silviu Vlasceanu
- Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania; (B.M.); (S.V.); (A.I.)
- “Marius Nasta” Institute of Pneumology, 050159 Bucharest, Romania; (A.G.); (M.M.); (A.C.)
| | - Andreea Ghinet
- “Marius Nasta” Institute of Pneumology, 050159 Bucharest, Romania; (A.G.); (M.M.); (A.C.)
| | - Madalina Mosteanu
- “Marius Nasta” Institute of Pneumology, 050159 Bucharest, Romania; (A.G.); (M.M.); (A.C.)
- Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
| | - Andreea Cioacata
- “Marius Nasta” Institute of Pneumology, 050159 Bucharest, Romania; (A.G.); (M.M.); (A.C.)
| | - Andreea Udrea
- Medicai, 020961 Bucharest, Romania; (A.U.); (A.M.); (G.D.M.)
| | - Alina Marcu
- Medicai, 020961 Bucharest, Romania; (A.U.); (A.M.); (G.D.M.)
| | | | - Clara Mihaela Ionescu
- Research Group of Dynamical Systems and Control, Ghent University, 9052 Ghent, Belgium; (M.G.); (C.M.I.)
- Automation Department, Technical University of Cluj-Napoca, 400114 Cluj-Napoca, Romania
| | - Adriana Iliesiu
- Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania; (B.M.); (S.V.); (A.I.)
- Clinical Hospital “Prof. Dr. Th. Burghele”, 061344 Bucharest, Romania
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