Predicting Risk of Pulmonary Fibrosis Formation in PASC Patients

Fuente: arXiv
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Main Authors: Dou, Wanying, Durak, Gorkem, Biswas, Koushik, Hong, Ziliang, Bejar, Andrea Mia, Keles, Elif, Akin, Kaan, Erturk, Sukru Mehmet, Medetalibeyoglu, Alpay, Sala, Marc, Misharin, Alexander, Savas, Hatice, Salvatore, Mary, Jambawalikar, Sachin, Torigian, Drew, Udupa, Jayaram K., Bagci, Ulas
Format: Preprint
Published: 2025
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author Dou, Wanying
Durak, Gorkem
Biswas, Koushik
Hong, Ziliang
Bejar, Andrea Mia
Keles, Elif
Akin, Kaan
Erturk, Sukru Mehmet
Medetalibeyoglu, Alpay
Sala, Marc
Misharin, Alexander
Savas, Hatice
Salvatore, Mary
Jambawalikar, Sachin
Torigian, Drew
Udupa, Jayaram K.
Bagci, Ulas
author_facet Dou, Wanying
Durak, Gorkem
Biswas, Koushik
Hong, Ziliang
Bejar, Andrea Mia
Keles, Elif
Akin, Kaan
Erturk, Sukru Mehmet
Medetalibeyoglu, Alpay
Sala, Marc
Misharin, Alexander
Savas, Hatice
Salvatore, Mary
Jambawalikar, Sachin
Torigian, Drew
Udupa, Jayaram K.
Bagci, Ulas
contents While the acute phase of the COVID-19 pandemic has subsided, its long-term effects persist through Post-Acute Sequelae of COVID-19 (PASC), commonly known as Long COVID. There remains substantial uncertainty regarding both its duration and optimal management strategies. PASC manifests as a diverse array of persistent or newly emerging symptoms--ranging from fatigue, dyspnea, and neurologic impairments (e.g., brain fog), to cardiovascular, pulmonary, and musculoskeletal abnormalities--that extend beyond the acute infection phase. This heterogeneous presentation poses substantial challenges for clinical assessment, diagnosis, and treatment planning. In this paper, we focus on imaging findings that may suggest fibrotic damage in the lungs, a critical manifestation characterized by scarring of lung tissue, which can potentially affect long-term respiratory function in patients with PASC. This study introduces a novel multi-center chest CT analysis framework that combines deep learning and radiomics for fibrosis prediction. Our approach leverages convolutional neural networks (CNNs) and interpretable feature extraction, achieving 82.2% accuracy and 85.5% AUC in classification tasks. We demonstrate the effectiveness of Grad-CAM visualization and radiomics-based feature analysis in providing clinically relevant insights for PASC-related lung fibrosis prediction. Our findings highlight the potential of deep learning-driven computational methods for early detection and risk assessment of PASC-related lung fibrosis--presented for the first time in the literature.
format Preprint
id arxiv_https___arxiv_org_abs_2505_10691
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Predicting Risk of Pulmonary Fibrosis Formation in PASC Patients
Dou, Wanying
Durak, Gorkem
Biswas, Koushik
Hong, Ziliang
Bejar, Andrea Mia
Keles, Elif
Akin, Kaan
Erturk, Sukru Mehmet
Medetalibeyoglu, Alpay
Sala, Marc
Misharin, Alexander
Savas, Hatice
Salvatore, Mary
Jambawalikar, Sachin
Torigian, Drew
Udupa, Jayaram K.
Bagci, Ulas
Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
While the acute phase of the COVID-19 pandemic has subsided, its long-term effects persist through Post-Acute Sequelae of COVID-19 (PASC), commonly known as Long COVID. There remains substantial uncertainty regarding both its duration and optimal management strategies. PASC manifests as a diverse array of persistent or newly emerging symptoms--ranging from fatigue, dyspnea, and neurologic impairments (e.g., brain fog), to cardiovascular, pulmonary, and musculoskeletal abnormalities--that extend beyond the acute infection phase. This heterogeneous presentation poses substantial challenges for clinical assessment, diagnosis, and treatment planning. In this paper, we focus on imaging findings that may suggest fibrotic damage in the lungs, a critical manifestation characterized by scarring of lung tissue, which can potentially affect long-term respiratory function in patients with PASC. This study introduces a novel multi-center chest CT analysis framework that combines deep learning and radiomics for fibrosis prediction. Our approach leverages convolutional neural networks (CNNs) and interpretable feature extraction, achieving 82.2% accuracy and 85.5% AUC in classification tasks. We demonstrate the effectiveness of Grad-CAM visualization and radiomics-based feature analysis in providing clinically relevant insights for PASC-related lung fibrosis prediction. Our findings highlight the potential of deep learning-driven computational methods for early detection and risk assessment of PASC-related lung fibrosis--presented for the first time in the literature.
title Predicting Risk of Pulmonary Fibrosis Formation in PASC Patients
topic Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2505.10691