April 18, 2023 report
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Using machine learning applications to predict patients' risk of developing COPD
A team of medical researchers, engineers and computer scientists affiliated with multiple institutions across the U.S. has found that machine learning technology can help doctors predict which patients are at risk of developing COPD. In their study, reported in the journal Nature Genetics, the group trained a deep-learning network using patient spirogram data to predict the development of COPD.
COPD is the third most common cause of death worldwide. The term describes a large number of obstructive lung disorders such as asthma, bronchitis and emphysema. Prior research has shown that the earlier COPD is treated, the sooner therapies can be applied, slowing its progression. For that reason, medical scientists have worked hard to find new ways to spot patients most at risk. In this new effort, the research group applied machine learning to the task.
The researchers trained a deep convolutional neural network to recognize the difference between people with COPD and those who do not have it. Data to teach the system came from patient medical records, potential diagnosis classification systems and spirograms. Spirograms are created by administering spirometry to patients, in which patients blow into a tube-like device that is connected to a machine that calculates lung strength.
Once the system could distinguish healthy lungs from those with COPD, the team added liability score data that has been compiled over many years to help spot early COPD in patients. They then ran the system on data from 325,000 patients in the UK Biobank, which included spirograms. And they also fed it risk data from participants in several other health care–related initiatives. They found that they were able to train the system to detect very early signs of COPD in patients.
The team concludes by suggesting that their system could soon be used to screen patients for COPD by feeding it spirogram data. They also note that it could be used in new research efforts aimed at more fully understanding how COPD gets started in the lungs and why it sometimes progresses so quickly.
More information: Justin Cosentino et al, Inference of chronic obstructive pulmonary disease with deep learning on raw spirograms identifies new genetic loci and improves risk models, Nature Genetics (2023). DOI: 10.1038/s41588-023-01372-4
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