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Survival Analysis for Idiopathic Pulmonary Fibrosis using CT Images and Incomplete Clinical Data

2022/03/21 by Ahmed H. Shahin, Joseph Jacob, Shahin, Ahmed H. +5
Medicine · #Computer Vision and Pattern Recognition (cs.CV) #FOS: Computer and information sciences #FOS: Electrical engineering #Image and Video Processing (eess.IV) #Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis #Machine Learning (cs.LG) #Medical Imaging and Pathology Studies #Systemic Sclerosis and Related Diseases #electronic engineering #information engineering

paper · pdf · doi:10.48550/arxiv.2203.11391

openalex publication_date 2022/03/21 · openalex created_date 2022/04/03 · openalex updated_date 2026/07/28

Abstract

Idiopathic Pulmonary Fibrosis (IPF) is an inexorably progressive fibrotic lung disease with a variable and unpredictable rate of progression. CT scans of the lungs inform clinical assessment of IPF patients and contain pertinent information related to disease progression. In this work, we propose a multi-modal method that uses neural networks and memory banks to predict the survival of IPF patients using clinical and imaging data. The majority of clinical IPF patient records have missing data (e.g. missing lung function tests). To this end, we propose a probabilistic model that captures the dependencies between the observed clinical variables and imputes missing ones. This principled approach to missing data imputation can be naturally combined with a deep survival analysis model. We show that the proposed framework yields significantly better survival analysis results than baselines in terms of concordance index and integrated Brier score. Our work also provides insights into novel image-based biomarkers that are linked to mortality.

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