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LONDON, ON – A team of researchers at Lawson Health Research Institute is investigating whether an artificial neural network could be used to diagnose COVID-19. The AI system is being trained to learn and recognize patterns in ultrasound lung scans of patients with confirmed COVID-19 at London Health Sciences Centre (LHSC) by comparing them to ultrasound scans of patients with other types of lung infections.

“Machines are able to find patterns that humans cannot see or even imagine. Lung ultrasound scans of patients with COVID-19 pneumonia produce a highly abnormal imaging pattern.  This pattern isn’t unique to COVID-19, and can be seen in other causes of pneumonia.  It is plausible, however, that there are details that distinguish COVID-19 at the pixel level that cannot be perceived by the human eye,” explains Dr. Robert Arntfield, Lawson Researcher and Medical Director of the Critical Care Trauma Centre at LHSC. “If we can train a neural network to learn and identify these unique characteristics among different scans, we can apply this AI to enhance the diagnostic power of portable ultrasound.”

Point-of-care ultrasound has become increasingly important for the care of critically ill patients and LHSC is a global leader in the use of this technology at the bedside. Lung ultrasound has proven to be effective in diagnosing different types of lung infections and illnesses, such as pneumonia, with a high degree of accuracy. The convenience, portability and low cost of using these machines has helped them become a standard bedside tool in emergency departments and intensive care units worldwide.

This research project is part of a grassroots effort by a small group of local clinicians to innovate and create technology to solve sophisticated problems with AI. With many of Dr. Arntfield’s team having a background in computer programming, they were able to code the neural network being tested. Minimal funding was required, with the project being driven largely by the urgency of COVID-19 coinciding with the recent creation of this clinical AI working group.

“Our research team has used AI to help improve diagnostics related to other parts of the body. This project is a great example of the unique ability we have here in London to be agile: that is, to identify a gap and move quickly towards finding a solution,” says Dr. Arntfield. “I am thrilled that we were able to move through the approval process quickly, and get our ideas working in such a short amount of time.”

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Dr. Robert Arntfield

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COVID-19 pneumonia ultrasound

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NON COVID-19 pneumonia ultrasound
 

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LONDON, ON - Patients in Ontario with chronic kidney conditions who require dialysis have a significantly increased likelihood of contracting and dying from COVID-19, new research from Western University and Lawson Health Research Institute has shown. Study author Dr. Peter Blake says the research emphasizes the need to prioritize dialysis patients for vaccination. 

Published in CMAJ, the study shows that of the more than 12,000 patients undergoing long-term dialysis in Ontario, 187 patients became infected with SARS-CoV-2 between March and August 2020. Of the patients who were infected, 60 per cent needed to be hospitalized and nearly 30 per cent died. That’s almost four times the mortality rate from COVID-19 than the general population.

The researchers continued to collect data into the second wave of the pandemic, and report that as of the end of January 2021, a further 424 dialysis patients were diagnosed with COVID-19, equivalent to 4.5 per cent of all dialysis patients in the province, and that 130 have now died. 

“Early reports from Wuhan and Milan showed chronic dialysis patients were vulnerable to COVID-19, and that’s why we decided to undertake this study,” said Dr. Blake, Professor at Western’s Schulich School of Medicine & Dentistry and Associate Scientist at Lawson. “We were surprised to see that both the mortality rate and hospitalization rate were so high here in Ontario.”

The researchers also found that patients who regularly underwent dialysis at the hospital, rather than at home, were at far greater risk of COVID-19 infection; and point out that only a quarter of dialysis patients in Ontario currently have at-home dialysis.

“As the pandemic proceeds, focused efforts should be made to protect this vulnerable group of individuals from infection,” said Dr. Blake. “We also encourage patients to take at-home dialysis whenever possible to reduce the risk of exposure to COVID-19.” 

The data for the study was collected by the Ontario Renal Network, which developed a weekly surveillance data collection tool to gather key information about chronic dialysis patients during the pandemic.

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