Deep learning for detecting and early predicting chronic obstructive pulmonary disease from spirogram time series
Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung condition characterized by airflow obstruction. Current diagnostic methods primarily rely on identifying prominent features in spirometry (Volume-Flow time series) to detect COPD, but they are not adept at predicting future COPD risk based on subtle data patterns. In this study, we introduce a novel deep learning-based approach, DeepSpiro, aimed at the early prediction of future COPD risk. DeepSpiro consists of four key components: SpiroSmoother for stabilizing the Volume-Flow curve, SpiroEncoder for capturing volume variability-pattern through key patches of varying lengths, SpiroExplainer for integrating heterogeneous data and explaining predictions through volume attention, and SpiroPredictor for predicting the disease risk of undiagnosed high-risk patients based on key patch concavity, with prediction horizons of 1-5 years, or even longer. Evaluated on the UK Biobank dataset, DeepSpiro achieved an AUC of 0.8328 for COPD detection and demonstrated strong predictive performance for future COPD risk (p-value < 0.001). In summary, DeepSpiro can effectively predict the long-term progression of COPD disease.
Authors
- Junqing Xie (ORCID: https://orcid.org/0000-0002-0040-0042)
- Yuxuan Wan (ORCID: https://orcid.org/0000-0002-0192-0058)
- Shuhao Mei (ORCID: https://orcid.org/0009-0007-9505-3699)
- Yong Zhang (ORCID: https://orcid.org/0000-0003-1479-4844)
- Shan Cao
- Shengyong Chen (ORCID: https://orcid.org/0000-0002-6705-3831)
- Shijia Geng (ORCID: https://orcid.org/0000-0002-9628-8808)
- Shenda Hong (ORCID: https://orcid.org/0000-0001-7521-5127)
- Xin Li (ORCID: https://orcid.org/0000-0002-4370-2876)
- Yuxi Zhou (ORCID: https://orcid.org/0000-0002-3700-1897)
- Qinghao Zhao (ORCID: https://orcid.org/0000-0003-4274-3905)
- Jiahao Xu (ORCID: https://orcid.org/0009-0006-8410-2371)
Institutions
- Tianjin University of Science and Technology (CN)
- Tianjin University of Technology (CN)
- Tianjin University (CN)
- Peking University (CN)
- University of Oxford (GB)
- Beijing Academy of Artificial Intelligence (CN)
- Peking University People's Hospital (CN)
- Second Hospital of Tianjin Medical University (CN)
- Oxford BioMedica (United Kingdom) (GB)
- Beijing Tsinghua Chang Gung Hospital (CN)
- Tianjin Medical University (CN)
- Tsinghua University (CN)
Publication Details
- Journal
- npj Systems Biology and Applications
- Published
- 2025-02-15
- DOI
- https://doi.org/10.1038/s41540-025-00489-y
- Citations
- 16
- Primary Topic
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Type
- article
- Field-Weighted Citation Impact
- 24.29
Funders
- National Natural Science Foundation of China
- Natural Science Foundation of Tianjin City
- Peking University
- Fundamental Research Funds for the Central Universities