Artificial Intelligence Algorithms for Discriminating Between COVID-19 and Influenza Pneumonitis Using Chest X-Rays (AI-COVID-Xr)
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ClinicalTrials.gov Identifier: NCT04313946 |
Recruitment Status : Unknown
Verified April 2020 by Professor Adrian Covic, Grigore T. Popa University of Medicine and Pharmacy.
Recruitment status was: Recruiting
First Posted : March 18, 2020
Last Update Posted : April 27, 2020
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Condition or disease | Intervention/treatment |
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COVID-19 Pneumonia, Viral Influenza With Pneumonia Flu Symptom Flu Like Illness Pneumonia, Interstitial Pneumonia, Ventilator-Associated Pneumonia Atypical | Diagnostic Test: Scanning Chest X-rays and performing AI algorithms on images |
This project aims to use artificial intelligence (image discrimination) algorithms;
- specifically convolutional neural networks (CNNs) for scanning chest radiographs in the emergency department (triage) in patients with suspected respiratory symptoms (fever, cough, myalgia) of coronavirus infection COVID 19;
- the objective is to create and validate a software solution that discriminates on the basis of the chest x-ray between Covid-19 pneumonitis and influenza;
- this software will be trained by introducing X-Rays from patients with/without COVID-19 pneumonitis and/or flu pneumonitis;
- the same AI algorithm will run on future X-Ray scans for predicting possible COVID-19 pneumonitis
Study Type : | Observational |
Estimated Enrollment : | 200 participants |
Observational Model: | Ecologic or Community |
Time Perspective: | Prospective |
Official Title: | The Benefits of Artificial Intelligence Algorithms (CNNs) for Discriminating Between COVID-19 and Influenza Pneumonitis in an Emergency Department Using Chest X-Ray Examinations |
Actual Study Start Date : | March 18, 2020 |
Estimated Primary Completion Date : | August 16, 2020 |
Estimated Study Completion Date : | August 18, 2020 |

Group/Cohort | Intervention/treatment |
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Symptomatic Patients
Our goal is to identify an artificial intelligence algorithm that can be run on lung radiographs in patients with influenza / respiratory viral symptoms who come to the emergency department / triage. This algorithm aims to identify the radiographs of patients with COVID-19 and those with influenza pneumonitis, with accuracy verified by COVID-19 tests.
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Diagnostic Test: Scanning Chest X-rays and performing AI algorithms on images
Chest X-Rays; AI CNNs; Results |
- COVID-19 positive X-Rays [ Time Frame: 6 months ]Number of participants with pneumonitis on Chest X-Ray and COVID 19 positive
- COVID-19 negative X-Rays [ Time Frame: 6 months ]Number of participants with pneumonitis on Chest X-Ray and COVID 19 negative

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Ages Eligible for Study: | Child, Adult, Older Adult |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Sampling Method: | Probability Sample |
Inclusion Criteria:
- flu-like symptoms: myalgia, cough, fever, sputum
- Chest X-Rays
- COVID-19 biological tests
Exclusion Criteria:
- patient refusal
- uncertain radiographs
- uncertain tests results

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04313946
Contact: Alexandru Burlacu, MD, PhD | 0040744488580 | alexandru.burlacu@umfiasi.ro |
Italy | |
U.O. Multidisciplinare di Patologia Mammaria e Ricerca Traslazionale; Dipartimento Universitario Clinico di Scienze Mediche, Chirurgiche e della Salute Università degli Studi di Trieste | Recruiting |
Cremona, Italy, 26100 | |
Contact: Daniele Generali, MD, PhD +390372408042 dgenerali@units.it | |
Principal Investigator: Daniele Generali, MD, PhD | |
Romania | |
University of Medicine and Pharmacy Gr T Popa | Recruiting |
Iaşi, Romania, 700503 | |
Contact: Alexandru Burlacu, MD, PhD 0040744488580 alexandru.burlacu@umfiasi.ro | |
Principal Investigator: Alexandru Burlacu, MD, PhD | |
United Kingdom | |
Department of Cardiology at Chelsea and Westminster NHS hospital | Recruiting |
London, United Kingdom | |
Contact: Emmanuel Ako, MD, PhD +447932970131 e.ako@ucl.ac.uk | |
Principal Investigator: Emmanuel Ako, MD, PhD |
Principal Investigator: | Alexandru Burlacu, Lecturer | University of Medicine and Pharmacy Gr T Popa - Iasi | |
Principal Investigator: | Radu Dabija, Lecturer | University of Medicine and Pharmacy Gr T Popa - Iasi |
Responsible Party: | Professor Adrian Covic, Clinical Professor, Grigore T. Popa University of Medicine and Pharmacy |
ClinicalTrials.gov Identifier: | NCT04313946 |
Other Study ID Numbers: |
0110 |
First Posted: | March 18, 2020 Key Record Dates |
Last Update Posted: | April 27, 2020 |
Last Verified: | April 2020 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | Yes, we would be happy to share the algorithm code and the results with any scientist interested (without any financial interests) |
Supporting Materials: |
Study Protocol Informed Consent Form (ICF) Analytic Code |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Artificial Intelligence CNNs COVID-19 chest X-Ray |
Emergency Department Triage Flu |
COVID-19 Influenza, Human Pneumonia Pneumonia, Viral Pneumonia, Ventilator-Associated Lung Diseases, Interstitial Respiratory Tract Infections Infections Virus Diseases Coronavirus Infections Coronaviridae Infections |
Nidovirales Infections RNA Virus Infections Lung Diseases Respiratory Tract Diseases Orthomyxoviridae Infections Healthcare-Associated Pneumonia Cross Infection Iatrogenic Disease Disease Attributes Pathologic Processes |