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Electronic Health Record Big Data and Radiomic Analytics for Precision Medicine Approach to Long-COVID, 10-R6265

Principal Investigators
David Chambers
Inclusive Dates 
05/01/22 - Current

Background

There is growing recognition that a large proportion of SARS-CoV-2 infected individuals continue to experience a broad range of symptoms after recovering from the initial bout of the COVID-19 illness. These patients are colloquially referred to as “COVID long haulers” and the illness as “Long COVID.” There are over 35 million COVID survivors in the United States and 3.5 million estimated in Texas. Long COVID is a national—and even a global—public health issue. The National Institutes of Health (NIH) recently gave “Long COVID” a formal name, Post-Acute Sequelae of SARs-CoV-2 infection (PASC), but has not yet formally characterized the illness; this highlights the substantial knowledge gap between the widespread prevalence of this public health issue and its understanding in the medical community.

Approach

This project is a collaborative effort between Southwest Research Institute, University of Texas (UT) Health San Antonio (UTHSA), and the University of Texas at San Antonio (UTSA). The project will use the UTHSA COVID-19 Infectious Diseases Outpatient Clinic cohort (>12,000 patients diagnosed with acute COVID-19) by systematic deep phenotyping of clinical characteristics from different data sources (data warehouse, clinical chart review, unstructured clinical and radiology notes using Natural Language Processing, and patient-reported symptoms). In this study, we aim to correlate PASC symptoms with radiomic and radiopathomic information by analyzing image data using computer vision artificial intelligence and machine learning. The outcome of this project will be a predictive tool via turnkey implementation of Electronic Medical Record based app for quick scaling across most academic and many non-academic clinical settings.

Accomplishments

This project was delayed due to issues around data access, and technical work will start when this issue is resolved.