Radiologist-Level COVID-19 Detection Using CT Scans with Detail-Oriented Capsule Networks
University of Houston（休斯顿大学）；University of Texas MD Anderson Cancer Center（德克萨斯大学MD安德森癌症中心）
Aryan Mobiny, Pietro Antonio Cicalese, Samira Zare, Pengyu Yuan, Mohammadsajad Abavisani, Carol C. Wu, Jitesh Ahuja, Patricia M. de Groot, Hien Van Nguyen
Radiographic images offer an alternative method for the rapid screening and monitoring of Coronavirus Disease 2019 (COVID-19) patients. This approach is limited by the shortage of radiology experts who can provide a timely interpretation of these images. Motivated by this challenge, our paper proposes a novel learning architecture, called Detail-Oriented Capsule Networks (DECAPS), for the automatic diagnosis of COVID-19 from Computed Tomography (CT) scans. Our network combines the strength of Capsule Networks with several architecture improvements meant to boost classification accuracies. First, DECAPS uses an Inverted Dynamic Routing mechanism which increases model stability by preventing the passage of information from non-descriptive regions. Second, DECAPS employs a Peekaboo training procedure which uses a two-stage patch crop and drop strategy to encourage the network to generate activation maps for every target concept. The network then uses the activation maps to focus on regions of interest and combines both coarse and fine-grained representations of the data. Finally, we use a data augmentation method based on conditional generative adversarial networks to deal with the issue of data scarcity. Our model achieves 84.3% precision, 91.5% recall, and 96.1% area under the ROC curve, significantly outperforming state-of-the-art methods. We compare the performance of the DECAPS model with three experienced, well-trained thoracic radiologists and show that the architecture significantly outperforms them. While further studies on larger datasets are required to confirm this finding, our results imply that architectures like DECAPS can be used to assist radiologists in the CT scan mediated diagnosis of COVID-19.
Concordia University（康考迪亚大学）；McGill University（麦吉尔大学）；Sunnybrook Health Sciences Centre（桑尼布鲁克健康科学中心）；University of Toronto（多伦多大学）
The global outbreak of the novel corona virus (COVID-19) disease has drastically impacted the world and led to one of the most challenging crisis across the globe since World War II. The early diagnosis and isolation of COVID-19 positive cases are considered as crucial steps towards preventing the spread of the disease and flattening the epidemic curve. Chest Computed Tomography (CT) scan is a highly sensitive, rapid, and accurate diagnostic technique that can complement Reverse Transcription Polymerase Chain Reaction (RT-PCR) test. Recently, deep learning-based models, mostly based on Convolu…
Concordia University（康考迪亚大学）；Concordia Institute for Information Systems Engineering (CIISE)（康考迪亚信息系统工程研究所）；Sunnybrook Health Sciences Centre（桑尼布鲁克健康科学中心）；University of Toronto（多伦多大学）；New York University（纽约大学）；University of Montreal（蒙特利尔大学）；Iran university of medical science（伊朗医科大学）；McGill University Health Center-Research Institute（麦吉尔大学健康中心研究所）
The newly discovered Corona virus Disease 2019 (COVID-19) has been globally spreading and causing hundreds of thousands of deaths around the world as of its first emergence in late 2019. Computed tomography (CT) scans have shown distinctive features and higher sensitivity compared to other diagnostic tests, in particular the current gold standard, i.e., the Reverse Transcription Polymerase Chain Reaction (RT-PCR) test. Current deep learning-based algorithms are mainly developed based on Convolutional Neural Networks (CNNs) to identify COVID-19 pneumonia cases. CNNs, however, require extensive …
Concordia University（康考迪亚大学）；University of Toronto（多伦多大学）；McGill University Health Center-Research Institute（麦吉尔大学健康中心-研究所）；Sunnybrook Health Sciences Centre（新宁健康科学中心）；University of Montreal（蒙特利尔大学）；National Cancer Institute（国家癌症研究所）
Reverse transcription-polymerase chain reaction (RT-PCR) is currently the gold standard in COVID-19 diagnosis. It can, however, take days to provide the diagnosis, and false negative rate is relatively high. Imaging, in particular chest computed tomography (CT), can assist with diagnosis and assessment of this disease. Nevertheless, it is shown that standard dose CT scan gives significant radiation burden to patients, especially those in need of multiple scans. In this study, we consider low-dose and ultra-low-dose (LDCT and ULDCT) scan protocols that reduce the radiation exposure close to tha…
University of Central Florida（中佛罗里达大学）；University of Pennsylvania（宾夕法尼亚大学）
Convolutional neural network based systems have largely failed to be adopted in many high-risk application areas, including healthcare, military, security, transportation, finance, and legal, due to their highly uninterpretable "black-box" nature. Towards solving this deficiency, we teach a novel multi-task capsule network to improve the explainability of predictions by embodying the same high-level language used by human-experts. Our explainable capsule network, X-Caps, encodes high-level visual object attributes within the vectors of its capsules, then forms predictions based solely on these…
CAD-Unet: A Capsule Network-Enhanced Unet Architecture for Accurate Segmentation of COVID-19 Lung Infections from CT Images
School of Information Engineering, Ningxia University（宁夏大学信息工程学院）；Ningxia Key Laboratory of Artificial Intelligence and Information Security for Channeling Computing Resources from the East to the West, Ningxia University（宁夏人工智能与信息安全重点实验室）；School of Mathematics and Computer Science, Ningxia Normal University（宁夏师范学院数学与计算机科学学院）；School of Advanced Interdisciplinary Studies, Ningxia University（宁夏大学先进交叉学科学院）
Perelman School of Medicine, University of Pennsylvania（宾夕法尼亚大学佩雷尔曼医学院）；Siemens Healthineers（西门子医疗）
Purpose: To leverage volumetric quantification of airspace disease (AD) derived from a superior modality (CT) serving as ground truth, projected onto digitally reconstructed radiographs (DRRs) to: 1) train a convolutional neural network to quantify airspace disease on paired CXRs; and 2) compare the DRR-trained CNN to expert human readers in the CXR evaluation of patients with confirmed COVID-19. Materials and Methods: We retrospectively selected a cohort of 86 COVID-19 patients (with positive RT-PCR), from March-May 2020 at a tertiary hospital in the northeastern USA, who underwent chest CT a…
Technical University of Munich（慕尼黑工业大学）；Stanford University（斯坦福大学）
Interpreting chest radiograph, a.ka. chest x-ray, images is a necessary and crucial diagnostic tool used by medical professionals to detect and identify many diseases that may plague a patient. Although the images themselves contain a wealth of valuable information, their usefulness may be limited by how well they are interpreted, especially when the reviewing radiologist may be fatigued or when or an experienced radiologist is unavailable. Research in the use of deep learning models to analyze chest radiographs yielded impressive results where, in some instances, the models outperformed pract…
University of Waterloo（滑铁卢大学）；Waterloo Artificial Intelligence Institute（滑铁卢人工智能研究所）；DarwinAI Corp.（DarwinAI公司）；McMaster University（麦克马斯特大学）；Thunder Bay Regional Health Sciences Centre（桑德贝地区健康科学中心）；Northern Ontario School of Medicine（北安大略医学院）
As the COVID-19 pandemic continues to devastate globally, the use of chest X-ray (CXR) imaging as a complimentary screening strategy to RT-PCR testing continues to grow given its routine clinical use for respiratory complaint. As part of the COVID-Net open source initiative, we introduce COVID-Net CXR-2, an enhanced deep convolutional neural network design for COVID-19 detection from CXR images built using a greater quantity and diversity of patients than the original COVID-Net. To facilitate this, we also introduce a new benchmark dataset composed of 19,203 CXR images from a multinational coh…
During the outbreak time of COVID-19, computed tomography (CT) is a useful manner for diagnosing COVID-19 patients. Due to privacy issues, publicly available COVID-19 CT datasets are highly difficult to obtain, which hinders the research and development of AI-powered diagnosis methods of COVID-19 based on CTs. To address this issue, we build an open-sourced dataset -- COVID-CT, which contains 349 COVID-19 CT images from 216 patients and 463 non-COVID-19 CTs. The utility of this dataset is confirmed by a senior radiologist who has been diagnosing and treating COVID-19 patients since the outbrea…
University of Catania（卡塔尼亚大学）；STMicroelectronics（意法半导体）；University of Messina（墨西拿大学）
COVID-19 infection caused by SARS-CoV-2 pathogen is a catastrophic pandemic outbreak all over the world with exponential increasing of confirmed cases and, unfortunately, deaths. In this work we propose an AI-powered pipeline, based on the deep-learning paradigm, for automated COVID-19 detection and lesion categorization from CT scans. We first propose a new segmentation module aimed at identifying automatically lung parenchyma and lobes. Next, we combined such segmentation network with classification networks for COVID-19 identification and lesion categorization. We compare the obtained class…
University of Waterloo（滑铁卢大学）；DarwinAI Corp.（DarwinAI公司）；Niagara Health（尼亚加拉医疗）；McMaster University（麦克马斯特大学）；Thunder Bay Regional Health Sciences Centre（桑德贝地区健康科学中心）；Northern Ontario School of Medicine（北部安大略医学院）
The world is still struggling in controlling and containing the spread of the COVID-19 pandemic caused by the SARS-CoV-2 virus. The medical conditions associated with SARS-CoV-2 infections have resulted in a surge in the number of patients at clinics and hospitals, leading to a significantly increased strain on healthcare resources. As such, an important part of managing and handling patients with SARS-CoV-2 infections within the clinical workflow is severity assessment, which is often conducted with the use of chest x-ray (CXR) images. In this work, we introduce COVID-Net CXR-S, a convolution…
Purpose: Considering several patients screened due to COVID-19 pandemic, computer-aided detection has strong potential in assisting clinical workflow efficiency and reducing the incidence of infections among radiologists and healthcare providers. Since many confirmed COVID-19 cases present radiological findings of pneumonia, radiologic examinations can be useful for fast detection. Therefore, chest radiography can be used to fast screen COVID-19 during the patient triage, thereby determining the priority of patient's care to help saturated medical facilities in a pandemic situation. Methods: I…
University of Waterloo（滑铁卢大学）；DarwinAI Corp.（DarwinAI公司）；Stony Brook School of Medicine（石溪大学医学院）；Montefiore Medical Center（蒙蒂菲奥里医疗中心）；Albert Einstein College of Medicine（阿尔伯特·爱因斯坦医学院）
Background: A critical step in effective care and treatment planning for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of the COVID-19 pandemic, is the assessment of the severity of disease progression. Chest x-rays (CXRs) are often used to assess SARS-CoV-2 severity, with two important assessment metrics being extent of lung involvement and degree of opacity. In this proof-of-concept study, we assess the feasibility of computer-aided scoring of CXRs of SARS-CoV-2 lung disease severity using a deep learning system. Materials and Methods: Data consisted of 396 CXRs fro…
Concordia University（康考迪亚大学）；Sunnybrook Health Sciences Centre（桑尼布鲁克健康科学中心）；University of Toronto（多伦多大学）；McGill University（麦吉尔大学）
Novel Coronavirus disease (COVID-19) is a highly contagious respiratory infection that has had devastating effects on the world. Recently, new COVID-19 variants are emerging making the situation more challenging and threatening. Evaluation and quantification of COVID-19 lung abnormalities based on chest Computed Tomography (CT) scans can help determining the disease stage, efficiently allocating limited healthcare resources, and making informed treatment decisions. During pandemic era, however, visual assessment and quantification of COVID-19 lung lesions by expert radiologists become expensiv…
COVID-19, also known as Novel Coronavirus Disease, is a highly contagious disease that first surfaced in China in late 2019. SARS-CoV-2 is a coronavirus that belongs to the vast family of coronaviruses that causes this disease. The sickness originally appeared in Wuhan, China in December 2019 and quickly spread to over 213 nations, becoming a global pandemic. Fever, dry cough, and tiredness are the most typical COVID-19 symptoms. Aches, pains, and difficulty breathing are some of the other symptoms that patients may face. The majority of these symptoms are indicators of respiratory infections …
Indian Institute of Technology Delhi（印度理工学院德里分校）；Max Hospital（马克斯医院）；All India Institute of Medical Sciences（全印度医学科学研究所）
The gold standard for COVID-19 is RT-PCR, testing facilities for which are limited and not always optimally distributed. Test results are delayed, which impacts treatment. Expert radiologists, one of whom is a co-author, are able to diagnose COVID-19 positivity from Chest X-Rays (CXR) and CT scans, that can facilitate timely treatment. Such diagnosis is particularly valuable in locations lacking radiologists with sufficient expertise and familiarity with COVID-19 patients. This paper has two contributions. One, we analyse literature on CXR based COVID-19 diagnosis. We show that popular choices…
Concordia Institute for Information Systems Engineering, Concordia University（康考迪亚大学信息系统工程研究所）；Sunnybrook Health Sciences Centre, University of Toronto（多伦多大学桑尼布鲁克健康科学中心）；McGill University Health Center- Research Institute（麦吉尔大学健康中心研究所）；Babak Imaging Center（巴布克影像中心）；Department of Electrical and Computer Engineering, University of Toronto（多伦多大学电气与计算机工程系）
Lung diseases including infections such as Pneumonia, Tuberculosis, and novel Coronavirus (COVID-19), together with Lung Cancer are significantly widespread and are, typically, considered life threatening. In particular, lung cancer is among the most common and deadliest cancers with a low 5-year survival rate. Timely diagnosis of lung cancer is, therefore, of paramount importance as it can save countless lives. In this regard, deep learning radiomics solutions have the promise of extracting the most useful features on their own in an end-to-end fashion without having access to the annotated b…
Tencent Jarvis Lab（腾讯Jarvis实验室）；Institute of Computing Technology Chinese Academy of Sciences（中国科学院计算技术研究所）；University of Chinese Academy of Sciences（中国科学院大学）；The First Affiliated Hospital of Anhui Medical University（安徽医科大学第一附属医院）；University of Science and Technology of China（中国科学技术大学）
Fast screening and diagnosis are critical in COVID-19 patient treatment. In addition to the gold standard RT-PCR, radiological imaging like X-ray and CT also works as an important means in patient screening and follow-up. However, due to the excessive number of patients, writing reports becomes a heavy burden for radiologists. To reduce the workload of radiologists, we propose DeltaNet to generate medical reports automatically. Different from typical image captioning approaches that generate reports with an encoder and a decoder, DeltaNet applies a conditional generation process. In particular…
Technische Hochschule Ulm - Ulm University of Applied Sciences（乌尔姆应用技术大学）；Universitätsklinikum Ulm - Ulm University Medical Center（乌尔姆大学医学中心）
Since the beginning of the COVID-19 pandemic, researchers have developed deep learning models to classify COVID-19 induced pneumonia. As with many medical imaging tasks, the quality and quantity of the available data is often limited. In this work we train a deep learning model on publicly available COVID-19 image data and evaluate the model on local hospital chest X-ray data. The data has been reviewed and labeled by two radiologists to ensure a high quality estimation of the generalization capabilities of the model. Furthermore, we are using a Generative Adversarial Network to generate synth…
Stony Brook University（石溪大学）；Newark Beth Israel Medical Center（纽瓦克贝丝以色列医疗中心）；University Hospitals Cleveland Medical Center（大学医院克利夫兰医疗中心）
We predict mechanical ventilation requirement and mortality using computational modeling of chest radiographs (CXRs) for coronavirus disease 2019 (COVID-19) patients. This two-center, retrospective study analyzed 530 deidentified CXRs from 515 COVID-19 patients treated at Stony Brook University Hospital and Newark Beth Israel Medical Center between March and August 2020. DL and machine learning classifiers to predict mechanical ventilation requirement and mortality were trained and evaluated using patient CXRs. A novel radiomic embedding framework was also explored for outcome prediction. All …
Warsaw University of Technology（华沙理工大学）；Medical University of Warsaw（华沙医科大学）；University of Warsaw（华沙大学）
The sudden outbreak and uncontrolled spread of COVID-19 disease is one of the most important global problems today. In a short period of time, it has led to the development of many deep neural network models for COVID-19 detection with modules for explainability. In this work, we carry out a systematic analysis of various aspects of proposed models. Our analysis revealed numerous mistakes made at different stages of data acquisition, model development, and explanation construction. In this work, we overview the approaches proposed in the surveyed Machine Learning articles and indicate typical …
Coronavirus disease (COVID-19) is a contagious infection caused by severe acute respiratory syndrome coronavirus-2 (SARS-COV-2) and it has infected and killed millions of people across the globe. In the absence of specific drugs or vaccines for the treatment of COVID-19 and the limitation of prevailing diagnostic techniques, there is a requirement for some alternate automatic screening systems that can be used by the physicians to quickly identify and isolate the infected patients. A chest X-ray (CXR) image can be used as an alternative modality to detect and diagnose the COVID-19. In this stu…
Sberbank AI Laboratory（俄罗斯联邦储蓄银行人工智能实验室）；New York University（纽约大学）
Analysis of chest CT scans can be used in detecting parts of lungs that are affected by infectious diseases such as COVID-19.Determining the volume of lungs affected by lesions is essential for formulating treatment recommendations and prioritizingpatients by severity of the disease. In this paper we adopted an approach based on using an ensemble of deep convolutionalneural networks for segmentation of slices of lung CT scans. Using our models we are able to segment the lesions, evaluatepatients dynamics, estimate relative volume of lungs affected by lesions and evaluate the lung damage stage.…
Coronavirus disease 2019 (COVID-19) is a Public Health Emergency of International Concern infecting more than 40 million people across 188 countries and territories. Chest computed tomography (CT) imaging technique benefits from its high diagnostic accuracy and robustness, it has become an indispensable way for COVID-19 mass testing. Recently, deep learning approaches have become an effective tool for automatic screening of medical images, and it is also being considered for COVID-19 diagnosis. However, the high infection risk involved with COVID-19 leads to relative sparseness of collected la…
Unidad Mixta de Imagen Biomédica FISABIO-CIPF（FISABIO-CIPF生物医学成像联合单元）；Universidad de Alicante（阿利坎特大学）；Medbravo；Hospital San Juan de Alicante（阿利坎特圣胡安医院）；Universidad Miguel Hernández（米格尔·埃尔南德斯大学）；Sierra Research SL（Sierra Research有限公司）；Bioinformatics & Biostatistics Unit, Principe Felipe Research Center（费利佩王子研究中心生物信息学与生物统计学单元）
This paper describes BIMCV COVID-19+, a large dataset from the Valencian Region Medical ImageBank (BIMCV) containing chest X-ray images CXR (CR, DX) and computed tomography (CT) imaging of COVID-19+ patients along with their radiological findings and locations, pathologies, radiological reports (in Spanish), DICOM metadata, Polymerase chain reaction (PCR), Immunoglobulin G (IgG) and Immunoglobulin M (IgM) diagnostic antibody tests. The findings have been mapped onto standard Unified Medical Language System (UMLS) terminology and cover a wide spectrum of thoracic entities, unlike the considerab…
University of Cambridge（剑桥大学）；Université de Bordeaux（波尔多大学）；Bordeaux INP（波尔多国立理工学院）；CNRS（法国国家科学研究中心）
Can one learn to diagnose COVID-19 under extreme minimal supervision? Since the outbreak of the novel COVID-19 there has been a rush for developing Artificial Intelligence techniques for expert-level disease identification on Chest X-ray data. In particular, the use of deep supervised learning has become the go-to paradigm. However, the performance of such models is heavily dependent on the availability of a large and representative labelled dataset. The creation of which is a heavily expensive and time consuming task, and especially imposes a great challenge for a novel disease. Semi-supervis…
The 2019 novel coronavirus (COVID-19) has spread rapidly all over the world and it is affecting the whole society. The current gold standard test for screening COVID-19 patients is the polymerase chain reaction test. However, the COVID-19 test kits are not widely available and time-consuming. Thus, as an alternative, chest X-rays are being considered for quick screening. Since the presentation of COVID-19 in chest X-rays is varied in features and specialization in reading COVID-19 chest X-rays are required thus limiting its use for diagnosis. To address this challenge of reading chest X-rays b…
Indian Institute of Technology Delhi（德里印度理工学院）；University of Bath（巴斯大学）；Indian Institute of Technology Kanpur（坎普尔印度理工学院）；All India Institute of Medical Sciences Delhi（德里全印度医学科学研究所）
The exponential increase in COVID-19 patients is overwhelming healthcare systems across the world. With limited testing kits, it is impossible for every patient with respiratory illness to be tested using conventional techniques (RT-PCR). The tests also have long turn-around time, and limited sensitivity. Detecting possible COVID-19 infections on Chest X-Ray may help quarantine high risk patients while test results are awaited. X-Ray machines are already available in most healthcare systems, and with most modern X-Ray systems already digitized, there is no transportation time involved for the …
Background and Objective: The new type of coronavirus is also called COVID-19. It began to spread at the end of 2019 and has now spread across the world. Until October 2020, It has infected around 37 million people and claimed about 1 million lives. We propose a deep learning model that can help radiologists and clinicians use chest X-rays to diagnose COVID-19 cases and show the diagnostic features of pneumonia. Methods: The approach in this study is: 1) we propose a data enhancement method to increase the diversity of the data set, thereby improving the generalization performance of the model…
Microsoft Research（微软研究院）；University Hospitals Birmingham（伯明翰大学医院）
Chest radiography has been a recommended procedure for patient triaging and resource management in intensive care units (ICUs) throughout the COVID-19 pandemic. The machine learning efforts to augment this workflow have been long challenged due to deficiencies in reporting, model evaluation, and failure mode analysis. To address some of those shortcomings, we model radiological features with a human-interpretable class hierarchy that aligns with the radiological decision process. Also, we propose the use of a data-driven error analysis methodology to uncover the blind spots of our model, provi…
Multi-Scale Feature Fusion using Parallel-Attention Block for COVID-19 Chest X-ray Diagnosis
Rutgers Cancer Institute of New Jersey（罗格斯新泽西癌症研究所）；Rutgers Robert Wood Johnson Medical School（罗格斯罗伯特·伍德·约翰逊医学院）；The University of British Columbia（不列颠哥伦比亚大学）
Fraunhofer FIT（弗劳恩霍夫应用信息技术研究所）；RWTH Aachen University（亚琛工业大学）；German National Library of Medicine（德国国家医学图书馆）；University of Cologne（科隆大学）；Vrije Universiteit Amsterdam（阿姆斯特丹自由大学）
Amid the coronavirus disease(COVID-19) pandemic, humanity experiences a rapid increase in infection numbers across the world. Challenge hospitals are faced with, in the fight against the virus, is the effective screening of incoming patients. One methodology is the assessment of chest radiography(CXR) images, which usually requires expert radiologist's knowledge. In this paper, we propose an explainable deep neural networks(DNN)-based method for automatic detection of COVID-19 symptoms from CXR images, which we call DeepCOVIDExplainer. We used 15,959 CXR images of 15,854 patients, covering nor…
Intelligent Medical Image Computing Systems (IMICS) Lab（智能医学影像计算系统实验室）；The Hospital for Sick Children（病童医院）；University of Toronto（多伦多大学）
COVID-19 spread across the globe at an immense rate has left healthcare systems incapacitated to diagnose and test patients at the needed rate. Studies have shown promising results for detection of COVID-19 from viral bacterial pneumonia in chest X-rays. Automation of COVID-19 testing using medical images can speed up the testing process of patients where health care systems lack sufficient numbers of the reverse-transcription polymerase chain reaction (RT-PCR) tests. Supervised deep learning models such as convolutional neural networks (CNN) need enough labeled data for all classes to correct…
Snap Inc.（Snap 公司）；Isfahan University of Medical Sciences（伊斯法罕医科大学）；The University of Iowa（爱荷华大学）；Isfahan University of Technology（伊斯法罕理工大学）
The COVID-19 pandemic is causing a major outbreak in more than 150 countries around the world, having a severe impact on the health and life of many people globally. One of the crucial step in fighting COVID-19 is the ability to detect the infected patients early enough, and put them under special care. Detecting this disease from radiography and radiology images is perhaps one of the fastest ways to diagnose the patients. Some of the early studies showed specific abnormalities in the chest radiograms of patients infected with COVID-19. Inspired by earlier works, we study the application of de…
Deep Learning has achieved state of the art performance in medical imaging. However, these methods for disease detection focus exclusively on improving the accuracy of classification or predictions without quantifying uncertainty in a decision. Knowing how much confidence there is in a computer-based medical diagnosis is essential for gaining clinicians trust in the technology and therefore improve treatment. Today, the 2019 Coronavirus (SARS-CoV-2) infections are a major healthcare challenge around the world. Detecting COVID-19 in X-ray images is crucial for diagnosis, assessment and treatmen…
In the light of the COVID-19 pandemic, deep learning methods have been widely investigated in detecting COVID-19 from chest X-rays. However, a more pragmatic approach to applying AI methods to a medical diagnosis is designing a framework that facilitates human-machine interaction and expert decision making. Studies have shown that categorization can play an essential rule in accelerating real-world decision making. Inspired by descriptive document clustering, we propose a domain-independent explanatory clustering framework to group contextually related instances and support radiologists' decis…
Concordia University（康考迪亚大学）；Sunnybrook Health Sciences Centre（桑尼布鲁克健康科学中心）；University of Toronto（多伦多大学）
Novel Coronavirus disease (COVID-19) has abruptly and undoubtedly changed the world as we know it at the end of the 2nd decade of the 21st century. COVID-19 is extremely contagious and quickly spreading globally making its early diagnosis of paramount importance. Early diagnosis of COVID-19 enables health care professionals and government authorities to break the chain of transition and flatten the epidemic curve. The common type of COVID-19 diagnosis test, however, requires specific equipment and has relatively low sensitivity. Computed tomography (CT) scans and X-ray images, on the other han…
The COVID-19 pandemic continues to spread and impact the well-being of the global population. The front-line modalities including computed tomography (CT) and X-ray play an important role for triaging COVID patients. Considering the limited access of resources (both hardware and trained personnel) and decontamination considerations, CT may not be ideal for triaging suspected subjects. Artificial intelligence (AI) assisted X-ray based applications for triaging and monitoring require experienced radiologists to identify COVID patients in a timely manner and to further delineate the disease regio…
Nagoya University（名古屋大学）；Nara Institute of Science and Technology（奈良先端科学技术大学院大学）；National Institute of Informatics（国立信息学研究所）；Keio University School of Medicine（庆应义塾大学医学部）；Juntendo University（顺天堂大学）
This paper presents a fully-automated method for the identification of suspicious regions of a coronavirus disease (COVID-19) on chest CT volumes. One major role of chest CT scanning in COVID-19 diagnoses is identification of an inflammation particular to the disease. This task is generally performed by radiologists through an interpretation of the CT volumes, however, because of the heavy workload, an automatic analysis method using a computer is desired. Most computer-aided diagnosis studies have addressed only a portion of the elements necessary for the identification. In this work, we real…
COVID-Net USPro: An Open-Source Explainable Few-Shot Deep Prototypical Network to Monitor and Detect COVID-19 Infection from Point-of-Care Ultrasound Images
University of Waterloo（滑铁卢大学）；National Research Council Canada（加拿大国家研究委员会）；McGill University（麦吉尔大学）
This review presents a comprehensive study on the role of GANs in addressing the challenges related to COVID-19 data scarcity and diagnosis. It is the first review that summarizes the different GANs methods and the lungs images datasets for COVID-19. It attempts to answer the questions related to applications of GANs, popular GAN architectures, frequently used image modalities, and the availability of source code. This review included 57 full-text studies that reported the use of GANs for different applications in COVID-19 lungs images data. Most of the studies (n=42) used GANs for data augmen…
University of Turin（都灵大学）；Azienda Ospedaliera Città della Salute e della Scienza Presidio Molinette（健康与科学城医院莫利内特分院）；AOU San Luigi Gonzaga（圣路易吉·贡扎加大学医院）
Early screening of patients is a critical issue in order to assess immediate and fast responses against the spread of COVID-19. The use of nasopharyngeal swabs has been considered the most viable approach; however, the result is not immediate or, in the case of fast exams, sufficiently accurate. Using Chest X-Ray (CXR) imaging for early screening potentially provides faster and more accurate response; however, diagnosing COVID from CXRs is hard and we should rely on deep learning support, whose decision process is, on the other hand, "black-boxed" and, for such reason, untrustworthy. We propos…
National Institute of Technology Karnataka（卡纳塔克邦国立理工学院）；Kasturba Medical College and Hospital, Manipal（马尼帕尔卡斯图巴医学院及医院）；Manipal Academy of Higher Education（马尼帕尔高等教育学院）；J.S.S. Medical College, Mysore（迈索尔J.S.S.医学院）；JSS Academy of Higher Education and Research（JSS高等教育与研究学院）
The world is going through a challenging phase due to the disastrous effect caused by the COVID-19 pandemic on the healthcare system and the economy. The rate of spreading, post-COVID-19 symptoms, and the occurrence of new strands of COVID-19 have put the healthcare systems in disruption across the globe. Due to this, the task of accurately screening COVID-19 cases has become of utmost priority. Since the virus infects the respiratory system, Chest X-Ray is an imaging modality that is adopted extensively for the initial screening. We have performed a comprehensive study that uses CXR images to…
In this paper, our focus is on constructing models to assist a clinician in the diagnosis of COVID-19 patients in situations where it is easier and cheaper to obtain X-ray data than to obtain high-quality images like those from CT scans. Deep neural networks have repeatedly been shown to be capable of constructing highly predictive models for disease detection directly from image data. However, their use in assisting clinicians has repeatedly hit a stumbling block due to their black-box nature. Some of this difficulty can be alleviated if predictions were accompanied by explanations expressed …
Khulna University of Engineering & Technology（库尔纳工程技术大学）；University Health Network（大学健康网络）；University of Toronto（多伦多大学）
The novel COVID-19 is a global pandemic disease overgrowing worldwide. Computer-aided screening tools with greater sensitivity is imperative for disease diagnosis and prognosis as early as possible. It also can be a helpful tool in triage for testing and clinical supervision of COVID-19 patients. However, designing such an automated tool from non-invasive radiographic images is challenging as many manually annotated datasets are not publicly available yet, which is the essential core requirement of supervised learning schemes. This article proposes a 3D Convolutional Neural Network (CNN)-based…
University of Campinas - UNICAMP（坎皮纳斯大学（UNICAMP））；Alma Mater Studiorum - University of Bologna（博洛尼亚大学（Alma Mater Studiorum））；Istituto Italiano di Tecnologia（意大利技术研究院）
Purpose: we evaluated the generalization capability of deep neural networks (DNNs), trained to classify chest X-rays as Covid-19, normal or pneumonia, using a relatively small and mixed dataset. Methods: we proposed a DNN to perform lung segmentation and classification, stacking a segmentation module (U-Net), an original intermediate module and a classification module (DenseNet201). To evaluate generalization, we tested the DNN with an external dataset (from distinct localities) and used Bayesian inference to estimate probability distributions of performance metrics. Results: our DNN achieved …
COMSATS University Islamabad（伊斯兰堡COMSATS大学）；Bacha Khan University（巴查汗大学）；Chung-Ang University（中央大学）；University of Malaya（马来亚大学）；University Malaysia Sabah（马来西亚沙巴大学）；Institute of Space Technology（空间技术研究所）
The ongoing COVID-19 pandemic has already taken millions of lives and damaged economies across the globe. Most COVID-19 deaths and economic losses are reported from densely crowded cities. It is comprehensible that the effective control and prevention of epidemic/pandemic infectious diseases is vital. According to WHO, testing and diagnosis is the best strategy to control pandemics. Scientists worldwide are attempting to develop various innovative and cost-efficient methods to speed up the testing process. This paper comprehensively evaluates the applicability of the recent top ten state-of-th…
University of Michigan（密歇根大学）；Henry Ford Health System（亨利·福特医疗系统）；Molecular Medicine Institute（分子医学研究所）
CXR-Net is a two-module Artificial Intelligence pipeline for the quick detection of SARS-CoV-2 from chest X-rays (CXRs). Module 1 was trained on a public dataset of 6395 CXRs with radiologist annotated lung contours to generate masks of the lungs that overlap the heart and large vasa. Module 2 is a hybrid convnet in which the first convolutional layer with learned coefficients is replaced by a layer with fixed coefficients provided by the Wavelet Scattering Transform (WST). Module 2 takes as inputs the patients CXRs and corresponding lung masks calculated by Module 1, and produces as outputs a…
University of Waterloo（滑铁卢大学）；National Research Council Canada（加拿大国家研究委员会）；Oakville Trafalgar Memorial Hospital（奥克维尔特拉法加纪念医院）；McMaster University（麦克马斯特大学）；Waterloo Artificial Intelligence Institute（滑铁卢人工智能研究所）
The Coronavirus Disease 2019 (COVID-19) pandemic has impacted many aspects of life globally, and a critical factor in mitigating its effects is screening individuals for infections, thereby allowing for both proper treatment for those individuals as well as action to be taken to prevent further spread of the virus. Point-of-care ultrasound (POCUS) imaging has been proposed as a screening tool as it is a much cheaper and easier to apply imaging modality than others that are traditionally used for pulmonary examinations, namely chest x-ray and computed tomography. Given the scarcity of expert ra…
National Institute of Technology Delhi（德里国家理工学院）；Indian Institute of Technology, Roorkee（鲁尔基印度理工学院）
Background and Objective: During pandemics, the use of artificial intelligence (AI) approaches combined with biomedical science play a significant role in reducing the burden on the healthcare systems and physicians. The rapid increment in cases of COVID-19 has led to an increase in demand for hospital beds and other medical equipment. However, since medical facilities are limited, it is recommended to diagnose patients as per the severity of the infection. Keeping this in mind, we share our research in detecting COVID-19 as well as assessing its severity using chest-CT scans and Deep Learning…
Empowering Medical Imaging with Artificial Intelligence: A Review of Machine Learning Approaches for the Detection, and Segmentation of COVID-19 Using Radiographic and Tomographic Images
An Empirical Analysis for Zero-Shot Multi-Label Classification on COVID-19 CT Scans and Uncurated Reports
ARTORG Center for Biomedical Engineering Research（ARTORG生物医学工程研究中心）；University of Bern（伯尔尼大学）；Bern University Hospital（伯尔尼大学医院）；Lindenhofspital（林登霍夫医院）；Campus Stiftung Lindenhof Bern（伯尔尼林登霍夫基金会校区）
University of Waterloo（滑铁卢大学）；Waterloo Artificial Intelligence Institute（滑铁卢人工智能研究所）；DarwinAI Corp.（DarwinAI公司）；Niagara Health（尼亚加拉健康中心）；McMaster University（麦克马斯特大学）；Thunder Bay Regional Health Sciences Centre（桑德贝地区健康科学中心）；Northern Ontario School of Medicine（北安大略医学院）
Tuberculosis (TB) remains a global health problem, and is the leading cause of death from an infectious disease. A crucial step in the treatment of tuberculosis is screening high risk populations and the early detection of the disease, with chest x-ray (CXR) imaging being the most widely-used imaging modality. As such, there has been significant recent interest in artificial intelligence-based TB screening solutions for use in resource-limited scenarios where there is a lack of trained healthcare workers with expertise in CXR interpretation. Motivated by this pressing need and the recent recom…
Nanjing University of Science and Technology（南京理工大学）；Institute of Computing Technology, Chinese Academy of Sciences（中国科学院计算技术研究所）；University of Chinese Academy of Sciences（中国科学院大学）；China Electronics Cloud Brain (Tianjin) Technology CO., LTD（中电云脑（天津）科技有限公司）；Jiangsu University of Technology（江苏理工学院）；Fudan University（复旦大学）；University of Toronto（多伦多大学）；Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School（南京大学医学院附属鼓楼医院）；Lenovo Ltd.（联想集团）；Nanjing University（南京大学）
Purpose: Accurate segmentation of lung and infection in COVID-19 CT scans plays an important role in the quantitative management of patients. Most of the existing studies are based on large and private annotated datasets that are impractical to obtain from a single institution, especially when radiologists are busy fighting the coronavirus disease. Furthermore, it is hard to compare current COVID-19 CT segmentation methods as they are developed on different datasets, trained in different settings, and evaluated with different metrics. Methods: To promote the development of data-efficient deep …
The pandemic of novel SARS-CoV-2 also known as COVID-19 has been spreading worldwide, causing rampant loss of lives. Medical imaging such as CT, X-ray, etc., plays a significant role in diagnosing the patients by presenting the visual representation of the functioning of the organs. However, for any radiologist analyzing such scans is a tedious and time-consuming task. The emerging deep learning technologies have displayed its strength in analyzing such scans to aid in the faster diagnosis of the diseases and viruses such as COVID-19. In the present article, an automated deep learning based mo…
Sharif University of Technology（谢里夫理工大学）；Tehran University of Medical Sciences（德黑兰医科大学）；Iran University of Medical Sciences（伊朗医科大学）
COVID-19 is a virus with high transmission rate that demands rapid identification of the infected patients to reduce the spread of the disease. The current gold-standard test, Reverse-Transcription Polymerase Chain Reaction (RT-PCR), has a high rate of false negatives. Diagnosing from CT-scan images as a more accurate alternative has the challenge of distinguishing COVID-19 from other pneumonia diseases. Artificial intelligence can help radiologists and physicians to accelerate the process of diagnosis, increase its accuracy, and measure the severity of the disease. We designed a new interpret…
Universidad de Antioquia（安蒂奥基亚大学）；Johns Hopkins University（约翰斯·霍普金斯大学）；Universidad Politécnica de Madrid（马德里理工大学）
Current standard protocols used in the clinic for diagnosing COVID-19 include molecular or antigen tests, generally complemented by a plain chest X-Ray. The combined analysis aims to reduce the significant number of false negatives of these tests, but also to provide complementary evidence about the presence and severity of the disease. However, the procedure is not free of errors, and the interpretation of the chest X-Ray is only restricted to radiologists due to its complexity. With the long term goal to provide new evidence for the diagnosis, this paper presents an evaluation of different m…
