In this paper, we compare and evaluate different testing protocols used for automatic COVID-19 diagnosis from X-Ray images in the recent literature. We show that similar results can be obtained using X-Ray images that do not contain most of the lungs. We are able to remove the lungs from the images by turning to black the center of the X-Ray scan and training our classifiers only on the outer part of the images. Hence, we deduce that several testing protocols for the recognition are not fair and that the neural networks are learning patterns in the dataset that are not correlated to the presence of COVID-19. Finally, we show that creating a fair testing protocol is a challenging task, and we provide a method to measure how fair a specific testing protocol is. In the future research we suggest to check the fairness of a testing protocol using our tools and we encourage researchers to look for better techniques than the ones that we propose.
Zonguldak Bulent Ecevit University（宗古尔达布伦特·埃杰维特大学）
The 2019 novel coronavirus disease (COVID-19), with a starting point in China, has spread rapidly among people living in other countries, and is approaching approximately 34,986,502 cases worldwide according to the statistics of European Centre for Disease Prevention and Control. There are a limited number of COVID-19 test kits available in hospitals due to the increasing cases daily. Therefore, it is necessary to implement an automatic detection system as a quick alternative diagnosis option to prevent COVID-19 spreading among people. In this study, five pre-trained convolutional neural netwo…
In recent months the world has been surprised by the rapid advance of COVID-19. In order to face this disease and minimize its socio-economic impacts, in addition to surveillance and treatment, diagnosis is a crucial procedure. However, the realization of this is hampered by the delay and the limited access to laboratory tests, demanding new strategies to carry out case triage. In this scenario, deep learning models are being proposed as a possible option to assist the diagnostic process based on chest X-ray and computed tomography images. Therefore, this research aims to automate the process …
Université de Rouen Normandie（鲁昂诺曼底大学）；INSA Rouen（鲁昂国立应用科学学院）；Normandie Univ（诺曼底大学）；UNIROUEN（鲁昂大学）；UNIHAVRE（勒阿弗尔大学）
The coronavirus disease (COVID-19) pandemic has led to a devastating effect on the global public health. Computed Tomography (CT) is an effective tool in the screening of COVID-19. It is of great importance to rapidly and accurately segment COVID-19 from CT to help diagnostic and patient monitoring. In this paper, we propose a U-Net based segmentation network using attention mechanism. As not all the features extracted from the encoders are useful for segmentation, we propose to incorporate an attention mechanism including a spatial and a channel attention, to a U-Net architecture to re-weight…
University of Patras（帕特雷大学）；Computer Technology Institute（计算机技术研究所）
In this study, a dataset of X-Ray images from patients with common pneumonia, Covid-19, and normal incidents was utilized for the automatic detection of the Coronavirus. The aim of the study is to evaluate the performance of state-of-the-art Convolutional Neural Network architectures proposed over recent years for medical image classification. Specifically, the procedure called transfer learning was adopted. With transfer learning, the detection of various abnormalities in small medical image datasets is an achievable target, often yielding remarkable results. The dataset utilized in this expe…
IIIT Naya Raipur（纳亚赖布尔国际信息技术学院）；University of North Texas（北德克萨斯大学）
The pandemic of novel Coronavirus Disease 2019 (COVID-19) is widespread all over the world causing serious health problems as well as serious impact on the global economy. Reliable and fast testing of the COVID-19 has been a challenge for researchers and healthcare practitioners. In this work we present a novel machine learning (ML) integrated X-ray device in Healthcare Cyber-Physical System (H-CPS) or smart healthcare framework (called CoviLearn) to allow healthcare practitioners to perform automatic initial screening of COVID-19 patients. We propose convolutional neural network (CNN) models …
In 2019, the entire world is facing a situation of health emergency due to a newly emerged coronavirus (COVID-19). Almost 196 countries are affected by covid-19, while USA, Italy, China, Spain, Iran, and France have the maximum active cases of COVID-19. The issues, medical and healthcare departments are facing in delay of detecting the COVID-19. Several artificial intelligence based system are designed for the automatic detection of COVID-19 using chest x-rays. In this article we will discuss the different approaches used for the detection of COVID-19 and the challenges we are facing. It is ma…
Saratoga High School（萨拉托加高中）；Stanford University（斯坦福大学）
Chest X-rays of coronavirus disease 2019 (COVID-19) patients are frequently obtained to determine the extent of lung disease and are a valuable source of data for creating artificial intelligence models. Most work to date assessing disease severity on chest imaging has focused on segmenting computed tomography (CT) images; however, given that CTs are performed much less frequently than chest X-rays for COVID-19 patients, automated lung lesion segmentation on chest X-rays could be clinically valuable. There currently exists a universal shortage of chest X-rays with ground truth COVID-19 lung le…
Kobe University Graduate School of Medicine（神户大学医学院）；Kyoto University Graduate School of Medicine（京都大学医学院）
Purpose: This study aimed to develop and validate computer-aided diagnosis (CXDx) system for classification between COVID-19 pneumonia, non-COVID-19 pneumonia, and the healthy on chest X-ray (CXR) images. Materials and Methods: From two public datasets, 1248 CXR images were obtained, which included 215, 533, and 500 CXR images of COVID-19 pneumonia patients, non-COVID-19 pneumonia patients, and the healthy samples. The proposed CADx system utilized VGG16 as a pre-trained model and combination of conventional method and mixup as data augmentation methods. Other types of pre-trained models were …
Inception Institute of Artificial Intelligence（人工智能研究院）；School of Computer Science, Wuhan University（武汉大学计算机学院）；Mohamed bin Zayed University of Artificial Intelligence（穆罕默德·本·扎耶德人工智能大学）
Coronavirus Disease 2019 (COVID-19) spread globally in early 2020, causing the world to face an existential health crisis. Automated detection of lung infections from computed tomography (CT) images offers a great potential to augment the traditional healthcare strategy for tackling COVID-19. However, segmenting infected regions from CT slices faces several challenges, including high variation in infection characteristics, and low intensity contrast between infections and normal tissues. Further, collecting a large amount of data is impractical within a short time period, inhibiting the traini…
In this study, a dataset of X-ray images from patients with common viral pneumonia, bacterial pneumonia, confirmed Covid-19 disease was utilized for the automatic detection of the Coronavirus disease. The point of the investigation is to assess the exhibition of cutting edge convolutional neural system structures proposed over the ongoing years for clinical picture order. In particular, the system called Transfer Learning was received. With transfer learning, the location of different variations from the norm in little clinical picture datasets is a reachable objective, regularly yielding amaz…
ETH Zurich（苏黎世联邦理工学院）；Clinique des Grangettes（格兰奇诊所）；Biomedical Research Institute August Pi i Sunyer（奥古斯特·皮·苏涅尔生物医学研究所）；Technische Universität München（慕尼黑工业大学）
With the rapid development of COVID-19 into a global pandemic, there is an ever more urgent need for cheap, fast and reliable tools that can assist physicians in diagnosing COVID-19. Medical imaging such as CT can take a key role in complementing conventional diagnostic tools from molecular biology, and, using deep learning techniques, several automatic systems were demonstrated promising performances using CT or X-ray data. Here, we advocate a more prominent role of point-of-care ultrasound imaging to guide COVID-19 detection. Ultrasound is non-invasive and ubiquitous in medical facilities ar…
Ferdowsi University of Mashhad（马什哈德费尔多西大学）；University of Kufa（库法大学）
Propose: Troubling countries one after another, the COVID-19 pandemic has dramatically affected the health and well-being of the world's population. The disease may continue to persist more extensively due to the increasing number of new cases daily, the rapid spread of the virus, and delay in the PCR analysis results. Therefore, it is necessary to consider developing assistive methods for detecting and diagnosing the COVID-19 to eradicate the spread of the novel coronavirus among people. Based on convolutional neural networks (CNNs), automated detection systems have shown promising results of…
LinkSprite Technologies（LinkSprite科技公司）；Shenzhen Deepcam Information Technologies（深圳深视信息科技公司）
We present an automatic COVID1-19 diagnosis framework from lung CT images. The focus is on signal processing and classification on small datasets with efforts putting into exploring data preparation and augmentation to improve the generalization capability of the 2D CNN classification models. We propose a unique and effective data augmentation method using multiple Hounsfield Unit (HU) normalization windows. In addition, the original slice image is cropped to exclude background, and a filter is applied to filter out closed-lung images. For the classification network, we choose to use 2D Densen…
Early and accurate diagnosis of COVID-19 is essential to control the rapid spread of the pandemic and mitigate sequelae in the population. Current diagnostic methods, such as RT-PCR, are effective but require time to provide results and can quickly overwhelm clinics, requiring individual laboratory analysis. Automatic detection methods have the potential to significantly reduce diagnostic time. To this end, learning-based methods using lung imaging have been explored. Although they require specialized hardware, automatic evaluation methods can be performed simultaneously, making diagnosis fast…
Problem: Detecting COVID-19 from chest X-Ray (CXR) images has become one of the fastest and easiest methods for detecting COVID-19. However, the existing methods usually use supervised transfer learning from natural images as a pretraining process. These methods do not consider the unique features of COVID-19 and the similar features between COVID-19 and other pneumonia. Aim: In this paper, we want to design a novel high-accuracy COVID-19 detection method that uses CXR images, which can consider the unique features of COVID-19 and the similar features between COVID-19 and other pneumonia. Meth…
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…
K. N. Toosi University of Technology（卡纳齐·图西科技大学）；Ferdowsi University of Mashhad（菲尔多西大学）；University of La Rioja（拉里奥哈大学）；Indian Institute of Technology Indore（印度理工学院印多尔分校）；Universidad de Granada（格拉纳达大学）
The outbreak of the corona virus disease (COVID-19) has changed the lives of most people on Earth. Given the high prevalence of this disease, its correct diagnosis in order to quarantine patients is of the utmost importance in steps of fighting this pandemic. Among the various modalities used for diagnosis, medical imaging, especially computed tomography (CT) imaging, has been the focus of many previous studies due to its accuracy and availability. In addition, automation of diagnostic methods can be of great help to physicians. In this paper, a method based on pre-trained deep neural networks…
University of Saskatchewan（萨斯喀彻温大学）；University of Stanford（斯坦福大学）
The newly identified Coronavirus pneumonia, subsequently termed COVID-19, is highly transmittable and pathogenic with no clinically approved antiviral drug or vaccine available for treatment. The most common symptoms of COVID-19 are dry cough, sore throat, and fever. Symptoms can progress to a severe form of pneumonia with critical complications, including septic shock, pulmonary edema, acute respiratory distress syndrome and multi-organ failure. While medical imaging is not currently recommended in Canada for primary diagnosis of COVID-19, computer-aided diagnosis systems could assist in the …
Semi-supervised learning (SSL) leverages both labeled and unlabeled data for training models when the labeled data is limited and the unlabeled data is vast. Frequently, the unlabeled data is more widely available than the labeled data, hence this data is used to improve the level of generalization of a model when the labeled data is scarce. However, in real-world settings unlabeled data might depict a different distribution than the labeled dataset distribution. This is known as distribution mismatch. Such problem generally occurs when the source of unlabeled data is different from the labele…
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…
Shenzhen Deepcam Information Technologies（深圳深图信息技术有限公司）；LinkSprite Technologies（联芯通科技）
We present an automatic COVID1-19 diagnosis framework from lung CT-scan slice images. In this framework, the slice images of a CT-scan volume are first proprocessed using segmentation techniques to filter out images of closed lung, and to remove the useless background. Then a resampling method is used to select one or multiple sets of a fixed number of slice images for training and validation. A 3D CNN network with BERT is used to classify this set of selected slice images. In this network, an embedding feature is also extracted. In cases where there are more than one set of slice images in a …
University of Science and Technology of China（中国科学技术大学）；The First Affiliated Hospital, Division of Life Sciences and Medicine, University of Science and Technology of China（中国科学技术大学生命科学与医学部附属第一医院）
The ongoing global pandemic of Coronavirus Disease 2019 (COVID-19) poses a serious threat to public health and the economy. Rapid and accurate diagnosis of COVID-19 is crucial to prevent the further spread of the disease and reduce its mortality. Chest Computed tomography (CT) is an effective tool for the early diagnosis of lung diseases including pneumonia. However, detecting COVID-19 from CT is demanding and prone to human errors as some early-stage patients may have negative findings on images. Recently, many deep learning methods have achieved impressive performance in this regard. Despite…
School of Biological Science and Medical Engineering, Beihang University（北京航空航天大学生物与医学工程学院）；Beijing Advanced Innovation Center for Biomedical Engineering, Beihang University（北京航空航天大学生物医学工程高精尖创新中心）
Coronavirus Disease 2019 (COVID-19) has caused great casualties and becomes almost the most urgent public health events worldwide. Computed tomography (CT) is a significant screening tool for COVID-19 infection, and automated segmentation of lung infection in COVID-19 CT images will greatly assist diagnosis and health care of patients. However, accurate and automatic segmentation of COVID-19 lung infections remains to be challenging. In this paper we propose a dilated dual attention U-Net (D2A U-Net) for COVID-19 lesion segmentation in CT slices based on dilated convolution and a novel dual at…
Maulana Azad National Institute of Technology（毛拉纳·阿扎德国家理工学院）
Automatic and rapid screening of COVID-19 from the chest X-ray images has become an urgent need in this pandemic situation of SARS-CoV-2 worldwide in 2020. However, accurate and reliable screening of patients is a massive challenge due to the discrepancy between COVID-19 and other viral pneumonia in X-ray images. In this paper, we design a new stacked convolutional neural network model for the automatic diagnosis of COVID-19 disease from the chest X-ray images. We obtain different sub-models from the VGG19 and developed a 30-layered CNN model (named as CovNet30) during the training, and obtain…
Beijing Jiaotong University（北京交通大学）；Beijing Technology and Business University（北京工商大学）；City University of Hong Kong（香港城市大学）；Ningbo University（宁波大学）；Peking University Shenzhen Graduate School（北京大学深圳研究生院）；Peng Cheng Laboratory（鹏城实验室）；Huawei Technologies（华为技术有限公司）
The spread of COVID-19 has brought a huge disaster to the world, and the automatic segmentation of infection regions can help doctors to make diagnosis quickly and reduce workload. However, there are several challenges for the accurate and complete segmentation, such as the scattered infection area distribution, complex background noises, and blurred segmentation boundaries. To this end, in this paper, we propose a novel network for automatic COVID-19 lung infection segmentation from CT images, named BCS-Net, which considers the boundary, context, and semantic attributes. The BCS-Net follows a…
College of Engineering and Technology, American University of the Middle East（中东美国大学工程与技术学院）
Coronavirus Disease spread globally and infected millions of people quickly, causing high pressure on the health-system facilities. PCR screening is the adopted diagnostic testing method for COVID-19 detection. However, PCR is criticized due its low sensitivity ratios, also, it is time-consuming and manual complicated process. CT imaging proved its ability to detect the disease even for asymptotic patients, which make it a trustworthy alternative for PCR. In addition, the appearance of COVID-19 infections in CT slices, offers high potential to support in disease evolution monitoring using auto…
University of Sheffield（谢菲尔德大学）；Insigneo Institute for in-silico Medicine（Insigneo计算机医学研究所）；University of Oxford（牛津大学）；University of Lincoln（林肯大学）；University of Glasgow（格拉斯哥大学）；University of Brighton（布莱顿大学）；Nantong University（南通大学）
The global pandemic of COVID-19 is continuing to have a significant effect on the well-being of global population, increasing the demand for rapid testing, diagnosis, and treatment. Along with COVID-19, other etiologies of pneumonia and tuberculosis constitute additional challenges to the medical system. In this regard, the objective of this work is to develop a new deep transfer learning pipeline to diagnose patients with COVID-19, pneumonia, and tuberculosis, based on chest x-ray images. We observed in some instances DenseNet and Resnet have orthogonal performances. In our proposed model, we…
Tsinghua University（清华大学）；Capital Medical University（首都医科大学）；Beijing Ditan Hospital（北京地坛医院）
This paper proposes a semi-automatic system based on quantitative characterization of the specific image patterns in lung ultrasound (LUS) images, in order to assess the lung conditions of patients with COVID-19 pneumonia, as well as to differentiate between the severe / and no-severe cases. Specifically, four parameters are extracted from each LUS image, namely the thickness (TPL) and roughness (RPL) of the pleural line, and the accumulated with (AWBL) and acoustic coefficient (ACBL) of B lines. 27 patients are enrolled in this study, which are grouped into 13 moderate patients, 7 severe pati…
KU Leuven（鲁汶大学）；UZ Leuven（鲁汶大学医院）；Vrije Universiteit Brussel (VUB)（布鲁塞尔自由大学）；imec
Recent research on COVID-19 suggests that CT imaging provides useful information to assess disease progression and assist diagnosis, in addition to help understanding the disease. There is an increasing number of studies that propose to use deep learning to provide fast and accurate quantification of COVID-19 using chest CT scans. The main tasks of interest are the automatic segmentation of lung and lung lesions in chest CT scans of confirmed or suspected COVID-19 patients. In this study, we compare twelve deep learning algorithms using a multi-center dataset, including both open-source and in…
Stony Brook University（石溪大学）；Stony Brook University Hospital（石溪大学医院）
Significant work has been done towards deep learning (DL) models for automatic lung and lesion segmentation and classification of COVID-19 on chest CT data. However, comprehensive visualization systems focused on supporting the dual visual+DL diagnosis of COVID-19 are non-existent. We present COVID-view, a visualization application specially tailored for radiologists to diagnose COVID-19 from chest CT data. The system incorporates a complete pipeline of automatic lungs segmentation, localization/ isolation of lung abnormalities, followed by visualization, visual and DL analysis, and measuremen…
The pandemic of COVID-19 has caused millions of infections, which has led to a great loss all over the world, socially and economically. Due to the false-negative rate and the time-consuming of the conventional Reverse Transcription Polymerase Chain Reaction (RT-PCR) tests, diagnosing based on X-ray images and Computed Tomography (CT) images has been widely adopted. Therefore, researchers of the computer vision area have developed many automatic diagnosing models based on machine learning or deep learning to assist the radiologists and improve the diagnosing accuracy. In this paper, we present…
Hong Kong Baptist University（香港浸会大学）；Hong Kong University of Science and Technology（香港科技大学）；Hangzhou Dianzi University（杭州电子科技大学）；Tsinghua University（清华大学）
The COVID-19 pandemic has spread globally for several months. Because its transmissibility and high pathogenicity seriously threaten people's lives, it is crucial to accurately and quickly detect COVID-19 infection. Many recent studies have shown that deep learning (DL) based solutions can help detect COVID-19 based on chest CT scans. However, most existing work focuses on 2D datasets, which may result in low quality models as the real CT scans are 3D images. Besides, the reported results span a broad spectrum on different datasets with a relatively unfair comparison. In this paper, we first u…
Konya Technical University（科尼亚技术大学）；Amasya University（阿马西亚大学）；University of Trento（特伦托大学）；Bolu Abant Izzet Baysal University（博卢阿班特伊泽特·巴伊萨尔大学）
Purpose: Coronavirus 2019 (COVID-19), which emerged in Wuhan, China and affected the whole world, has cost the lives of thousands of people. Manual diagnosis is inefficient due to the rapid spread of this virus. For this reason, automatic COVID-19 detection studies are carried out with the support of artificial intelligence algorithms. Methods: In this study, a deep learning model that detects COVID-19 cases with high performance is presented. The proposed method is defined as Convolutional Support Vector Machine (CSVM) and can automatically classify Computed Tomography (CT) images. Unlike the…
The current COVID-19 pandemic is a serious threat to humanity that directly affects the lungs. Automatic identification of COVID-19 is a challenge for health care officials. The standard gold method for diagnosing COVID-19 is Reverse Transcription Polymerase Chain Reaction (RT-PCR) to collect swabs from affected people. Some limitations encountered while collecting swabs are related to accuracy and longtime duration. Chest CT (Computed Tomography) is another test method that helps healthcare providers quickly identify the infected lung areas. It was used as a supporting tool for identifying CO…
Shanghai Public Health Clinical Center, Fudan University（复旦大学附属公共卫生临床中心）；Shanghai United Imaging Intelligence Co., Ltd.（上海联影智能医疗科技有限公司）；Shanghai University（上海大学）
CT imaging is crucial for diagnosis, assessment and staging COVID-19 infection. Follow-up scans every 3-5 days are often recommended for disease progression. It has been reported that bilateral and peripheral ground glass opacification (GGO) with or without consolidation are predominant CT findings in COVID-19 patients. However, due to lack of computerized quantification tools, only qualitative impression and rough description of infected areas are currently used in radiological reports. In this paper, a deep learning (DL)-based segmentation system is developed to automatically quantify infect…
College of Computer Science and Technology, Zhejiang University of Technology（浙江工业大学计算机科学与技术学院）；Key Laboratory of Visual Media Intelligent Processing Technology of Zhejiang Province（浙江省可视媒体智能处理技术重点实验室）；University of Rouen Normandy（鲁昂诺曼底大学）
Due to the irregular shapes,various sizes and indistinguishable boundaries between the normal and infected tissues, it is still a challenging task to accurately segment the infected lesions of COVID-19 on CT images. In this paper, a novel segmentation scheme is proposed for the infections of COVID-19 by enhancing supervised information and fusing multi-scale feature maps of different levels based on the encoder-decoder architecture. To this end, a deep collaborative supervision (Co-supervision) scheme is proposed to guide the network learning the features of edges and semantics. More specifica…
National Research Council Canada（加拿大国家研究委员会）；University of Waterloo（滑铁卢大学）
Besides vaccination, as an effective way to mitigate the further spread of COVID-19, fast and accurate screening of individuals to test for the disease is yet necessary to ensure public health safety. We propose COVID-Net UV, an end-to-end hybrid spatio-temporal deep neural network architecture, to detect COVID-19 infection from lung point-of-care ultrasound videos captured by convex transducers. COVID-Net UV comprises a convolutional neural network that extracts spatial features and a recurrent neural network that learns temporal dependence. After careful hyperparameter tuning, the network ac…
University of Waterloo（滑铁卢大学）；Waterloo Artificial Intelligence Institute（滑铁卢人工智能研究所）；DarwinAI Corp.（达尔文人工智能公司）
The COVID-19 pandemic continues to have a devastating effect on the health and well-being of the global population. A critical step in the fight against COVID-19 is effective screening of infected patients, with one of the key screening approaches being radiology examination using chest radiography. Motivated by this and inspired by the open source efforts of the research community, in this study we introduce COVID-Net, a deep convolutional neural network design tailored for the detection of COVID-19 cases from chest X-ray (CXR) images that is open source and available to the general public. T…
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…
With the outbreak of COVID-19, a large number of relevant studies have emerged in recent years. We propose an automatic COVID-19 diagnosis framework based on lung CT scan images, the PVT-COV19D. In order to accommodate the different dimensions of the image input, we first classified the images using Transformer models, then sampled the images in the dataset according to normal distribution, and fed the sampling results into the modified PVTv2 model for training. A large number of experiments on the COV19-CT-DB dataset demonstrate the effectiveness of the proposed method.
Reliable COVID-19 Detection Using Chest X-ray Images
Faculty of Information Technology and Communication Sciences, Tampere University（坦佩雷大学信息技术与通信科学学院）；Department of Electrical Engineering, Qatar University（卡塔尔大学电气工程学院）
Background and Purpose: Coronaviruses (CoV) are perilous viruses that may cause Severe Acute Respiratory Syndrome (SARS-CoV), Middle East Respiratory Syndrome (MERS-CoV). The novel 2019 Coronavirus disease (COVID-19) was discovered as a novel disease pneumonia in the city of Wuhan, China at the end of 2019. Now, it becomes a Coronavirus outbreak around the world, the number of infected people and deaths are increasing rapidly every day according to the updated reports of the World Health Organization (WHO). Therefore, the aim of this article is to introduce a new deep learning framework; namel…
Darmstadt University of Technology（达姆施塔特工业大学）；University Hospital Frankfurt（法兰克福大学医院）
Automatic segmentation of lung lesions in computer tomography has the potential to ease the burden of clinicians during the Covid-19 pandemic. Yet predictive deep learning models are not trusted in the clinical routine due to failing silently in out-of-distribution (OOD) data. We propose a lightweight OOD detection method that exploits the Mahalanobis distance in the feature space. The proposed approach can be seamlessly integrated into state-of-the-art segmentation pipelines without requiring changes in model architecture or training procedure, and can therefore be used to assess the suitabil…
The global outbreak of the Coronavirus 2019 (COVID-19) has overloaded worldwide healthcare systems. Computer-aided diagnosis for COVID-19 fast detection and patient triage is becoming critical. This paper proposes a novel self-knowledge distillation based self-supervised learning method for COVID-19 detection from chest X-ray images. Our method can use self-knowledge of images based on similarities of their visual features for self-supervised learning. Experimental results show that our method achieved an HM score of 0.988, an AUC of 0.999, and an accuracy of 0.957 on the largest open COVID-19…
Birla Institute of Technology and Science, Pilani, Dubai Campus（比尔拉技术与科学学院皮拉尼分校迪拜校区）
The COVID-19 (coronavirus) is an ongoing pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The virus was first identified in mid-December 2019 in the Hubei province of Wuhan, China and by now has spread throughout the planet with more than 75.5 million confirmed cases and more than 1.67 million deaths. With limited number of COVID-19 test kits available in medical facilities, it is important to develop and implement an automatic detection system as an alternative diagnosis option for COVID-19 detection that can used on a commercial scale. Chest X-ray is the first…
Université de technologie de Compiègne（贡比涅技术大学）；Université de Rouen（鲁昂大学）；Institut universitaire de France（法国大学研究院）
Computed tomography (CT) image provides useful information for radiologists to diagnose Covid-19. However, visual analysis of CT scans is time-consuming. Thus, it is necessary to develop algorithms for automatic Covid-19 detection from CT images. In this paper, we propose a belief function-based convolutional neural network with semi-supervised training to detect Covid-19 cases. Our method first extracts deep features, maps them into belief degree maps and makes the final classification decision. Our results are more reliable and explainable than those of traditional deep learning-based classi…
Beihang University（北京航空航天大学）；Central South University（中南大学）；The Second Xiangya Hospital, Central South University（中南大学湘雅二医院）；First hospital of Changsha（长沙市第一医院）；Changsha public health treatment center（长沙市公共卫生救治中心）；Shanghai United Imaging Intelligence Co., Ltd.（上海联影智能医疗科技有限公司）
Background: Chest computed tomography (CT) is recognized as an important tool for COVID-19 severity assessment. As the number of affected patients increase rapidly, manual severity assessment becomes a labor-intensive task, and may lead to delayed treatment. Purpose: Using machine learning method to realize automatic severity assessment (non-severe or severe) of COVID-19 based on chest CT images, and to explore the severity-related features from the resulting assessment model. Materials and Method: Chest CT images of 176 patients (age 45.3$\pm$16.5 years, 96 male and 80 female) with confirmed …
The First Affiliated Hospital of USTC（中国科学技术大学附属第一医院）；University of Science and Technology of China（中国科学技术大学）；University of Science and Technology（科技大学）；The first affiliated hospital of Bengbu medical college（蚌埠医学院第一附属医院）；AItour（AItour公司）
Background: Triage of patients is important to control the pandemic of coronavirus disease 2019 (COVID-19), especially during the peak of the pandemic when clinical resources become extremely limited. Purpose: To develop a method that automatically segments and quantifies lung and pneumonia lesions with synthetic chest CT and assess disease severity in COVID-19 patients. Materials and Methods: In this study, we incorporated data augmentation to generate synthetic chest CT images using public available datasets (285 datasets from "Lung Nodule Analysis 2016"). The synthetic images and masks were…
Chest computed tomography (CT) is widely used for the management of Coronavirus disease 2019 (COVID-19) pneumonia because of its availability and rapidity. The standard of reference for confirming COVID-19 relies on microbiological tests but these tests might not be available in an emergency setting and their results are not immediately available, contrary to CT. In addition to its role for early diagnosis, CT has a prognostic role by allowing visually evaluating the extent of COVID-19 lung abnormalities. The objective of this study is to address prediction of short-term outcomes, especially n…
In this study, the problem of automatically classifying pulmonary diseases, including the recently emerged COVID-19, from X-Ray images, is considered. While the spread of COVID-19 is increased, new, automatic, and reliable methods for accurate detection are essential to reduce the exposure of the medical experts to the outbreak. X-ray imaging, although limited to specific visualizations, may be helpful for the diagnosis. Deep Learning has proven to be a remarkable method to extract massive high-dimensional features from medical images. Specifically, in this paper, the state-of-the-art Convolut…
Shiraz University（设拉子大学）；Lancaster University（兰卡斯特大学）；Tehran University of Medical Sciences（德黑兰医科大学）；Bushehr University of Medical Sciences（布什尔医科大学）
The rapid outbreak of COVID-19 threatens humans life all around the world. Due to insufficient diagnostic infrastructures, developing an accurate, efficient, inexpensive, and quick diagnostic tool is of great importance. As chest radiography, such as chest X-ray (CXR) and CT computed tomography (CT), is a possible way for screening COVID-19, developing an automatic image classification tool is immensely helpful for detecting the patients with COVID-19. To date, researchers have proposed several different screening methods; however, none of them could achieve a reliable and highly sensitive per…
Beihang University（北京航空航天大学）；Taiyuan University of Technology（太原理工大学）；Hefei Innovation Research Institute, Beihang University（北京航空航天大学合肥创新研究院）；Beijing Advanced Innovation Centre for Biomedical Engineering（北京生物医学工程高精尖创新中心）；Beijing Advanced Innovation Centre for Big Data-Based Precision Medicine（北京大数据精准医疗高精尖创新中心）
The novel Coronavirus disease (COVID-19) is a highly contagious virus and has spread all over the world, posing an extremely serious threat to all countries. Automatic lung infection segmentation from computed tomography (CT) plays an important role in the quantitative analysis of COVID-19. However, the major challenge lies in the inadequacy of annotated COVID-19 datasets. Currently, there are several public non-COVID lung lesion segmentation datasets, providing the potential for generalizing useful information to the related COVID-19 segmentation task. In this paper, we propose a novel relati…
Zhengzhou University（郑州大学）；Ningbo Huamei Hospital, University of the Chinese Academy of Sciences（中国科学院大学宁波华美医院）
The spread of the novel coronavirus disease 2019 (COVID-19) has claimed millions of lives. Automatic segmentation of lesions from CT images can assist doctors with screening, treatment, and monitoring. However, accurate segmentation of lesions from CT images can be very challenging due to data and model limitations. Recently, Transformer-based networks have attracted a lot of attention in the area of computer vision, as Transformer outperforms CNN at a bunch of tasks. In this work, we propose a novel network structure that combines CNN and Transformer for the segmentation of COVID-19 lesions. …
Early detection of COVID-19 is key in containing the pandemic. Disease detection and evaluation based on imaging is fast and cheap and therefore plays an important role in COVID-19 handling. COVID-19 is easier to detect in chest CT, however, it is expensive, non-portable, and difficult to disinfect, making it unfit as a point-of-care (POC) modality. On the other hand, chest X-ray (CXR) and lung ultrasound (LUS) are widely used, yet, COVID-19 findings in these modalities are not always very clear. Here we train deep neural networks to significantly enhance the capability to detect, grade and mo…
São Paulo State University (UNESP)（圣保罗州立大学（UNESP））
COVID-19 quickly became a global pandemic after only four months of its first detection. It is crucial to detect this disease as soon as possible to decrease its spread. The use of chest X-ray (CXR) images became an effective screening strategy, complementary to the reverse transcription-polymerase chain reaction (RT-PCR). Convolutional neural networks (CNNs) are often used for automatic image classification and they can be very useful in CXR diagnostics. In this paper, 21 different CNN architectures are tested and compared in the task of identifying COVID-19 in CXR images. They were applied t…
COVID-19 pandemic continues to spread rapidly over the world and causes a tremendous crisis in global human health and the economy. Its early detection and diagnosis are crucial for controlling the further spread. Many deep learning-based methods have been proposed to assist clinicians in automatic COVID-19 diagnosis based on computed tomography imaging. However, challenges still remain, including low data diversity in existing datasets, and unsatisfied detection resulting from insufficient accuracy and sensitivity of deep learning models. To enhance the data diversity, we design augmentation …
