Inf-Net: Automatic COVID-19 Lung Infection Segmentation from CT Images
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）
Deng-Ping Fan, Tao Zhou, Ge-Peng Ji, Yi Zhou, Geng Chen, Huazhu Fu, Jianbing Shen, Ling Shao
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 training of a deep model. To address these challenges, a novel COVID-19 Lung Infection Segmentation Deep Network (Inf-Net) is proposed to automatically identify infected regions from chest CT slices. In our Inf-Net, a parallel partial decoder is used to aggregate the high-level features and generate a global map. Then, the implicit reverse attention and explicit edge-attention are utilized to model the boundaries and enhance the representations. Moreover, to alleviate the shortage of labeled data, we present a semi-supervised segmentation framework based on a randomly selected propagation strategy, which only requires a few labeled images and leverages primarily unlabeled data. Our semi-supervised framework can improve the learning ability and achieve a higher performance. Extensive experiments on our COVID-SemiSeg and real CT volumes demonstrate that the proposed Inf-Net outperforms most cutting-edge segmentation models and advances the state-of-the-art performance.
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 proposes an automated segmentation method of infection and normal regions in the lung from CT volumes of COVID-19 patients. From December 2019, novel coronavirus disease 2019 (COVID-19) spreads over the world and giving significant impacts to our economic activities and daily lives. To diagnose the large number of infected patients, diagnosis assistance by computers is needed. Chest CT is effective for diagnosis of viral pneumonia including COVID-19. A quantitative analysis method of condition of the lung from CT volumes by computers is required for diagnosis assistance of COVID-19.…
The coronavirus disease (COVID-19) has resulted in a pandemic crippling the a breadth of services critical to daily life. Segmentation of lung infections in computerized tomography (CT) slices could be be used to improve diagnosis and understanding of COVID-19 in patients. Deep learning systems lack interpretability because of their black box nature. Inspired by human communication of complex ideas through language, we propose a symbolic framework based on emergent languages for the segmentation of COVID-19 infections in CT scans of lungs. We model the cooperation between two artificial agents…
The novelty of the COVID-19 disease and the speed of spread has created a colossal chaos, impulse among researchers worldwide to exploit all the resources and capabilities to understand and analyze characteristics of the coronavirus in term of the ways it spreads and virus incubation time. For that, the existing medical features like CT and X-ray images are used. For example, CT-scan images can be used for the detection of lung infection. But the challenges of these features such as the quality of the image and infection characteristics limitate the effectiveness of these features. Using artif…
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 …
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…
An early effective screening and grading of COVID-19 has become imperative towards optimizing the limited available resources of the medical facilities. An automated segmentation of the infected volumes in lung CT is expected to significantly aid in the diagnosis and care of patients. However, an accurate demarcation of lesions remains problematic due to their irregular structure and location(s) within the lung. A novel deep learning architecture, Composite Deep network with Feature Weighting (CDNetFW), is proposed for efficient delineation of infected regions from lung CT images. Initially a …
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…
Coronavirus Disease 2019 (COVID-19) has rapidly spread in 2020, emerging a mass of studies for lung infection segmentation from CT images. Though many methods have been proposed for this issue, it is a challenging task because of infections of various size appearing in different lobe zones. To tackle these issues, we propose a Graph-based Pyramid Global Context Reasoning (Graph-PGCR) module, which is capable of modeling long-range dependencies among disjoint infections as well as adapt size variation. We first incorporate graph convolution to exploit long-term contextual information from multi…
The coronavirus disease 2019 (COVID-19) affects billions of lives around the world and has a significant impact on public healthcare. Due to rising skepticism towards the sensitivity of RT-PCR as screening method, medical imaging like computed tomography offers great potential as alternative. For this reason, automated image segmentation is highly desired as clinical decision support for quantitative assessment and disease monitoring. However, publicly available COVID-19 imaging data is limited which leads to overfitting of traditional approaches. To address this problem, we propose an innovat…
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）；City University of Hong Kong Shenzhen Research Institute（香港城市大学深圳研究院）
The coronavirus disease 2019 (COVID-19) continues to have a negative impact on healthcare systems around the world, though the vaccines have been developed and national vaccination coverage rate is steadily increasing. At the current stage, automatically segmenting the lung infection area from CT images is essential for the diagnosis and treatment of COVID-19. Thanks to the development of deep learning technology, some deep learning solutions for lung infection segmentation have been proposed. However, due to the scattered distribution, complex background interference and blurred boundaries, t…
Cochin University of Science and Technology（科钦科技大学）；Indian Institute of Technology Palakkad（帕拉卡德印度理工学院）
In the recent past with the rapid surge of COVID-19 infections, lung ultrasound has emerged as a fast and powerful diagnostic tool particularly for continuous and periodic monitoring of the lung. There have been many attempts towards severity classification, segmentation and detection of key landmarks in the lung. Leveraging the progress, an automated lung ultrasound video analysis package is presented in this work, which can provide summary of key frames in the video, flagging of the key frames with lung infection and options to automatically detect and segment the lung landmarks. The integra…
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…
Harbin Institute of Technology (Shenzhen)（哈尔滨工业大学（深圳））；Peng Cheng Laboratory（鹏城实验室）
Since 2019, coronavirus Disease 2019 (COVID-19) has been widely spread and posed a serious threat to public health. Chest Computed Tomography (CT) holds great potential for screening and diagnosis of this disease. The segmentation of COVID-19 CT imaging can achieves quantitative evaluation of infections and tracks disease progression. COVID-19 infections are characterized by high heterogeneity and unclear boundaries, so capturing low-level features such as texture and intensity is critical for segmentation. However, segmentation networks that emphasize low-level features are still lacking. In …
Pakistan Institute of Engineering & Applied Sciences（巴基斯坦工程与应用科学学院）；Catholic University of Daegu（大邱天主教大学）
COVID-19 is a global health problem. Consequently, early detection and analysis of the infection patterns are crucial for controlling infection spread as well as devising a treatment plan. This work proposes a two-stage deep Convolutional Neural Networks (CNNs) based framework for delineation of COVID-19 infected regions in Lung CT images. In the first stage, initially, COVID-19 specific CT image features are enhanced using a two-level discrete wavelet transformation. These enhanced CT images are then classified using the proposed custom-made deep CoV-CTNet. In the second stage, the CT images …
Shahid Sadoughi University of Medical Sciences（沙希德·萨杜吉医科大学）；Mashhad University of Medical Sciences（马什哈德医科大学）；Geneva University Hospital（日内瓦大学医院）
This study aimed to evaluate the performance of a novel unsupervised deep learning-based framework for automated infections lesion segmentation from CT images of Covid patients. In the first step, two residual networks were independently trained to identify the lung tissue for normal and Covid patients in a supervised manner. These two models, referred to as DL-Covid and DL-Norm for Covid-19 and normal patients, respectively, generate the voxel-wise probability maps for lung tissue identification. To detect Covid lesions, the CT image of the Covid patient is processed by the DL-Covid and DL-No…
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）
Nanjing University（南京大学）；National Institute of Healthcare Data Science at Nanjing University（南京大学医疗健康数据科学国家研究院）；Central South University（中南大学）；Second Xiangya Hospital, Central South University（中南大学湘雅二医院）；University of North Carolina（北卡罗来纳大学）
Understanding chest CT imaging of the coronavirus disease 2019 (COVID-19) will help detect infections early and assess the disease progression. Especially, automated severity assessment of COVID-19 in CT images plays an essential role in identifying cases that are in great need of intensive clinical care. However, it is often challenging to accurately assess the severity of this disease in CT images, due to variable infection regions in the lungs, similar imaging biomarkers, and large inter-case variations. To this end, we propose a synergistic learning framework for automated severity assessm…
St. Joseph’s College of Engineering（圣约瑟夫工程学院）；Techno India College of Technology（泰克诺印度技术学院）；Shantou University（汕头大学）；Cairo University（开罗大学）；University of South Dakota（南达科他大学）
Pneumonia is one of the foremost lung diseases and untreated pneumonia will lead to serious threats for all age groups. The proposed work aims to extract and evaluate the Coronavirus disease (COVID-19) caused pneumonia infection in lung using CT scans. We propose an image-assisted system to extract COVID-19 infected sections from lung CT scans (coronal view). It includes following steps: (i) Threshold filter to extract the lung region by eliminating possible artifacts; (ii) Image enhancement using Harmony-Search-Optimization and Otsu thresholding; (iii) Image segmentation to extract infected r…
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…
Indian Institute of Technology Palakkad（印度理工学院帕拉卡德分校）；Hospital Universitario Puerta de Hierro（普埃尔塔·德·耶罗大学医院）；Sree Chitra Tirunal Institute for Medical Sciences & Technology（斯里·奇特拉·蒂鲁纳尔医学科学与技术研究所）；Government Medical College Thiruvananthapuram（特里凡得琅政府医学院）
Lung ultrasound (LUS) is possibly the only medical imaging modality which could be used for continuous and periodic monitoring of the lung. This is extremely useful in tracking the lung manifestations either during the onset of lung infection or to track the effect of vaccination on lung as in pandemics such as COVID-19. There have been many attempts in automating the classification of severity of lung into various classes or automatic segmentation of various LUS landmarks and manifestations. However, all these approaches are based on training static machine learning models which require a sig…
Qatar University（卡塔尔大学）；University of Dhaka（达卡大学）；Bangladesh University of Engineering and Technology（孟加拉国工程技术大学）
Since the breakout of coronavirus disease (COVID-19), the computer-aided diagnosis has become a necessity to prevent the spread of the virus. Detecting COVID-19 at an early stage is essential to reduce the mortality risk of the patients. In this study, a cascaded system is proposed to segment the lung, detect, localize, and quantify COVID-19 infections from computed tomography (CT) images Furthermore, the system classifies the severity of COVID-19 as mild, moderate, severe, or critical based on the percentage of infected lungs. An extensive set of experiments were performed using state-of-the-…
Incremental Value and Interpretability of Radiomics Features of Both Lung and Epicardial Adipose Tissue for Detecting the Severity of COVID-19 Infection
School of Computer and Communication Engineering, Zhengzhou University of Light Industry（郑州轻工业大学计算机与通信工程学院）；Universidade Federal Fluminense（弗鲁米嫩塞联邦大学）；DASA Complexo Hospitalar de Niterói（达萨尼泰罗伊医院综合体）；Michigan Technological University（密歇根理工大学）；Zhongshan Hospital, Fudan University（复旦大学附属中山医院）；Shanghai Institute of Cardiovascular Diseases（上海市心血管病研究所）；National Clinical Research Center for Interventional Medicine（国家介入医学临床研究中心）；Center for Biocomputing and Digital Health, Institute of Computing and Cybersystems, and Health Research Institute, Michigan Technological University（密歇根理工大学生物计算与数字健康中心、计算与网络系统研究所及健康研究所）
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 proposes a segmentation method of infection regions in the lung from CT volumes of COVID-19 patients. COVID-19 spread worldwide, causing many infected patients and deaths. CT image-based diagnosis of COVID-19 can provide quick and accurate diagnosis results. An automated segmentation method of infection regions in the lung provides a quantitative criterion for diagnosis. Previous methods employ whole 2D image or 3D volume-based processes. Infection regions have a considerable variation in their sizes. Such processes easily miss small infection regions. Patch-based process is effecti…
Government Medical College, Thiruvananthapuram（特里凡得琅政府医学院）；Hospital Universitario Puerta de Hierro（普埃尔塔德耶罗大学医院）
Ultrasound is fast becoming an inevitable diagnostic tool for regular and continuous monitoring of the lung with the recent outbreak of COVID-19. In this work, a novel approach is presented to extract acoustic propagation-based features to automatically highlight the region below pleura, which is an important landmark in lung ultrasound (LUS). Subsequently, a multichannel input formed by using the acoustic physics-based feature maps is fused to train a neural network, referred to as LUSNet, to classify the LUS images into five classes of varying severity of lung infection to track the progress…
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…
Beirut Arab University（贝鲁特阿拉伯大学）；St. Joseph’s College of Engineering（圣约瑟夫工程学院）；Sejong University（世宗大学）
Recently, the lung infection due to Coronavirus Disease (COVID-19) affected a large human group worldwide and the assessment of the infection rate in the lung is essential for treatment planning. This research aims to propose a Machine-Learning-System (MLS) to detect the COVID-19 infection using the CT scan Slices (CTS). This MLS implements a sequence of methods, such as multi-thresholding, image separation using threshold filter, feature-extraction, feature-selection, feature-fusion and classification. The initial part implements the Chaotic-Bat-Algorithm and Kapur's Entropy (CBA+KE) threshol…
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…
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…
Automatic segmentation of infected regions in computed tomography (CT) images is necessary for the initial diagnosis of COVID-19. Deep-learning-based methods have the potential to automate this task but require a large amount of data with pixel-level annotations. Training a deep network with annotated lung cancer CT images, which are easier to obtain, can alleviate this problem to some extent. However, this approach may suffer from a reduction in performance when applied to unseen COVID-19 images during the testing phase due to the domain shift. In this paper, we propose a novel unsupervised m…
University of New South Wales（新南威尔士大学）；Stanford University（斯坦福大学）
The novel coronavirus disease 2019 (COVID-19) has been spreading rapidly around the world and caused significant impact on the public health and economy. However, there is still lack of studies on effectively quantifying the lung infection caused by COVID-19. As a basic but challenging task of the diagnostic framework, segmentation plays a crucial role in accurate quantification of COVID-19 infection measured by computed tomography (CT) images. To this end, we proposed a novel deep learning algorithm for automated segmentation of multiple COVID-19 infection regions. Specifically, we use the Ag…
Qatar University（卡塔尔大学）；Bangladesh University of Engineering and Technology（孟加拉国工程技术大学）；Reem Medical Center（Reem医疗中心）；Hamad General Hospital（哈马德综合医院）；Weill Cornell Medicine - Qatar（威尔康奈尔医学院卡塔尔分校）
Coronavirus disease 2019 (COVID-19) has been the main agenda of the whole world, since it came into sight in December 2019 as it has significantly affected the world economy and healthcare system. Given the effects of COVID-19 on pulmonary tissues, chest radiographic imaging has become a necessity for screening and monitoring the disease. Numerous studies have proposed Deep Learning approaches for the automatic diagnosis of COVID-19. Although these methods achieved astonishing performance in detection, they have used limited chest X-ray (CXR) repositories for evaluation, usually with a few hun…
In this paper, a 3D-RegNet-based neural network is proposed for diagnosing the physical condition of patients with coronavirus (Covid-19) infection. In the application of clinical medicine, lung CT images are utilized by practitioners to determine whether a patient is infected with coronavirus. However, there are some laybacks can be considered regarding to this diagnostic method, such as time consuming and low accuracy. As a relatively large organ of human body, important spatial features would be lost if the lungs were diagnosed utilizing two dimensional slice image. Therefore, in this paper…
School of Professional Studies（专业研究学院）；Northwestern University（西北大学）
Artificial intelligence (AI) is disrupting the medical field as advances in modern technology allow common household computers to learn anatomical and pathological features that distinguish between healthy and disease with the accuracy of highly specialized, trained physicians. Computer vision AI applications use medical imaging, such as lung chest X-Rays (LCXRs), to facilitate diagnoses by providing second-opinions in addition to a physician's or radiologist's interpretation. Considering the advent of the current Coronavirus disease (COVID-19) pandemic, LCXRs may provide rapid insights to ind…
The worldwide spread of coronavirus disease (COVID-19) has become a threatening risk for global public health. It is of great importance to rapidly and accurately screen patients with COVID-19 from community acquired pneumonia (CAP). In this study, a total of 1658 patients with COVID-19 and 1027 patients of CAP underwent thin-section CT. All images were preprocessed to obtain the segmentations of both infections and lung fields, which were used to extract location-specific features. An infection Size Aware Random Forest method (iSARF) was proposed, in which subjects were automated categorized …
Indian Institute of Technology Madras（印度理工学院马德拉斯分校）
Computed Tomography (CT) scans provide a detailed image of the lungs, allowing clinicians to observe the extent of damage caused by COVID-19. The CT severity score (CTSS) based scoring method is used to identify the extent of lung involvement observed on a CT scan. This paper presents a domain knowledge-based pipeline for extracting regions of infection in COVID-19 patients using a combination of image-processing algorithms and a pre-trained UNET model. The severity of the infection is then classified into different categories using an ensemble of three machine-learning models: Extreme Gradien…
Automated infection measurement and COVID-19 diagnosis based on Chest X-ray (CXR) imaging is important for faster examination. We propose a novel approach, called DRR4Covid, to learn automated COVID-19 diagnosis and infection segmentation on CXRs from digitally reconstructed radiographs (DRRs). DRR4Covid comprises of an infection-aware DRR generator, a classification and/or segmentation network, and a domain adaptation module. The infection-aware DRR generator is able to produce DRRs with adjustable strength of radiological signs of COVID-19 infection, and generate pixel-level infection annota…
University of Engineering and Applied Science（工程与应用科学大学）
In December 2019, the global pandemic COVID-19 in Wuhan, China, affected human life and the worldwide economy. Therefore, an efficient diagnostic system is required to control its spread. However, the automatic diagnostic system poses challenges with a limited amount of labeled data, minor contrast variation, and high structural similarity between infection and background. In this regard, a new two-phase deep convolutional neural network (CNN) based diagnostic system is proposed to detect minute irregularities and analyze COVID-19 infection. In the first phase, a novel SB-STM-BRNet CNN is deve…
Fudan University（复旦大学）；Children’s Hospital of Fudan University（复旦大学附属儿科医院）；National Children’s Medical Center（国家儿童医学中心）
This paper presents our solution for the 2nd COVID-19 Severity Detection Competition. This task aims to distinguish the Mild, Moderate, Severe, and Critical grades in COVID-19 chest CT images. In our approach, we devise a novel infection-aware 3D Contrastive Mixup Classification network for severity grading. Specifcally, we train two segmentation networks to first extract the lung region and then the inner lesion region. The lesion segmentation mask serves as complementary information for the original CT slices. To relieve the issue of imbalanced data distribution, we further improve the advan…
Xiamen University（厦门大学）；The Hong Kong University of Science and Technology (Guangzhou)（香港科技大学（广州））；The Hong Kong University of Science and Technology（香港科技大学）；The Chinese University of Hong Kong（香港中文大学）；Institute of High Performance Computing (IHPC), Agency for Science, Technology and Research (A*STAR)（新加坡科技研究局高性能计算研究所）；The Hong Kong Polytechnic University（香港理工大学）；The Education University of Hong Kong（香港教育大学）；Zhongshan Hospital, Xiamen University（厦门大学附属中山医院）；Western University（韦仕敦大学）
Automated detecting lung infections from computed tomography (CT) data plays an important role for combating COVID-19. However, there are still some challenges for developing AI system. 1) Most current COVID-19 infection segmentation methods mainly relied on 2D CT images, which lack 3D sequential constraint. 2) Existing 3D CT segmentation methods focus on single-scale representations, which do not achieve the multiple level receptive field sizes on 3D volume. 3) The emergent breaking out of COVID-19 makes it hard to annotate sufficient CT volumes for training deep model. To address these issue…
Deep learning-based lung segmentation and automatic regional template in chest X-ray images for pediatric tuberculosis
Universidad Politécnica de Madrid（马德里理工大学）；CIBER-BBN（生物工程、生物材料与纳米医学网络研究中心）；Children’s National Hospital（国家儿童医院）；George Washington University School of Medicine（乔治华盛顿大学医学院）；ISGlobal（巴塞罗那全球健康研究所）；Hospital Clínic（巴塞罗那临床医院）；Universitat de Barcelona（巴塞罗那大学）；Stellenbosch University（斯泰伦博斯大学）
Coronavirus disease 2019 (COVID-19) is a highly contagious virus spreading all around the world. Deep learning has been adopted as an effective technique to aid COVID-19 detection and segmentation from computed tomography (CT) images. The major challenge lies in the inadequate public COVID-19 datasets. Recently, transfer learning has become a widely used technique that leverages the knowledge gained while solving one problem and applying it to a different but related problem. However, it remains unclear whether various non-COVID19 lung lesions could contribute to segmenting COVID-19 infection …
International Islamic University Malaysia（马来西亚国际伊斯兰大学）
Biomedical images are increasing drastically. Along the way, many machine learning algorithms have been proposed to predict and identify various kinds of diseases. One such disease is Pneumonia which is an infection caused by both bacteria and viruses through the inflammation of a person's lung air sacs. In this paper, an algorithm was proposed that receives x-ray images as input and verifies whether this patient is infected by Pneumonia as well as specific region of the lungs that the inflammation has occurred at. The algorithm is based on the transfer learning mechanism where pre-trained Res…
Mohamed bin Zayed University of Artificial Intelligence（穆罕默德·本·扎耶德人工智能大学）
Quick and accurate diagnosis is of paramount importance to mitigate the effects of COVID-19 infection, particularly for severe cases. Enormous effort has been put towards developing deep learning methods to classify and detect COVID-19 infections from chest radiography images. However, recently some questions have been raised surrounding the clinical viability and effectiveness of such methods. In this work, we investigate the impact of multi-task learning (classification and segmentation) on the ability of CNNs to differentiate between various appearances of COVID-19 infections in the lung. W…
National Research Council of Italy（意大利国家研究委员会）；University Paris-Est Creteil（巴黎东部克雷泰伊大学）
In the last three years, the world has been facing a global crisis caused by Covid-19 pandemic. Medical imaging has been playing a crucial role in the fighting against this disease and saving the human lives. Indeed, CT-scans has proved their efficiency in diagnosing, detecting, and following-up the Covid-19 infection. In this paper, we propose a new Transformer-CNN based approach for Covid-19 infection segmentation from the CT slices. The proposed D-TrAttUnet architecture has an Encoder-Decoder structure, where compound Transformer-CNN encoder and Dual-Decoders are proposed. The Transformer-C…
Since COVID strongly affects the respiratory system, lung CT-scans can be used for the analysis of a patients health. We introduce a neural network for the prediction of the severity of lung damage and the detection of a COVID-infection using three-dimensional CT-data. Therefore, we adapt the recent ConvNeXt model to process three-dimensional data. Furthermore, we design and analyze different pretraining methods specifically designed to improve the models ability to handle three-dimensional CT-data. We rank 2nd in the 1st COVID19 Severity Detection Challenge and 3rd in the 2nd COVID19 Detectio…
Kyung Hee University（庆熙大学）；Sharif University of Technology（谢里夫理工大学）；Technical University of Munich（慕尼黑工业大学）；Johns Hopkins University（约翰斯·霍普金斯大学）
Chest computed tomography (CT) has played an essential diagnostic role in assessing patients with COVID-19 by showing disease-specific image features such as ground-glass opacity and consolidation. Image segmentation methods have proven to help quantify the disease burden and even help predict the outcome. The availability of longitudinal CT series may also result in an efficient and effective method to reliably assess the progression of COVID-19, monitor the healing process and the response to different therapeutic strategies. In this paper, we propose a new framework to identify infection at…
Shahid Sadoughi University of Medical Sciences（沙希德·萨杜基医科大学）；Mashhad University of Medical Sciences（马什哈德医科大学）；Geneva University Hospital（日内瓦大学医院）
Automated semantic image segmentation is an essential step in quantitative image analysis and disease diagnosis. This study investigates the performance of a deep learning-based model for lung segmentation from CT images for normal and COVID-19 patients. Chest CT images and corresponding lung masks of 1200 confirmed COVID-19 cases were used for training a residual neural network. The reference lung masks were generated through semi-automated/manual segmentation of the CT images. The performance of the model was evaluated on two distinct external test datasets including 120 normal and COVID-19 …
NIHR Imperial Biomedical Research Centre（英国国家健康研究所帝国生物医学研究中心）；Imperial College London（帝国理工学院）；NHLI（英国国家心肺研究所）；Columbia University（哥伦比亚大学）；Royal Brompton and Harefield NHS Foundation Trust（皇家布朗普顿与哈菲尔德国民保健服务基金会信托）
Chronic Pulmonary Aspergillosis (CPA) is a complex lung disease caused by infection with Aspergillus. Computed tomography (CT) images are frequently requested in patients with suspected and established disease, but the radiological signs on CT are difficult to quantify making accurate follow-up challenging. We propose a novel method to train Convolutional Neural Networks using only regional labels on the presence of pathological signs, to not only detect CPA, but also spatially localize pathological signs. We use average intensity projections within different ranges of Hounsfield-unit (HU) val…
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
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 …
Isfahan University of Technology（伊斯法罕理工大学）；Seattle University（西雅图大学）；McMaster University（麦克马斯特大学）
The new coronavirus infection has shocked the world since early 2020 with its aggressive outbreak. Rapid detection of the disease saves lives, and relying on medical imaging (Computed Tomography and X-ray) to detect infected lungs has shown to be effective. Deep learning and convolutional neural networks have been used for image analysis in this context. However, accurate identification of infected regions has proven challenging for two main reasons. Firstly, the characteristics of infected areas differ in different images. Secondly, insufficient training data makes it challenging to train var…
Tianjin University（天津大学）；CSIRO Data61（澳大利亚联邦科学与工业研究组织Data61）；La Trobe University（乐卓博大学）；Tianjin University of Traditional Chinese Medicine（天津中医药大学）；Shandong University（山东大学）
The capability of generalization to unseen domains is crucial for deep learning models when considering real-world scenarios. However, current available medical image datasets, such as those for COVID-19 CT images, have large variations of infections and domain shift problems. To address this issue, we propose a prior knowledge driven domain adaptation and a dual-domain enhanced self-correction learning scheme. Based on the novel learning schemes, a domain adaptation based self-correction model (DASC-Net) is proposed for COVID-19 infection segmentation on CT images. DASC-Net consists of a nove…
Vision Transformer-based Model for Severity Quantification of Lung Pneumonia Using Chest X-ray Images
University of the Basque Country（巴斯克大学）；IKERBASQUE；Ho Chi Minh City Open University（胡志明市开放大学）；University of Strasbourg（斯特拉斯堡大学）；INSERM（法国国家健康与医学研究院）；Université de Haute-Alsace（上阿尔萨斯大学）
本文提出 ViTReg-IP，一种由 ViT 与回归头构成的轻量模型，用于根据胸部 X 光量化 COVID-19 等肺病严重程度，并在多来源数据集上验证其低成本、高性能与泛化性。
Beijing Jingzhen Medical Technology Ltd.（北京精诊医疗科技有限公司）；Tsinghua University（清华大学）；Australian Institute for Machine Learning, The University of Adelaide（阿德莱德大学澳大利亚机器学习研究所）；Xidian University（西安电子科技大学）
A novel coronavirus disease 2019 (COVID-19) was detected and has spread rapidly across various countries around the world since the end of the year 2019, Computed Tomography (CT) images have been used as a crucial alternative to the time-consuming RT-PCR test. However, pure manual segmentation of CT images faces a serious challenge with the increase of suspected cases, resulting in urgent requirements for accurate and automatic segmentation of COVID-19 infections. Unfortunately, since the imaging characteristics of the COVID-19 infection are diverse and similar to the backgrounds, existing med…
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 …
