Due to the high availability of large-scale annotated image datasets, knowledge transfer from pre-trained models showed outstanding performance in medical image classification. However, building a robust image classification model for datasets with data irregularity or imbalanced classes can be a very challenging task, especially in the medical imaging domain. In this paper, we propose a novel deep convolutional neural network, we called Self Supervised Super Sample Decomposition for Transfer learning (4S-DT) model. 4S-DT encourages a coarse-to-fine transfer learning from large-scale image recognition tasks to a specific chest X-ray image classification task using a generic self-supervised sample decomposition approach. Our main contribution is a novel self-supervised learning mechanism guided by a super sample decomposition of unlabelled chest X-ray images. 4S-DT helps in improving the robustness of knowledge transformation via a downstream learning strategy with a class-decomposition layer to simplify the local structure of the data. 4S-DT can deal with any irregularities in the image dataset by investigating its class boundaries using a downstream class-decomposition mechanism. We used 50,000 unlabelled chest X-ray images to achieve our coarse-to-fine transfer learning with an application to COVID-19 detection, as an exemplar. 4S-DT has achieved a high accuracy of 99.8% (95% CI: 99.44%, 99.98%) in the detection of COVID-19 cases on a large dataset and an accuracy of 97.54% (95%$ CI: 96.22%, 98.91%) on an extended test set enriched by augmented images of a small dataset, out of which all real COVID-19 cases were detected, which was the highest accuracy obtained when compared to other methods.
Rutgers University（罗格斯大学）；Rutgers Cancer Institute of New Jersey（新泽西罗格斯癌症研究所）；The University of British Columbia（不列颠哥伦比亚大学）
The role of chest X-ray (CXR) imaging, due to being more cost-effective, widely available, and having a faster acquisition time compared to CT, has evolved during the COVID-19 pandemic. To improve the diagnostic performance of CXR imaging a growing number of studies have investigated whether supervised deep learning methods can provide additional support. However, supervised methods rely on a large number of labeled radiology images, which is a time-consuming and complex procedure requiring expert clinician input. Due to the relative scarcity of COVID-19 patient data and the costly labeling pr…
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…
Carnegie Mellon University（卡内基梅隆大学）；University of Illinois at Urbana-Champaign（伊利诺伊大学厄巴纳-香槟分校）；Petuum Inc.（Petuum 公司）
Due to the shortage of COVID-19 viral testing kits and the long waiting time, radiology imaging is used to complement the screening process and triage patients into different risk levels. Deep learning based methods have taken an active role in automatically detecting COVID-19 disease in chest x-ray images, as witnessed in many recent works in early 2020. Most of these works first train a Convolutional Neural Network (CNN) on an existing large-scale chest x-ray image dataset and then fine-tune it with a COVID-19 dataset at a much smaller scale. However, direct transfer across datasets from dif…
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…
National Research Council Canada（加拿大国家研究委员会）；University of Waterloo（滑铁卢大学）
Effective representation learning is the key in improving model performance for medical image analysis. In training deep learning models, a compromise often must be made between performance and trust, both of which are essential for medical applications. Moreover, models optimized with cross-entropy loss tend to suffer from unwarranted overconfidence in the majority class and over-cautiousness in the minority class. In this work, we integrate a new surrogate loss with self-supervised learning for computer-aided screening of COVID-19 patients using radiography images. In addition, we adopt a ne…
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…
School of Electrical and Automation Engineering, East China Jiaotong University（华东交通大学电气与自动化工程学院）；School of Computer Science, Northwestern Polytechnical University（西北工业大学计算机学院）；Technique Center, Hunan Great Wall Technology Information Company Limited（湖南长城科技信息有限公司技术中心）；School of software, East China Jiaotong University（华东交通大学软件学院）
Background: The 2019 novel coronavirus disease (COVID-19) has been spread widely in the world, causing a huge threat to people's living environment. Objective: Under computed tomography (CT) imaging, the structure features of COVID-19 lesions are complicated and varied greatly in different cases. To accurately locate COVID-19 lesions and assist doctors to make the best diagnosis and treatment plan, a deep-supervised ensemble learning network is presented for COVID-19 lesion segmentation in CT images. Methods: Considering the fact that a large number of COVID-19 CT images and the corresponding …
Supervised learning method requires a large volume of annotated datasets. Collecting such datasets is time-consuming and expensive. Until now, very few annotated COVID-19 imaging datasets are available. Although self-supervised learning enables us to bootstrap the training by exploiting unlabeled data, the generic self-supervised methods for natural images do not sufficiently incorporate the context. For medical images, a desirable method should be sensitive enough to detect deviation from normal-appearing tissue of each anatomical region; here, anatomy is the context. We introduce a novel app…
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…
Automatic lesion segmentation on thoracic CT enables rapid quantitative analysis of lung involvement in COVID-19 infections. However, obtaining a large amount of voxel-level annotations for training segmentation networks is prohibitively expensive. Therefore, we propose a weakly-supervised segmentation method based on dense regression activation maps (dRAMs). Most weakly-supervised segmentation approaches exploit class activation maps (CAMs) to localize objects. However, because CAMs were trained for classification, they do not align precisely with the object segmentations. Instead, we produce…
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…
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…
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…
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…
Centre for Computational Intelligence (CCI), De Montfort University（德蒙福特大学计算智能中心）；School of Computer Science, University of Nottingham（诺丁汉大学计算机科学学院）
In the context of the global coronavirus pandemic, different deep learning solutions for infected subject detection using chest X-ray images have been proposed. However, deep learning models usually need large labelled datasets to be effective. Semi-supervised deep learning is an attractive alternative, where unlabelled data is leveraged to improve the overall model's accuracy. However, in real-world usage settings, an unlabelled dataset might present a different distribution than the labelled dataset (i.e. the labelled dataset was sampled from a target clinic and the unlabelled dataset from a…
Ghulam Ishaq Khan Institute of Engineering Sciences and Technology（古拉姆·伊沙克·汗工程科学与技术学院）
COVID-19 has been detrimental in terms of the number of fatalities and rising number of critical patients across the world. According to the UNDP (United National Development Programme) Socio-Economic programme, aimed at the COVID-19 crisis, the pandemic is far more than a health crisis: it is affecting societies and economies at their core. There has been greater developments recently in the chest X-ray-based imaging technique as part of the COVID-19 diagnosis especially using Convolution Neural Networks (CNN) for recognising and classifying images. However, given the limitation of supervised…
Detailed mobile sensing data from phones, watches, and fitness trackers offer an unparalleled opportunity to quantify and act upon previously unmeasurable behavioral changes in order to improve individual health and accelerate responses to emerging diseases. Unlike in natural language processing and computer vision, deep representation learning has yet to broadly impact this domain, in which the vast majority of research and clinical applications still rely on manually defined features and boosted tree models or even forgo predictive modeling altogether due to insufficient accuracy. This is du…
Traditionally, convolutional neural networks need large amounts of data labelled by humans to train. Self supervision has been proposed as a method of dealing with small amounts of labelled data. The aim of this study is to determine whether self supervision can increase classification performance on a small COVID-19 CT scan dataset. This study also aims to determine whether the proposed self supervision strategy, targeted self supervision, is a viable option for a COVID-19 imaging dataset. A total of 10 experiments are run comparing the classification performance of the proposed method of sel…
The Efficacy of Semantics-Preserving Transformations in Self-Supervised Learning for Medical Ultrasound
Cheriton School of Computer Science, University of Waterloo（滑铁卢大学计算机科学学院）；Department of Systems Design Engineering, University of Waterloo（滑铁卢大学系统设计工程系）；Schulich School of Medicine and Dentistry, Western University（西部大学施乐希医学与牙科学校）
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…
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…
Halfway to 3D: Ensembling 2.5D and 3D Models for Robust COVID-19 CT Diagnosis
VNUHCM University of Science, Vietnam National University, Vietnam（越南国家大学科学大学）；Ho Chi Minh University of Technology, Vietnam National University, Vietnam（胡志明技术大学，越南国家大学）；The University of Alabama at Birmingham, United States（美国伯明翰大学）
Prairie View A&M University, Texas A&M University System（德州农工大学系统草原风光农工大学）
Coronavirus disease 2019 (COVID-19) is an ongoing global pandemic in over 200 countries and territories, which has resulted in a great public health concern across the international community. Analysis of X-ray imaging data can play a critical role in timely and accurate screening and fighting against COVID-19. Supervised deep learning has been successfully applied to recognize COVID-19 pathology from X-ray imaging datasets. However, it requires a substantial amount of annotated X-ray images to train models, which is often not applicable to data analysis for emerging events such as COVID-19 ou…
Although self-supervised learning enables us to bootstrap the training by exploiting unlabeled data, the generic self-supervised methods for natural images do not sufficiently incorporate the context. For medical images, a desirable method should be sensitive enough to detect deviation from normal-appearing tissue of each anatomical region; here, anatomy is the context. We introduce a novel approach with two levels of self-supervised representation learning objectives: one on the regional anatomical level and another on the patient-level. We use graph neural networks to incorporate the relatio…
Toronto Rehabilitation Institute, University Health Network（多伦多康复研究所，大学健康网络）；University of Toronto（多伦多大学）；University of Manitoba（曼尼托巴大学）
The current COVID-19 pandemic is now getting contained, albeit at the cost of morethan2.3million human lives. A critical phase in any pandemic is the early detection of cases to develop preventive treatments and strategies. In the case of COVID-19,several studies have indicated that chest radiography images of the infected patients show characteristic abnormalities. However, at the onset of a given pandemic, such asCOVID-19, there may not be sufficient data for the affected cases to train models for their robust detection. Hence, supervised classification is ill-posed for this problem because …
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 Delhi（德里大学）；Hansraj College（汉斯raj学院）；Saral Diagnostics（Saral诊断中心）
Coronaviruses constitute a family of viruses that gives rise to respiratory diseases. As COVID-19 is highly contagious, early diagnosis of COVID-19 is crucial for an effective treatment strategy. However, the RT-PCR test which is considered to be a gold standard in the diagnosis of COVID-19 suffers from a high false-negative rate. Chest X-ray (CXR) image analysis has emerged as a feasible and effective diagnostic technique towards this objective. In this work, we propose the COVID-19 classification problem as a three-class classification problem to distinguish between COVID-19, normal, and pne…
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…
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 …
National Technical University of Ukraine “Igor Sikorsky Kyiv Polytechnic Institute”（乌克兰国立技术大学“伊戈尔·西科尔斯基基辅理工学院”）
The coronavirus pandemic has been going on since the year 2019, and the trend is still not abating. Therefore, it is particularly important to classify medical CT scans to assist in medical diagnosis. At present, Supervised Deep Learning algorithms have made a great success in the classification task of medical CT scans, but medical image datasets often require professional image annotation, and many research datasets are not publicly available. To solve this problem, this paper is inspired by the self-supervised learning algorithm MAE and uses the MAE model pre-trained on ImageNet to perform …
Amirkabir University of Technology（阿米尔卡比尔理工大学）；Semnan University（塞姆南大学）
The new coronavirus (known as COVID-19) was first identified in Wuhan and quickly spread worldwide, wreaking havoc on the economy and people's everyday lives. Fever, cough, sore throat, headache, exhaustion, muscular aches, and difficulty breathing are all typical symptoms of COVID-19. A reliable detection technique is needed to identify affected individuals and care for them in the early stages of COVID-19 and reduce the virus's transmission. The most accessible method for COVID-19 identification is RT-PCR; however, due to its time commitment and false-negative results, alternative options mu…
Purdue University（普渡大学）；Etsy, Inc（Etsy公司）；University at Albany, State University of New York（纽约州立大学奥尔巴尼分校）；University of South Australia（南澳大学）；Sapienza University of Rome（罗马大学）
In this work we design an end-to-end deep learning architecture for predicting, on Chest X-rays images (CXR), a multi-regional score conveying the degree of lung compromise in COVID-19 patients. Such semi-quantitative scoring system, namely Brixia~score, is applied in serial monitoring of such patients, showing significant prognostic value, in one of the hospitals that experienced one of the highest pandemic peaks in Italy. To solve such a challenging visual task, we adopt a weakly supervised learning strategy structured to handle different tasks (segmentation, spatial alignment, and score est…
Tsinghua University（清华大学）；Huazhong University of Science and Technology（华中科技大学）
Segmentation of infected areas in chest CT volumes is of great significance for further diagnosis and treatment of COVID-19 patients. Due to the complex shapes and varied appearances of lesions, a large number of voxel-level labeled samples are generally required to train a lesion segmentation network, which is a main bottleneck for developing deep learning based medical image segmentation algorithms. In this paper, we propose a weakly-supervised lesion segmentation framework by embedding the Generative Adversarial training process into the Segmentation Network, which is called GASNet. GASNet …
University of Maryland, Baltimore County（马里兰大学巴尔的摩县分校）；National Institutes of Health Clinical Center（美国国立卫生研究院临床中心）；Networking Health（网络健康）
COVID-19 is a novel infectious disease responsible for over 800K deaths worldwide as of August 2020. The need for rapid testing is a high priority and alternative testing strategies including X-ray image classification are a promising area of research. However, at present, public datasets for COVID19 x-ray images have low data volumes, making it challenging to develop accurate image classifiers. Several recent papers have made use of Generative Adversarial Networks (GANs) in order to increase the training data volumes. But realistic synthetic COVID19 X-rays remain challenging to generate. We p…
The First Affiliated Hospital of Chongqing Medical University（重庆医科大学附属第一医院）；Imam Khomeini Marine Science University（伊玛目霍梅尼海洋科学大学）；Lebanese French University（黎巴嫩法国大学）；University of Halabja（哈拉布贾大学）；University of Kurdistan Hewler（库尔德斯坦赫乌勒大学）
The COVID19 pandemic globally and significantly has affected the life and health of many communities. The early detection of infected patients is effective in fighting COVID19. Using radiology (X-Ray) images is perhaps the fastest way to diagnose the patients. Thereby, deep Convolutional Neural Networks (CNNs) can be considered as applicable tools to diagnose COVID19 positive cases. Due to the complicated architecture of a deep CNN, its real-time training and testing become a challenging problem. This paper proposes using the Extreme Learning Machine (ELM) instead of the last fully connected l…
Deep learning technologies have already demonstrated a high potential to build diagnosis support systems from medical imaging data, such as Chest X-Ray images. However, the shortage of labeled data in the medical field represents one key obstacle to narrow down the performance gap with respect to applications in other image domains. In this work, we investigate the benefits of a curricular Self-Supervised Learning (SSL) pretraining scheme with respect to fully-supervised training regimes for pneumonia recognition on Chest X-Ray images of Covid-19 patients. We show that curricular SSL pretraini…
Technical University of Kosice（科希策技术大学）；Pavol Jozef Safarik University（帕沃尔·约瑟夫·沙法里克大学）；Louis Pasteur University Hospital（路易·巴斯德大学医院）
Chest radiography is a relatively cheap, widely available medical procedure that conveys key information for making diagnostic decisions. Chest X-rays are almost always used in the diagnosis of respiratory diseases such as pneumonia or the recent COVID-19. In this paper, we propose a self-supervised deep neural network that is pretrained on an unlabeled chest X-ray dataset. The learned representations are transferred to downstream task - the classification of respiratory diseases. The results obtained on four public datasets show that our approach yields competitive results without requiring l…
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…
Universidade do Vale do Rio dos Sinos（瓦莱杜里奥杜斯辛诺斯大学）
Early identification of patients with COVID-19 is essential to enable adequate treatment and to reduce the burden on the health system. The gold standard for COVID-19 detection is the use of RT-PCR tests. However, due to the high demand for tests, these can take days or even weeks in some regions of Brazil. Thus, an alternative for detecting COVID-19 is the analysis of Digital Chest X-rays (XR). Changes due to COVID-19 can be detected in XR, even in asymptomatic patients. In this context, models based on deep learning have great potential to be used as support systems for diagnosis or as scree…
The Coronavirus disease 2019 (COVID-19) has rapidly spread all over the world since its first report in December 2019 and thoracic computed tomography (CT) has become one of the main tools for its diagnosis. In recent years, deep learning-based approaches have shown impressive performance in myriad image recognition tasks. However, they usually require a large number of annotated data for training. Inspired by Ground Glass Opacity (GGO), a common finding in COIVD-19 patient's CT scans, we proposed in this paper a novel self-supervised pretraining method based on pseudo lesions generation and r…
Institute for Neuro- and Bioinformatics, University of Lübeck（吕贝克大学神经与生物信息学研究所）；Department of Mathematics, Faculty of Science, South Valley University（南谷大学理学院数学系）
This paper explores how well deep learning models trained on chest CT images can diagnose COVID-19 infected people in a fast and automated process. To this end, we adopt advanced deep network architectures and propose a transfer learning strategy using custom-sized input tailored for each deep architecture to achieve the best performance. We conduct extensive sets of experiments on two CT image datasets, namely the SARS-CoV-2 CT-scan and the COVID19-CT. The obtained results show superior performances for our models compared with previous studies, where our best models achieve average accuracy,…
Peng Cheng Laboratory（鹏城实验室）；Sun Yat-sen University（中山大学）；Harbin Institute of Technology, Shenzhen（哈尔滨工业大学（深圳））；Shenzhen People's Hospital（深圳市人民医院）；Shenzhen Institute of Respiratory Diseases（深圳呼吸疾病研究所）；Peking University Shenzhen Graduate School（北京大学深圳研究生院）
Despite tremendous efforts, it is very challenging to generate a robust model to assist in the accurate quantification assessment of COVID-19 on chest CT images. Due to the nature of blurred boundaries, the supervised segmentation methods usually suffer from annotation biases. To support unbiased lesion localisation and to minimise the labeling costs, we propose a data-driven framework supervised by only image-level labels. The framework can explicitly separate potential lesions from original images, with the help of a generative adversarial network and a lesion-specific decoder. Experiments o…
Hospital of Wuhan Red Cross Society（武汉红十字会医院）；Institute of Biomedical Engineering, University of Oxford（牛津大学生物医学工程研究所）；Aladdin Healthcare Technologies Ltd（阿拉丁医疗科技有限公司）；Hangzhou Ocean's Smart Boya Co., Ltd（杭州奥盛博雅智能科技有限公司）；Mind Rank Ltd（Mind Rank有限公司）；IIAT；University of Oslo（奥斯陆大学）；Shenzhen Second People’s Hospital（深圳市第二人民医院）；Hunan Cancer Hospital（湖南省肿瘤医院）；NHLI, Imperial College London（伦敦帝国理工学院国家心肺研究所）；Royal Brompton Hospital（皇家布朗普顿医院）
An outbreak of a novel coronavirus disease (i.e., COVID-19) has been recorded in Wuhan, China since late December 2019, which subsequently became pandemic around the world. Although COVID-19 is an acutely treated disease, it can also be fatal with a risk of fatality of 4.03% in China and the highest of 13.04% in Algeria and 12.67% Italy (as of 8th April 2020). The onset of serious illness may result in death as a consequence of substantial alveolar damage and progressive respiratory failure. Although laboratory testing, e.g., using reverse transcription polymerase chain reaction (RT-PCR), is t…
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. …
Shenzhen Research Institute of Big Data, The Chinese University of Hong Kong, Shenzhen（香港中文大学（深圳）深圳大数据研究院）
Ultrasound (US) is a non-invasive yet effective medical diagnostic imaging technique for the COVID-19 global pandemic. However, due to complex feature behaviors and expensive annotations of US images, it is difficult to apply Artificial Intelligence (AI) assisting approaches for lung's multi-symptom (multi-label) classification. To overcome these difficulties, we propose a novel semi-supervised Two-Stream Active Learning (TSAL) method to model complicated features and reduce labeling costs in an iterative procedure. The core component of TSAL is the multi-label learning mechanism, in which lab…
University of California, San Diego（加州大学圣迭戈分校）；University of Oxford（牛津大学）；Aladdin Healthcare Technologies Ltd（阿拉丁医疗科技有限公司）；Nantong University（南通大学）；University of Edinburgh（爱丁堡大学）；Mind Rank Ltd（Mind Rank有限公司）；University of Oslo（奥斯陆大学）；Royal Brompton Hospital（皇家布朗普顿医院）；Imperial College London（伦敦帝国理工学院）
The world is currently experiencing an ongoing pandemic of an infectious disease named coronavirus disease 2019 (i.e., COVID-19), which is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Computed Tomography (CT) plays an important role in assessing the severity of the infection and can also be used to identify those symptomatic and asymptomatic COVID-19 carriers. With a surge of the cumulative number of COVID-19 patients, radiologists are increasingly stressed to examine the CT scans manually. Therefore, an automated 3D CT scan recognition tool is highly in demand s…
Imsight AI Research Lab（Imsight人工智能研究实验室）；The Chinese University of Hong Kong（香港中文大学）；The Hong Kong University of Science and Technology（香港科技大学）；Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院）
The novel coronavirus disease 2019 (COVID-19) characterized by atypical pneumonia has caused millions of deaths worldwide. Automatically segmenting lesions from chest Computed Tomography (CT) is a promising way to assist doctors in COVID-19 screening, treatment planning, and follow-up monitoring. However, voxel-wise annotations are extremely expert-demanding and scarce, especially when it comes to novel diseases, while an abundance of unlabeled data could be available. To tackle the challenge of limited annotations, in this paper, we propose an uncertainty-guided dual-consistency learning netw…
Nanjing University（南京大学）；National Institute of Healthcare Data Science, Nanjing University（南京大学医疗健康数据科学国家研究院）；Southeast University（东南大学）；Shanghai United Imaging Intelligence Co., Ltd.（上海联影智能科技有限公司）；ShanghaiTech University（上海科技大学）；Korea University（高丽大学）；Central South University（中南大学）；The Second Xiangya Hospital, Central South University（中南大学湘雅二医院）；Hangzhou First People’s Hospital, Zhejiang University School of Medicine（浙江大学医学院附属杭州市第一人民医院）
How to fast and accurately assess the severity level of COVID-19 is an essential problem, when millions of people are suffering from the pandemic around the world. Currently, the chest CT is regarded as a popular and informative imaging tool for COVID-19 diagnosis. However, we observe that there are two issues -- weak annotation and insufficient data that may obstruct automatic COVID-19 severity assessment with CT images. To address these challenges, we propose a novel three-component method, i.e., 1) a deep multiple instance learning component with instance-level attention to jointly classify…
Deakin University（迪肯大学）；Isfahan University of Technology（伊斯法罕理工大学）；University of Birjand（比尔詹德大学）；Ferdowsi University of Mashhad（马什哈德菲尔多西大学）；K. N. Toosi University of Technology（图西理工大学）；Universidad de Granada（格拉纳达大学）；Dibrugarh University（迪布鲁格尔大学）；Iran University of Medical Sciences（伊朗医科大学）；The George Institute for Global Health（乔治全球健康研究院）；University of Sydney（悉尼大学）；Ngee Ann Polytechnic（义安理工学院）；Singapore University of Social Sciences（新加坡新跃社科大学）；Asia University（亚洲大学）
The new coronavirus has caused more than one million deaths and continues to spread rapidly. This virus targets the lungs, causing respiratory distress which can be mild or severe. The X-ray or computed tomography (CT) images of lungs can reveal whether the patient is infected with COVID-19 or not. Many researchers are trying to improve COVID-19 detection using artificial intelligence. Our motivation is to develop an automatic method that can cope with scenarios in which preparing labeled data is time consuming or expensive. In this article, we propose a Semi-supervised Classification using Li…
Vrije Universiteit Brussel (VUB)（布鲁塞尔自由大学）；Universidad de las Ciencias Informáticas (UCI)（信息科学大学）；Interuniversity Microelectronics Centre (IMEC)（微电子研究中心）
Our motivating application is a real-world problem: COVID-19 classification from CT imaging, for which we present an explainable Deep Learning approach based on a semi-supervised classification pipeline that employs variational autoencoders to extract efficient feature embedding. We have optimized the architecture of two different networks for CT images: (i) a novel conditional variational autoencoder (CVAE) with a specific architecture that integrates the class labels inside the encoder layers and uses side information with shared attention layers for the encoder, which make the most of the c…
National Heart and Lung Institute, Imperial College London（帝国理工学院国家心肺研究所）；Royal Brompton Hospital（皇家布朗普顿医院）；Shenzhen Second People’s Hospital（深圳市第二人民医院）；TECNALIA（泰克纳利亚研究中心）；University of the Basque Country（巴斯克大学）
The upheaval brought by the arrival of the COVID-19 pandemic has continued to bring fresh challenges over the past two years. During this COVID-19 pandemic, there has been a need for rapid identification of infected patients and specific delineation of infection areas in computed tomography (CT) images. Although deep supervised learning methods have been established quickly, the scarcity of both image-level and pixel-level labels as well as the lack of explainable transparency still hinder the applicability of AI. Can we identify infected patients and delineate the infections with extreme mini…
Centre for Computational Intelligence (CCI), De Montfort University（德蒙福特大学计算智能中心）；Instituto Tecnologico de Costa Rica（哥斯达黎加理工学院）；School of Computer Science, University of Nottingham（诺丁汉大学计算机科学学院）；Imágenes Médicas Dr Chavarría Estrada（查瓦里亚·埃斯特拉达医学影像中心）；Biomedic Research Institute of Málaga (IBIMA)（马拉加生物医学研究所）
The Corona Virus (COVID-19) is an internationalpandemic that has quickly propagated throughout the world. The application of deep learning for image classification of chest X-ray images of Covid-19 patients, could become a novel pre-diagnostic detection methodology. However, deep learning architectures require large labelled datasets. This is often a limitation when the subject of research is relatively new as in the case of the virus outbreak, where dealing with small labelled datasets is a challenge. Moreover, in the context of a new highly infectious disease, the datasets are also highly im…
Automated delineation of COVID-19 lesions from lung CT scans aids the diagnosis and prognosis for patients. The asymmetric shapes and positioning of the infected regions make the task extremely difficult. Capturing information at multiple scales will assist in deciphering features, at global and local levels, to encompass lesions of variable size and texture. We introduce the Full-scale Deeply Supervised Attention Network (FuDSA-Net), for efficient segmentation of corona-infected lung areas in CT images. The model considers activation responses from all levels of the encoding path, encompassin…
Element AI；Universitat Politècnica de Catalunya（加泰罗尼亚理工大学）；Xtract AI；University of British Columbia（不列颠哥伦比亚大学）；SapienML；McGill University（麦吉尔大学）
Coronavirus Disease 2019 (COVID-19) has spread aggressively across the world causing an existential health crisis. Thus, having a system that automatically detects COVID-19 in tomography (CT) images can assist in quantifying the severity of the illness. Unfortunately, labelling chest CT scans requires significant domain expertise, time, and effort. We address these labelling challenges by only requiring point annotations, a single pixel for each infected region on a CT image. This labeling scheme allows annotators to label a pixel in a likely infected region, only taking 1-3 seconds, as oppose…
