Trust in predictions made by machine learning models is increased if the model generalizes well on previously unseen samples and when inference is accompanied by cogent explanations of the reasoning behind predictions. In the image classification domain, generalization can be assessed through accuracy, sensitivity, and specificity. Explainability can be assessed by how well the model localizes the object of interest within an image. However, both generalization and explainability through localization are degraded in scenarios with significant overlap between classes. We propose a method based on binary expert networks that enhances the explainability of image classifications through better localization by mitigating the model uncertainty induced by class overlap. Our technique performs discriminative localization on images that contain features with significant class overlap, without explicitly training for localization. Our method is particularly promising in real-world class overlap scenarios, such as COVID-19 and pneumonia, where expertly labeled data for localization is not readily available. This can be useful for early, rapid, and trustworthy screening for COVID-19.
South China University of Technology（华南理工大学）；Guangzhou Laboratory（广州实验室）；Tencent AI Lab（腾讯人工智能实验室）
The outbreak of novel coronavirus disease 2019 (COVID-19) has already infected millions of people and is still rapidly spreading all over the globe. Most COVID-19 patients suffer from lung infection, so one important diagnostic method is to screen chest radiography images, e.g., X-Ray or CT images. However, such examinations are time-consuming and labor-intensive, leading to limited diagnostic efficiency. To solve this issue, AI-based technologies, such as deep learning, have been used recently as effective computer-aided means to improve diagnostic efficiency. However, one practical and criti…
The world is still overwhelmed by the spread of the COVID-19 virus. With over 250 Million infected cases as of November 2021 and affecting 219 countries and territories, the world remains in the pandemic period. Detecting COVID-19 using the deep learning method on CT scan images can play a vital role in assisting medical professionals and decision authorities in controlling the spread of the disease and providing essential support for patients. The convolution neural network is widely used in the field of large-scale image recognition. The current method of RT-PCR to diagnose COVID-19 is time-…
The 2019 novel coronavirus (COVID-19) has spread rapidly all over the world and it is affecting the whole society. The current gold standard test for screening COVID-19 patients is the polymerase chain reaction test. However, the COVID-19 test kits are not widely available and time-consuming. Thus, as an alternative, chest X-rays are being considered for quick screening. Since the presentation of COVID-19 in chest X-rays is varied in features and specialization in reading COVID-19 chest X-rays are required thus limiting its use for diagnosis. To address this challenge of reading chest X-rays b…
School of Electrical and Computer Engineering, University of Oklahoma（俄克拉荷马大学电气与计算机工程学院）；University of California Santa Cruz（加州大学圣克鲁兹分校）
As the rapid spread of coronavirus disease (COVID-19) worldwide, chest X-ray radiography has also been used to detect COVID-19 infected pneumonia and assess its severity or monitor its prognosis in the hospitals due to its low cost, low radiation dose, and wide accessibility. However, how to more accurately and efficiently detect COVID-19 infected pneumonia and distinguish it from other community-acquired pneumonia remains a challenge. In order to address this challenge, we in this study develop and test a new computer-aided diagnosis (CAD) scheme. It includes several image pre-processing algo…
Dedan Kimathi University of Technology（德丹·基马蒂理工大学）
Chest X-rays remains to be the most common imaging modality used to diagnose lung diseases. However, they necessitate the interpretation of experts (radiologists and pulmonologists), who are few. This review paper investigates the use of deep transfer learning techniques to detect COVID-19, pneumonia, and tuberculosis in chest X-ray (CXR) images. It provides an overview of current state-of-the-art CXR image classification techniques and discusses the challenges and opportunities in applying transfer learning to this domain. The paper provides a thorough examination of recent research studies t…
Qatar University（卡塔尔大学）；University of Dhaka（达卡大学）；Hamad General Hospital（哈马德总医院）；North South University（北南大学）；Bangabandhu Sheikh Mujib Medical University（邦班杜·谢赫·穆吉布医科大学）；University of Engineering and Technology, Peshawar（白沙瓦工程技术大学）；National Center for Artificial Intelligence（国家人工智能中心）；Universiti Kebangsaan Malaysia（马来西亚国民大学）
Coronavirus disease (COVID-19) is a pandemic disease, which has already caused thousands of causalities and infected several millions of people worldwide. Any technological tool enabling rapid screening of the COVID-19 infection with high accuracy can be crucially helpful to healthcare professionals. The main clinical tool currently in use for the diagnosis of COVID-19 is the Reverse transcription polymerase chain reaction (RT-PCR), which is expensive, less-sensitive and requires specialized medical personnel. X-ray imaging is an easily accessible tool that can be an excellent alternative in t…
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 …
University of Saskatchewan（萨斯喀彻温大学）；International Road Dynamics（国际道路动力学公司）；National Institute of Technology, Trichy（特里奇国家理工学院）
One of the primary clinical observations for screening the infectious by the novel coronavirus is capturing a chest x-ray image. In most of the patients, a chest x-ray contains abnormalities, such as consolidation, which are the results of COVID-19 viral pneumonia. In this study, research is conducted on efficiently detecting imaging features of this type of pneumonia using deep convolutional neural networks in a large dataset. It is demonstrated that simple models, alongside the majority of pretrained networks in the literature, focus on irrelevant features for decision-making. In this paper,…
Koya University（科亚大学）；Oxford Drug Design（牛津药物设计公司）；Salahaddin University-Erbil（埃尔比勒萨拉赫丁大学）；University of Wolverhampton（伍尔弗汉普顿大学）；King Saud University（沙特国王大学）
COVID-19 (also known as 2019 Novel Coronavirus) first emerged in Wuhan, China and spread across the globe with unprecedented effect and has now become the greatest crisis of the modern era. The COVID-19 has proved much more pervasive demands for diagnosis that has driven researchers to develop more intelligent, highly responsive and efficient detection methods. In this work, we focus on proposing AI tools that can be used by radiologists or healthcare professionals to diagnose COVID-19 cases in a quick and accurate manner. However, the lack of a publicly available dataset of X-ray and CT image…
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…
The novel coronavirus 2019 (COVID-19) is a respiratory syndrome that resembles pneumonia. The current diagnostic procedure of COVID-19 follows reverse-transcriptase polymerase chain reaction (RT-PCR) based approach which however is less sensitive to identify the virus at the initial stage. Hence, a more robust and alternate diagnosis technique is desirable. Recently, with the release of publicly available datasets of corona positive patients comprising of computed tomography (CT) and chest X-ray (CXR) imaging; scientists, researchers and healthcare experts are contributing for faster and autom…
Shahjalal University of Science and Technology（沙赫贾拉勒科技大学）
Patients with the COVID-19 infection may have pneumonia-like symptoms as well as respiratory problems which may harm the lungs. From medical images, coronavirus illness may be accurately identified and predicted using a variety of machine learning methods. Most of the published machine learning methods may need extensive hyperparameter adjustment and are unsuitable for small datasets. By leveraging the data in a comparatively small dataset, few-shot learning algorithms aim to reduce the requirement of large datasets. This inspired us to develop a few-shot learning model for early detection of …
Microsoft Research（微软研究院）；Alibaba DAMO Academy（阿里巴巴达摩院）；Hefei University of Technology（合肥工业大学）；Zhejiang University（浙江大学）
Being expensive and time-consuming to collect massive COVID-19 image samples to train deep classification models, transfer learning is a promising approach by transferring knowledge from the abundant typical pneumonia datasets for COVID-19 image classification. However, negative transfer may deteriorate the performance due to the feature distribution divergence between two datasets and task semantic difference in diagnosing pneumonia and COVID-19 that rely on different characteristics. It is even more challenging when the target dataset has no labels available, i.e., unsupervised task transfer…
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 novel corona virus (Covid-19) has introduced significant challenges due to its rapid spreading nature through respiratory transmission. As a result, there is a huge demand for Artificial Intelligence (AI) based quick disease diagnosis methods as an alternative to high demand tests such as Polymerase Chain Reaction (PCR). Chest X-ray (CXR) Image analysis is such cost-effective radiography technique due to resource availability and quick screening. But, a sufficient and systematic data collection that is required by complex deep leaning (DL) models is more difficult and hence there are recen…
University of Kashmir（克什米尔大学）；New Valley University（新谷大学）；Institute of Technology, University of Kashmir（克什米尔大学理工学院）
The emergence of COVID-19 has necessitated many efforts by the scientific community for its proper management. An urgent clinical reaction is required in the face of the unending devastation being caused by the pandemic. These efforts include technological innovations for improvement in screening, treatment, vaccine development, contact tracing and, survival prediction. The use of Deep Learning (DL) and Artificial Intelligence (AI) can be sought in all of the above-mentioned spheres. This paper aims to review the role of Deep Learning and Artificial intelligence in various aspects of the overa…
National Technical University of Athens（雅典国立技术大学）；Institute of Communications and Computer Systems（通信与计算机系统研究所）
Recent studies indicate that detecting radiographic patterns on CT scans can yield high sensitivity and specificity for Covid-19 localization. In this paper, we investigate the appropriateness of deep learning models transferability, for semantic segmentation of pneumonia-infected areas in CT images. Transfer learning allows for the fast initialization/reutilization of detection models, given that large volumes of training data are not available. Our work explores the efficacy of using pre-trained U-Net architectures, on a specific CT data set, for identifying Covid-19 side-effects over images…
Shandong University of Traditional Chinese Medicine（山东中医药大学）；Qingdao Academy of Chinese Medical Sciences（青岛中医科学院）；Shandong University（山东大学）；Shandong Normal University（山东师范大学）；Affiliated Hospital of Shandong University of Traditional Chinese Medicine（山东中医药大学附属医院）
This paper addresses the new problem of automated screening of coronavirus disease 2019 (COVID-19) based on chest X-rays, which is urgently demanded toward fast stopping the pandemic. However, robust and accurate screening of COVID-19 from chest X-rays is still a globally recognized challenge because of two bottlenecks: 1) imaging features of COVID-19 share some similarities with other pneumonia on chest X-rays, and 2) the misdiagnosis rate of COVID-19 is very high, and the misdiagnosis cost is expensive. While a few pioneering works have made much progress, they underestimate both crucial bot…
In the research, we developed a computer vision solution to support diagnostic radiology in differentiating between COVID-19 pneumonia, influenza virus pneumonia, and normal biomarkers. The chest radiograph appearance of COVID-19 pneumonia is thought to be nonspecific, having presented a challenge to identify an optimal architecture of a convolutional neural network (CNN) that would classify with a high sensitivity among the pulmonary inflammation features of COVID-19 and non-COVID-19 types of pneumonia. Rahman (2021) states that COVID-19 radiography images observe unavailability and quality i…
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 …
Manchester Metropolitan University（曼彻斯特城市大学）；Brunel University（布鲁内尔大学）；Whiston Hospital（惠斯顿医院）；St Helens and Knowsley Teaching Hospitals NHS Trust（圣海伦斯和诺斯利教学医院国民保健服务信托）；University of Sheffield（谢菲尔德大学）
Accurate and rapid detection of COVID-19 pneumonia is crucial for optimal patient treatment. Chest X-Ray (CXR) is the first line imaging test for COVID-19 pneumonia diagnosis as it is fast, cheap and easily accessible. Inspired by the success of deep learning (DL) in computer vision, many DL-models have been proposed to detect COVID-19 pneumonia using CXR images. Unfortunately, these deep classifiers lack the transparency in interpreting findings, which may limit their applications in clinical practice. The existing commonly used visual explanation methods are either too noisy or imprecise, wi…
In a worldwide health crisis as exigent as COVID-19, there has become a pressing need for rapid, reliable diagnostics. Currently, popular testing methods such as reverse transcription polymerase chain reaction (RT-PCR) can have high false negative rates. Consequently, COVID-19 patients are not accurately identified nor treated quickly enough to prevent transmission of the virus. However, the recent rise of medical CT data has presented promising avenues, since CT manifestations contain key characteristics indicative of COVID-19. This study aimed to take a novel approach in the machine learning…
Université de Haute-Alsace（上阿尔萨斯大学）；Université de Strasbourg（斯特拉斯堡大学）；University of Lille（里尔大学）；YNCREA-ISEN Lille（里尔YNCREA-ISEN工程学院）；University of the Basque Country（巴斯克大学）；IKERBASQUE, Basque Foundation for Science（伊克尔巴斯克巴斯克科学基金会）；The University of Tokyo（东京大学）；CNRS（法国国家科学研究中心）；Inserm（法国国家健康与医学研究院）；CHU Lille（里尔大学医院）
Coronavirus disease 2019 (COVID-19) is an infectious disease with first symptoms similar to the flu. COVID-19 appeared first in China and very quickly spreads to the rest of the world, causing then the 2019-20 coronavirus pandemic. In many cases, this disease causes pneumonia. Since pulmonary infections can be observed through radiography images, this paper investigates deep learning methods for automatically analyzing query chest X-ray images with the hope to bring precision tools to health professionals towards screening the COVID-19 and diagnosing confirmed patients. In this context, traini…
Indian Institute of Technology, Jammu（印度理工学院贾姆姆分校）；University of Pennsylvania（宾夕法尼亚大学）
We propose a two-stage Convolutional Neural Network (CNN) based classification framework for detecting COVID-19 and Community-Acquired Pneumonia (CAP) using the chest Computed Tomography (CT) scan images. In the first stage, an infection - COVID-19 or CAP, is detected using a pre-trained DenseNet architecture. Then, in the second stage, a fine-grained three-way classification is done using EfficientNet architecture. The proposed COVID+CAP-CNN framework achieved a slice-level classification accuracy of over 94% at identifying COVID-19 and CAP. Further, the proposed framework has the potential t…
Taiwan AI Labs（台湾人工智能实验室）；National Taiwan University Hospital（国立台湾大学医学院附设医院）；Taipei Medical University Hospital（台北医学大学附设医院）；National Health Insurance Administration, Ministry of Health and Welfare（卫生福利部中央健康保险署）；Centers for Disease Control, Ministry of Health and Welfare（卫生福利部疾病管制署）；Taiwan Executive Yuan（台湾行政院）；National Taiwan University College of Medicine（国立台湾大学医学院）
We introduce a comprehensive screening platform for the COVID-19 (a.k.a., SARS-CoV-2) pneumonia. The proposed AI-based system works on chest x-ray (CXR) images to predict whether a patient is infected with the COVID-19 disease. Although the recent international joint effort on making the availability of all sorts of open data, the public collection of CXR images is still relatively small for reliably training a deep neural network (DNN) to carry out COVID-19 prediction. To better address such inefficiency, we design a cascaded learning strategy to improve both the sensitivity and the specifici…
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 …
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…
In this work, we estimate the severity of pneumonia in COVID-19 patients and conduct a longitudinal study of disease progression. To achieve this goal, we developed a deep learning model for simultaneous detection and segmentation of pneumonia in chest Xray (CXR) images and generalized to COVID-19 pneumonia. The segmentations were utilized to calculate a "Pneumonia Ratio" which indicates the disease severity. The measurement of disease severity enables to build a disease extent profile over time for hospitalized patients. To validate the model relevance to the patient monitoring task, we devel…
Iran University of Science and Technology（伊朗科技大学）；Sharif University of Technology（谢里夫理工大学）
In this paper, we have trained several deep convolutional networks with introduced training techniques for classifying X-ray images into three classes: normal, pneumonia, and COVID-19, based on two open-source datasets. Our data contains 180 X-ray images that belong to persons infected with COVID-19, and we attempted to apply methods to achieve the best possible results. In this research, we introduce some training techniques that help the network learn better when we have an unbalanced dataset (fewer cases of COVID-19 along with more cases from other classes). We also propose a neural network…
FedDPGAN: Federated Differentially Private Generative Adversarial Networks Framework for the Detection of COVID-19 Pneumonia
King Abdul Aziz University（阿卜杜勒阿齐兹国王大学）；School of Data Science and Technology, Heilongjiang University（黑龙江大学数据科学与技术学院）；Thapar Institute of Engineering and Technology（塔帕尔工程技术学院）
IQVIA（艾昆纬）；University of Illinois at Urbana-Champaign（伊利诺伊大学厄巴纳-香槟分校）
To test the possibility of differentiating chest x-ray images of COVID-19 against other pneumonia and healthy patients using deep neural networks. We construct the X-ray imaging data from two publicly available sources, which include 5508 chest x-ray images across 2874 patients with four classes: normal, bacterial pneumonia, non-COVID-19 viral pneumonia, and COVID-19. To identify COVID-19, we propose a Focal Loss Based Neural Ensemble Network (FLANNEL), a flexible module to ensemble several convolutional neural network (CNN) models and fuse with a focal loss for accurate COVID-19 detection on …
Around 450 million people are affected by pneumonia every year which results in 2.5 million deaths. Covid-19 has also affected 181 million people which has lead to 3.92 million casualties. The chances of death in both of these diseases can be significantly reduced if they are diagnosed early. However, the current methods of diagnosing pneumonia (complaints + chest X-ray) and covid-19 (RT-PCR) require the presence of expert radiologists and time, respectively. With the help of Deep Learning models, pneumonia and covid-19 can be detected instantly from Chest X-rays or CT scans. This way, the pro…
Cupertino High School（库比蒂诺高中）；Stanford University（斯坦福大学）
Coronavirus disease 2019 (COVID-19) is the highly contagious illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The standard diagnostic testing procedure for COVID-19 is testing a nasopharyngeal swab for SARS-CoV-2 nucleic acid using a real-time polymerase chain reaction (PCR), which can take multiple days to provide a diagnosis. Another widespread form of testing is rapid antigen testing, which has a low sensitivity compared to PCR, but is favored for its quick diagnosis time of usually 15-30 minutes. Patients who test positive for COVID-19 demonstrate diffuse alv…
Clínica Universidad de Navarra（纳瓦拉大学诊所）；Health Time；Hôpital Foch（福煦医院）；Houston Methodist（休斯顿卫理公会医院）；Donald and Barbara Zucker School of Medicine, Feinstein Institutes for Medical Research, Northwell Health（诺斯韦尔健康唐纳德和芭芭拉·祖克医学院，费因斯坦医学研究所）；Penn Medicine（宾夕法尼亚医学院）；Siemens Healthineers（西门子医疗）；University Hospital Basel（巴塞尔大学医院）；Vancouver General Hospital（温哥华总医院）
Objectives: To investigate machine-learning classifiers and interpretable models using chest CT for detection of COVID-19 and differentiation from other pneumonias, ILD and normal CTs. Methods: Our retrospective multi-institutional study obtained 2096 chest CTs from 16 institutions (including 1077 COVID-19 patients). Training/testing cohorts included 927/100 COVID-19, 388/33 ILD, 189/33 other pneumonias, and 559/34 normal (no pathologies) CTs. A metric-based approach for classification of COVID-19 used interpretable features, relying on logistic regression and random forests. A deep learning-b…
Institute of Medical Science, University of Toronto（多伦多大学医学科学研究所）；The Hospital for Sick Children（病童医院）；University Health Network（大学健康网络）；Department of Mechanical and Industrial Engineering, University of Toronto（多伦多大学机械与工业工程系）
Successful training of convolutional neural networks (CNNs) requires a substantial amount of data. With small datasets networks generalize poorly. Data Augmentation techniques improve the generalizability of neural networks by using existing training data more effectively. Standard data augmentation methods, however, produce limited plausible alternative data. Generative Adversarial Networks (GANs) have been utilized to generate new data and improve the performance of CNNs. Nevertheless, data augmentation techniques for training GANs are under-explored compared to CNNs. In this work, we propos…
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…
This study proposed a novel framework for COVID-19 severity prediction, which is a combination of data-centric and model-centric approaches. First, we propose a data-centric pre-training for extremely scare data scenarios of the investigating dataset. Second, we propose two hybrid convolution-attention neural architectures that leverage the self-attention from the Transformer and the Dense Associative Memory (Modern Hopfield networks). Our proposed approach achieves significant improvement from the conventional baseline approach. The best model from our proposed approach achieves $R^2 = 0.85 \…
Hangzhou Dianzi University（杭州电子科技大学）；Communication University of Zhejiang（浙江传媒学院）；University of North Carolina at Chapel Hill（北卡罗来纳大学教堂山分校）；Shanghai Jiao Tong University（上海交通大学）
Coronavirus disease 2019 (COVID-19) is one of the most destructive pandemic after millennium, forcing the world to tackle a health crisis. Automated lung infections classification using chest X-ray (CXR) images could strengthen diagnostic capability when handling COVID-19. However, classifying COVID-19 from pneumonia cases using CXR image is a difficult task because of shared spatial characteristics, high feature variation and contrast diversity between cases. Moreover, massive data collection is impractical for a newly emerged disease, which limited the performance of data thirsty deep learni…
Because the infection by Severe Acute Respiratory Syndrome Coronavirus 2 (COVID-19) causes the pneumonia-like effect in the lungs, the examination of chest x-rays can help to diagnose the diseases. For automatic analysis of images, they are represented in machines by a set of semantic features. Deep Learning (DL) models are widely used to extract features from images. General deep features may not be appropriate to represent chest x-rays as they have a few semantic regions. Though the Bag of Visual Words (BoVW) based features are shown to be more appropriate for x-ray type of images, existing …
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…
University of South Florida（南佛罗里达大学）；University of California, San Francisco（加利福尼亚大学旧金山分校）
Testing for COVID-19 has been unable to keep up with the demand. Further, the false negative rate is projected to be as high as 30% and test results can take some time to obtain. X-ray machines are widely available and provide images for diagnosis quickly. This paper explores how useful chest X-ray images can be in diagnosing COVID-19 disease. We have obtained 122 chest X-rays of COVID-19 and over 4,000 chest X-rays of viral and bacterial pneumonia. A pretrained deep convolutional neural network has been tuned on 102 COVID-19 cases and 102 other pneumonia cases in a 10-fold cross validation. T…
Faculty of Computers and Artificial Intelligence, Cairo University（开罗大学计算机与人工智能学院）；MISR Higher Institute for Engineering and Technology（米斯尔高等工程技术学院）；Scientific Research Group in Egypt (SRGE)（埃及科学研究团队）
The COVID-19 coronavirus is one of the devastating viruses according to the world health organization. This novel virus leads to pneumonia, which is an infection that inflames the lungs' air sacs of a human. One of the methods to detect those inflames is by using x-rays for the chest. In this paper, a pneumonia chest x-ray detection based on generative adversarial networks (GAN) with a fine-tuned deep transfer learning for a limited dataset will be presented. The use of GAN positively affects the proposed model robustness and made it immune to the overfitting problem and helps in generating mo…
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）
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…
Zhejiang University（浙江大学）；the First Affiliated Hospital, School of Medicine, Zhejiang University（浙江大学医学院附属第一医院）；Hangzhou AiSmartVision Co., Ltd.（杭州智视人工智能有限公司）
Utilizing computed tomography (CT) images to quickly estimate the severity of cases with COVID-19 is one of the most straightforward and efficacious methods. Two tasks were studied in this present paper. One was to segment the mask of intact lung in case of pneumonia. Another was to generate the masks of regions infected by COVID-19. The masks of these two parts of images then were converted to corresponding volumes to calculate the physical proportion of infected region of lung. A total of 129 CT image set were herein collected and studied. The intrinsic Hounsfiled value of CT images was firs…
Universidad de Granada（格拉纳达大学）；Universidad de Malaga（马拉加大学）
The ongoing crisis of the COVID-19 (Coronavirus disease 2019) pandemic has changed the world. According to the World Health Organization (WHO), 4 million people have died due to this disease, whereas there have been more than 180 million confirmed cases of COVID-19. The collapse of the health system in many countries has demonstrated the need of developing tools to automatize the diagnosis of the disease from medical imaging. Previous studies have used deep learning for this purpose. However, the performance of this alternative highly depends on the size of the dataset employed for training th…
The worldwide spread of pneumonia caused by a novel coronavirus poses an unprecedented challenge to the world's medical resources and prevention and control measures. Covid-19 attacks not only the lungs, making it difficult to breathe and life-threatening, but also the heart, kidneys, brain and other vital organs of the body, with possible sequela. At present, the detection of COVID-19 needs to be realized by the reverse transcription-polymerase Chain Reaction (RT-PCR). However, many countries are in the outbreak period of the epidemic, and the medical resources are very limited. They cannot p…
University of Leeds（利兹大学）；Leeds Teaching Hospitals NHS Trust（利兹教学医院 NHS 信托基金）
Since the emergence of COVID-19, deep learning models have been developed to identify COVID-19 from chest X-rays. With little to no direct access to hospital data, the AI community relies heavily on public data comprising numerous data sources. Model performance results have been exceptional when training and testing on open-source data, surpassing the reported capabilities of AI in pneumonia-detection prior to the COVID-19 outbreak. In this study impactful models are trained on a widely used open-source data and tested on an external test set and a hospital dataset, for the task of classifyin…
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…
Biomedical Imaging Research Institute, Cedars-Sinai Medical Center（西达赛奈医学中心生物医学成像研究所）；Cedars-Sinai Medical Center（西达赛奈医学中心）；Semmelweis University（塞梅尔维斯大学）；Azienda Ospedaliero-Universitaria di Parma（帕尔马大学医院）；Monash Health（莫纳什医疗中心）；Centro Cardiologico Monzino IRCCS, University of Milan（米兰大学蒙齐诺心脏中心IRCCS）；Showa University School of Medicine（昭和大学医学院）
Quantitative lung measures derived from computed tomography (CT) have been demonstrated to improve prognostication in coronavirus disease (COVID-19) patients, but are not part of the clinical routine since required manual segmentation of lung lesions is prohibitively time-consuming. We propose a new fully automated deep learning framework for rapid quantification and differentiation between lung lesions in COVID-19 pneumonia from both contrast and non-contrast CT images using convolutional Long Short-Term Memory (ConvLSTM) networks. Utilizing the expert annotations, model training was performe…
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…
Scuola Normale Superiore（比萨高等师范学校）；National Institute of Nuclear Physics (INFN)（国家核物理研究所）；University of Pavia（帕维亚大学）；University of Pisa（比萨大学）；University of Sassari（萨萨里大学）；University of Florence（佛罗伦萨大学）
The automatic assignment of a severity score to the CT scans of patients affected by COVID-19 pneumonia could reduce the workload in radiology departments. This study aims at exploiting Artificial intelligence (AI) for the identification, segmentation and quantification of COVID-19 pulmonary lesions. We investigated the effects of using multiple datasets, heterogeneously populated and annotated according to different criteria. We developed an automated analysis pipeline, the LungQuant system, based on a cascade of two U-nets. The first one (U-net_1) is devoted to the identification of the lung…
University College London（伦敦大学学院）；Frimley Health NHS Foundation Trust（弗林姆利健康国民医疗服务基金会信托）；Royal Berkshire NHS Foundation Trust（皇家伯克郡国民医疗服务基金会信托）；Hospital de La Santa Creu I Sant Pau（圣克鲁和圣保罗医院）；West Suffolk NHS Foundation Trust（西萨福克国民医疗服务基金会信托）；Cambridge University Hospital（剑桥大学医院）；University of Cambridge（剑桥大学）；Great Ormond Street Children's Hospital NHS Foundation Trust（大奥蒙德街儿童医院国民医疗服务基金会信托）；Institute of Child Health, University College London（伦敦大学学院儿童健康研究所）；UCL Queen Square Institute of Neurology（伦敦大学学院皇后广场神经病学研究所）；University of Pavia（帕维亚大学）
Lung ultrasound imaging has been shown effective in detecting typical patterns for interstitial pneumonia, as a point-of-care tool for both patients with COVID-19 and other community-acquired pneumonia (CAP). In this work, we focus on the hyperechoic B-line segmentation task. Using deep neural networks, we automatically outline the regions that are indicative of pathology-sensitive artifacts and their associated sonographic patterns. With a real-world data-scarce scenario, we investigate approaches to utilize both COVID-19 and CAP lung ultrasound data to train the networks; comparing fine-tuni…
Carnegie Mellon University（卡内基梅隆大学）；University of Pittsburgh Medical Center（匹兹堡大学医学中心）；Louisiana State University（路易斯安那州立大学）；Cosmeticsurg.net, LLC（Cosmeticsurg.net有限责任公司）
We propose using a pre-trained segmentation model to perform diagnostic classification in order to achieve better generalization and interpretability, terming the technique reverse-transfer learning. We present an architecture to convert segmentation models to classification models. We compare and contrast dense vs sparse segmentation labeling and study its impact on diagnostic classification. We compare the performance of U-Net trained with dense and sparse labels to segment A-lines, B-lines, and Pleural lines on a custom dataset of lung ultrasound scans from 4 patients. Our experiments show …
Fudan University（复旦大学）；Inception Institute of Artificial Intelligence（人工智能 inception 研究所）；Shanghai Public Health Clinical Center, Fudan University（复旦大学附属上海公共卫生临床中心）
To counter the outbreak of COVID-19, the accurate diagnosis of suspected cases plays a crucial role in timely quarantine, medical treatment, and preventing the spread of the pandemic. Considering the limited training cases and resources (e.g, time and budget), we propose a Multi-task Multi-slice Deep Learning System (M3Lung-Sys) for multi-class lung pneumonia screening from CT imaging, which only consists of two 2D CNN networks, i.e., slice- and patient-level classification networks. The former aims to seek the feature representations from abundant CT slices instead of limited CT volumes, and …
