Novel coronavirus (COVID-19) outbreak, has raised a calamitous situation all over the world and has become one of the most acute and severe ailments in the past hundred years. The prevalence rate of COVID-19 is rapidly rising every day throughout the globe. Although no vaccines for this pandemic have been discovered yet, deep learning techniques proved themselves to be a powerful tool in the arsenal used by clinicians for the automatic diagnosis of COVID-19. This paper aims to overview the recently developed systems based on deep learning techniques using different medical imaging modalities like Computer Tomography (CT) and X-ray. This review specifically discusses the systems developed for COVID-19 diagnosis using deep learning techniques and provides insights on well-known data sets used to train these networks. It also highlights the data partitioning techniques and various performance measures developed by researchers in this field. A taxonomy is drawn to categorize the recent works for proper insight. Finally, we conclude by addressing the challenges associated with the use of deep learning methods for COVID-19 detection and probable future trends in this research area. This paper is intended to provide experts (medical or otherwise) and technicians with new insights into the ways deep learning techniques are used in this regard and how they potentially further works in combatting the outbreak of COVID-19.
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…
Deep Learning has achieved state of the art performance in medical imaging. However, these methods for disease detection focus exclusively on improving the accuracy of classification or predictions without quantifying uncertainty in a decision. Knowing how much confidence there is in a computer-based medical diagnosis is essential for gaining clinicians trust in the technology and therefore improve treatment. Today, the 2019 Coronavirus (SARS-CoV-2) infections are a major healthcare challenge around the world. Detecting COVID-19 in X-ray images is crucial for diagnosis, assessment and treatmen…
University of Saskatchewan(萨斯喀彻温大学);University of Stanford(斯坦福大学)
The newly identified Coronavirus pneumonia, subsequently termed COVID-19, is highly transmittable and pathogenic with no clinically approved antiviral drug or vaccine available for treatment. The most common symptoms of COVID-19 are dry cough, sore throat, and fever. Symptoms can progress to a severe form of pneumonia with critical complications, including septic shock, pulmonary edema, acute respiratory distress syndrome and multi-organ failure. While medical imaging is not currently recommended in Canada for primary diagnosis of COVID-19, computer-aided diagnosis systems could assist in the …
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…
Qatar University(卡塔尔大学);Universiti Kebangsaan Malaysia(马来西亚国民大学)
Novel Coronavirus disease (COVID-19) is an extremely contagious and quickly spreading Coronavirus infestation. Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS), which outbreak in 2002 and 2011, and the current COVID-19 pandemic are all from the same family of coronavirus. This work aims to classify COVID-19, SARS, and MERS chest X-ray (CXR) images using deep Convolutional Neural Networks (CNNs). A unique database was created, so-called QU-COVID-family, consisting of 423 COVID-19, 144 MERS, and 134 SARS CXR images. Besides, a robust COVID-19 recognition syste…
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,…
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 …
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…
Dr. Babasaheb Ambedkar Technological University(巴巴萨海布·安贝德卡尔技术大学);Chitkara University(奇卡拉大学);Pravara Rural Engineering College(普拉瓦拉农村工程学院);Sri Guru Granth Sahib World University(圣古鲁格兰特 sahib 世界大学)
The aim of the work is to use deep neural network models for solving the problem of image recognition. These days, every human being is threatened by a harmful coronavirus disease, also called COVID-19 disease. The spread of coronavirus affects the economy of many countries in the world. To find COVID-19 patients early is very essential to avoid the spread and harm to society. Pathological tests and Chromatography(CT) scans are helpful for the diagnosis of COVID-19. However, these tests are having drawbacks such as a large number of false positives, and cost of these tests are so expensive. He…
There are multiple papers published about different AI models for the COVID-19 diagnosis with promising results. Unfortunately according to the reviews many of the papers do not reach the level of sophistication needed for a clinically usable model. In this paper I go through multiple review papers, guidelines, and other relevant material in order to generate more comprehensive requirements for the future papers proposing a AI based diagnosis of the COVID-19 from chest X-ray data (CXR). Main findings are that a clinically usable AI needs to have an extremely good documentation, comprehensive s…
Shahid Bahonar University of Kerman(克尔曼沙希德·巴霍纳尔大学)
Diagnosis of COVID-19 is necessary to prevent and control the disease. Deep learning methods have been considered a fast and accurate method. In this paper, by the parallel combination of three well-known pre-trained networks, we attempted to distinguish coronavirus-infected samples from healthy samples. The negative log-likelihood loss function has been used for model training. CT scan images in the SARS-CoV-2 dataset were used for diagnosis. The SARS-CoV-2 dataset contains 2482 images of lung CT scans, of which 1252 images belong to COVID-19-infected samples. The proposed model was close to …
RADLogics;Tel-Aviv University(特拉维夫大学);Affiliated Taizhou Hospital of Wenzhou Medical University(温州医科大学附属台州医院);Mount Sinai Hospital(西奈山医院);University of Maryland School of Medicine(马里兰大学医学院)
Purpose: Develop AI-based automated CT image analysis tools for detection, quantification, and tracking of Coronavirus; demonstrate they can differentiate coronavirus patients from non-patients. Materials and Methods: Multiple international datasets, including from Chinese disease-infected areas were included. We present a system that utilizes robust 2D and 3D deep learning models, modifying and adapting existing AI models and combining them with clinical understanding. We conducted multiple retrospective experiments to analyze the performance of the system in the detection of suspected COVID-…
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 …
Charles Sturt University(查尔斯特大学);Feni University(费尼大学)
The present world is badly affected by novel coronavirus (COVID-19). Using medical kits to identify the coronavirus affected persons are very slow. What happens in the next, nobody knows. The world is facing erratic problem and do not know what will happen in near future. This paper is trying to make prognosis of the coronavirus recovery cases using LSTM (Long Short Term Memory). This work exploited data of 258 regions, their latitude and longitude and the number of death of 403 days ranging from 22-01-2020 to 27-02-2021. Specifically, advanced deep learning-based algorithms known as the LSTM,…
The world is facing a tough situation due to the catastrophic pandemic caused by novel coronavirus (COVID-19). The number people affected by this virus are increasing exponentially day by day and the number has already crossed 6.4 million. As no vaccine has been discovered yet, the early detection of patients and isolation is the only and most effective way to reduce the spread of the virus. Detecting infected persons from chest X-Ray by using Deep Neural Networks, can be applied as a time and laborsaving solution. In this study, we tried to detect Covid-19 by classification of Covid-19, pneum…
Konya Technical University(科尼亚技术大学);Amasya University(阿马西亚大学)
This study presents early phase detection of Coronavirus (COVID-19), which is named by World Health Organization (WHO), by machine learning methods. The detection process was implemented on abdominal Computed Tomography (CT) images. The expert radiologists detected from CT images that COVID-19 shows different behaviours from other viral pneumonia. Therefore, the clinical experts specify that COVİD-19 virus needs to be diagnosed in early phase. For detection of the COVID-19, four different datasets were formed by taking patches sized as 16x16, 32x32, 48x48, 64x64 from 150 CT images. The feature…
Konya Technical University(科尼亚技术大学);Amasya University(阿马西亚大学)
Coronavirus (COVID-19) emerged towards the end of 2019. World Health Organization (WHO) was identified it as a global epidemic. Consensus occurred in the opinion that using Computerized Tomography (CT) techniques for early diagnosis of pandemic disease gives both fast and accurate results. It was stated by expert radiologists that COVID-19 displays different behaviours in CT images. In this study, a novel method was proposed as fusing and ranking deep features to detect COVID-19 in early phase. 16x16 (Subset-1) and 32x32 (Subset-2) patches were obtained from 150 CT images to generate sub-datas…
New York University(纽约大学);Bournemouth University(伯恩茅斯大学)
Since the outbreak of Coronavirus Disease 2019 (COVID-19), most of the impacted patients have been diagnosed with high fever, dry cough, and soar throat leading to severe pneumonia. Hence, to date, the diagnosis of COVID-19 from lung imaging is proved to be a major evidence for early diagnosis of the disease. Although nucleic acid detection using real-time reverse-transcriptase polymerase chain reaction (rRT-PCR) remains a gold standard for the detection of COVID-19, the proposed approach focuses on the automated diagnosis and prognosis of the disease from a non-contrast chest computed tomogra…
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…
College of Intelligence and Computing, Tianjin University(天津大学智能与计算学院);Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology(华中科技大学同济医学院附属同济医院放射科);Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine(上海交通大学医学院附属瑞金医院放射科);Department of Research and Development, Shanghai United Imaging Intelligence Co., Ltd.(上海联影智能医疗科技有限公司研发部);Department of Radiology, China-Japan Union Hospital of Jilin University(吉林大学中日联谊医院放射科)
Recently, the outbreak of Coronavirus Disease 2019 (COVID-19) has spread rapidly across the world. Due to the large number of affected patients and heavy labor for doctors, computer-aided diagnosis with machine learning algorithm is urgently needed, and could largely reduce the efforts of clinicians and accelerate the diagnosis process. Chest computed tomography (CT) has been recognized as an informative tool for diagnosis of the disease. In this study, we propose to conduct the diagnosis of COVID-19 with a series of features extracted from CT images. To fully explore multiple features describ…
Background and Purpose: Coronaviruses (CoV) are perilous viruses that may cause Severe Acute Respiratory Syndrome (SARS-CoV), Middle East Respiratory Syndrome (MERS-CoV). The novel 2019 Coronavirus disease (COVID-19) was discovered as a novel disease pneumonia in the city of Wuhan, China at the end of 2019. Now, it becomes a Coronavirus outbreak around the world, the number of infected people and deaths are increasing rapidly every day according to the updated reports of the World Health Organization (WHO). Therefore, the aim of this article is to introduce a new deep learning framework; namel…
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes coronavirus disease 2019 (COVID-19). Imaging tests such as chest X-ray (CXR) and computed tomography (CT) can provide useful information to clinical staff for facilitating a diagnosis of COVID-19 in a more efficient and comprehensive manner. As a breakthrough of artificial intelligence (AI), deep learning has been applied to perform COVID-19 infection region segmentation and disease classification by analyzing CXR and CT data. However, prediction uncertainty of deep learning models for these tasks, which is very important to s…
Diagnosis of COVID-19 at point of care is vital to the containment of the global pandemic. Point of care ultrasound (POCUS) provides rapid imagery of lungs to detect COVID-19 in patients in a repeatable and cost effective way. Previous work has used public datasets of POCUS videos to train an AI model for diagnosis that obtains high sensitivity. Due to the high stakes application we propose the use of robust and explainable techniques. We demonstrate experimentally that robust models have more stable predictions and offer improved interpretability. A framework of contrastive explanations based…
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…
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…
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 …
Radiological image is currently adopted as the visual evidence for COVID-19 diagnosis in clinical. Using deep models to realize automated infection measurement and COVID-19 diagnosis is important for faster examination based on radiological imaging. Unfortunately, collecting large training data systematically in the early stage is difficult. To address this problem, we explore the feasibility of learning deep models for COVID-19 diagnosis from a single radiological image by resorting to synthesizing diverse radiological images. Specifically, we propose a novel conditional generative model, cal…
RADLogics Inc.(RADLogics公司);Affiliated Taizhou Hospital of Wenzhou Medical University(温州医科大学附属台州医院);Tel-Aviv University(特拉维夫大学)
The outbreak of the novel coronavirus, officially declared a global pandemic, has a severe impact on our daily lives. As of this writing there are approximately 197,188 confirmed cases of which 80,881 are in "Mainland China" with 7,949 deaths, a mortality rate of 3.4%. In order to support radiologists in this overwhelming challenge, we develop a deep learning based algorithm that can detect, localize and quantify severity of COVID-19 manifestation from chest CT scans. The algorithm is comprised of a pipeline of image processing algorithms which includes lung segmentation, 2D slice classificati…
SARS-CoV-2, also known as COVID-19 or Coronavirus, is a viral contagious disease that is infected by a novel coronavirus, and has been rapidly spreading across the globe. It is very important to test and isolate people to reduce spread, and from here comes the need to do this quickly and efficiently. According to some studies, Chest-CT outperforms RT-PCR lab testing, which is the current standard, when diagnosing COVID-19 patients. Due to this, computer vision researchers have developed various deep learning systems that can predict COVID-19 using a Chest-CT scan correctly to a certain degree.…
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)
Coronavirus has caused hundreds of thousands of deaths. Fatalities could decrease if every patient could get suitable treatment by the healthcare system. Machine learning, especially computer vision methods based on deep learning, can help healthcare professionals diagnose and treat COVID-19 infected cases more efficiently. Hence, infected patients can get better service from the healthcare system and decrease the number of deaths caused by the coronavirus. This research proposes a method for segmenting infected lung regions in a CT image. For this purpose, a convolutional neural network with …
We introduce a new dataset called Synthetic COVID-19 Chest X-ray Dataset for training machine learning models. The dataset consists of 21,295 synthetic COVID-19 chest X-ray images to be used for computer-aided diagnosis. These images, generated via an unsupervised domain adaptation approach, are of high quality. We find that the synthetic images not only improve performance of various deep learning architectures when used as additional training data under heavy imbalance conditions, but also detect the target class with high confidence. We also find that comparable performance can also be achi…
Stony Brook University(石溪大学);Stony Brook University Hospital(石溪大学医院)
Significant work has been done towards deep learning (DL) models for automatic lung and lesion segmentation and classification of COVID-19 on chest CT data. However, comprehensive visualization systems focused on supporting the dual visual+DL diagnosis of COVID-19 are non-existent. We present COVID-view, a visualization application specially tailored for radiologists to diagnose COVID-19 from chest CT data. The system incorporates a complete pipeline of automatic lungs segmentation, localization/ isolation of lung abnormalities, followed by visualization, visual and DL analysis, and measuremen…
The 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…
With the outbreak of COVID-19, a large number of relevant studies have emerged in recent years. We propose an automatic COVID-19 diagnosis framework based on lung CT scan images, the PVT-COV19D. In order to accommodate the different dimensions of the image input, we first classified the images using Transformer models, then sampled the images in the dataset according to normal distribution, and fed the sampling results into the modified PVTv2 model for training. A large number of experiments on the COV19-CT-DB dataset demonstrate the effectiveness of the proposed method.
University of South Florida(南佛罗里达大学);Universidade Estadual de Campinas(坎皮纳斯州立大学);Universidade Tecnológica Federal do Paraná(巴拉那联邦技术大学);Norwegian University of Science and Technology(挪威科技大学)
This work introduces a novel solution to measure economic activity through remote sensing for a wide range of spatial areas. We hypothesized that disturbances in human behavior caused by major life-changing events leave signatures in satellite imagery that allows devising relevant image-based indicators to estimate their impacts and support decision-makers. We present a case study for the COVID-19 coronavirus outbreak, which imposed severe mobility restrictions and caused worldwide disruptions, using flying airplane detection around the 30 busiest airports in Europe to quantify and analyze the…
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…
Zhejiang University(浙江大学);the First Affiliated Hospital, Zhejiang University(浙江大学附属第一医院);Wenzhou central Hospital(温州中心医院);First People's Hospital of Wenling(温岭市第一人民医院);Hangzhou AiSmart-Image-Cloud-Analysis Co., Ltd.(杭州智影云分析科技有限公司);College of Medicine, Zhejiang University(浙江大学医学院)
We found that the real time reverse transcription-polymerase chain reaction (RT-PCR) detection of viral RNA from sputum or nasopharyngeal swab has a relatively low positive rate in the early stage to determine COVID-19 (named by the World Health Organization). The manifestations of computed tomography (CT) imaging of COVID-19 had their own characteristics, which are different from other types of viral pneumonia, such as Influenza-A viral pneumonia. Therefore, clinical doctors call for another early diagnostic criteria for this new type of pneumonia as soon as possible.This study aimed to estab…
Guilin University of Electronic Technology(桂林电子科技大学);Ecole de technologie Superieure(高等技术学院)
This paper proposes to encode the distribution of features learned from a convolutional neural network using a Gaussian Mixture Model. These parametric features, called GMM-CNN, are derived from chest computed tomography and X-ray scans of patients with Coronavirus Disease 2019. We use the proposed GMM-CNN features as input to a robust classifier based on random forests to differentiate between COVID-19 and other pneumonia cases. Our experiments assess the advantage of GMM-CNN features compared to standard CNN classification on test images. Using a random forest classifier (80\% samples for tr…
COVID-19 (Coronavirus disease 2019) has been quickly spreading since its outbreak, impacting financial markets and healthcare systems globally. Countries all around the world have adopted a number of extraordinary steps to restrict the spreading virus, where early COVID-19 diagnosis is essential. Medical images such as X-ray images and Computed Tomography scans are becoming one of the main diagnostic tools to combat COVID-19 with the aid of deep learning-based systems. In this survey, we investigate the main contributions of deep learning applications using medical images in fighting against C…