Recently there has been an explosion in the use of Deep Learning (DL) methods for medical image segmentation. However the field's reliability is hindered by the lack of a common base of reference for accuracy/performance evaluation and the fact that previous research uses different datasets for evaluation. In this paper, an extensive comparison of DL models for lung and COVID-19 lesion segmentation in Computerized Tomography (CT) scans is presented, which can also be used as a benchmark for testing medical image segmentation models. Four DL architectures (Unet, Linknet, FPN, PSPNet) are combined with 25 randomly initialized and pretrained encoders (variations of VGG, DenseNet, ResNet, ResNext, DPN, MobileNet, Xception, Inception-v4, EfficientNet), to construct 200 tested models. Three experimental setups are conducted for lung segmentation, lesion segmentation and lesion segmentation using the original lung masks. A public COVID-19 dataset with 100 CT scan images (80 for train, 20 for validation) is used for training/validation and a different public dataset consisting of 829 images from 9 CT scan volumes for testing. Multiple findings are provided including the best architecture-encoder models for each experiment as well as mean Dice results for each experiment, architecture and encoder independently. Finally, the upper bounds improvements when using lung masks as a preprocessing step or when using pretrained models are quantified. The source code and 600 pretrained models for the three experiments are provided, suitable for fine-tuning in experimental setups without GPU capabilities.
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…
ETH Zurich（苏黎世联邦理工学院）；Clinique des Grangettes（格兰奇诊所）；Biomedical Research Institute August Pi i Sunyer（奥古斯特·皮·苏涅尔生物医学研究所）；Technische Universität München（慕尼黑工业大学）
With the rapid development of COVID-19 into a global pandemic, there is an ever more urgent need for cheap, fast and reliable tools that can assist physicians in diagnosing COVID-19. Medical imaging such as CT can take a key role in complementing conventional diagnostic tools from molecular biology, and, using deep learning techniques, several automatic systems were demonstrated promising performances using CT or X-ray data. Here, we advocate a more prominent role of point-of-care ultrasound imaging to guide COVID-19 detection. Ultrasound is non-invasive and ubiquitous in medical facilities ar…
University of Dhaka（达卡大学）；Qatar University（卡塔尔大学）；Qatar Foundation（卡塔尔基金会）；Universiti Kebangsaan Malaysia（马来西亚国民大学）；College of Medicine（医学院）；University of Engineering and Technology, Peshawar（白沙瓦工程技术大学）
The use of computer-aided diagnosis in the reliable and fast detection of coronavirus disease (COVID-19) has become a necessity to prevent the spread of the virus during the pandemic to ease the burden on the medical infrastructure. Chest X-ray (CXR) imaging has several advantages over other imaging techniques as it is cheap, easily accessible, fast and portable. This paper explores the effect of various popular image enhancement techniques and states the effect of each of them on the detection performance. We have compiled the largest X-ray dataset called COVQU-20, consisting of 18,479 normal…
Early and accurate diagnosis of COVID-19 is essential to control the rapid spread of the pandemic and mitigate sequelae in the population. Current diagnostic methods, such as RT-PCR, are effective but require time to provide results and can quickly overwhelm clinics, requiring individual laboratory analysis. Automatic detection methods have the potential to significantly reduce diagnostic time. To this end, learning-based methods using lung imaging have been explored. Although they require specialized hardware, automatic evaluation methods can be performed simultaneously, making diagnosis fast…
COVIDx-US -- An open-access benchmark dataset of ultrasound imaging data for AI-driven COVID-19 analytics
National Research Council Canada（加拿大国家研究委员会）；University of Waterloo（滑铁卢大学）；Waterloo Artificial Intelligence Institute（滑铁卢人工智能研究所）；Oakville Trafalgar Memorial Hospital（奥克维尔特拉法加纪念医院）；McMaster University（麦克马斯特大学）
Herein we propose a deep learning-based approach for the prediction of lung lesion response based on radiomic features extracted from clinical CT scans of patients in non-small cell lung cancer trials. The approach starts with the classification of lung lesions from the set of primary and metastatic lesions at various anatomic locations. Focusing on the lung lesions, we perform automatic segmentation to extract their 3D volumes. Radiomic features are then extracted from the lesion on the pre-treatment scan and the first follow-up scan to predict which lesions will shrink at least 30% in diamet…
Institute of Computing Technology, Chinese Academy of Sciences（中国科学院计算技术研究所）；Beijing University of Posts and Telecommunications（北京邮电大学）
Scarcity of annotated images hampers the building of automated solution for reliable COVID-19 diagnosis and evaluation from CT. To alleviate the burden of data annotation, we herein present a label-free approach for segmenting COVID-19 lesions in CT via pixel-level anomaly modeling that mines out the relevant knowledge from normal CT lung scans. Our modeling is inspired by the observation that the parts of tracheae and vessels, which lay in the high-intensity range where lesions belong to, exhibit strong patterns. To facilitate the learning of such patterns at a pixel level, we synthesize `les…
The pneumonia caused by Coronavirus disease (COVID-19) is one of major global threat and a number of detection and treatment procedures are suggested by the researchers for COVID-19. The proposed work aims to suggest an automated image processing scheme to extract the COVID-19 lesion from the lung CT scan images (CTI) recorded from the patients. This scheme implements the following procedures; (i) Image pre-processing to enhance the COVID-19 lesions, (ii) Image post-processing to extract the lesions, and (iii) Execution of a relative analysis between the extracted lesion segment and the Ground…
Darmstadt University of Technology（达姆施塔特工业大学）；University Hospital Frankfurt（法兰克福大学医院）
Automatic segmentation of lung lesions in computer tomography has the potential to ease the burden of clinicians during the Covid-19 pandemic. Yet predictive deep learning models are not trusted in the clinical routine due to failing silently in out-of-distribution (OOD) data. We propose a lightweight OOD detection method that exploits the Mahalanobis distance in the feature space. The proposed approach can be seamlessly integrated into state-of-the-art segmentation pipelines without requiring changes in model architecture or training procedure, and can therefore be used to assess the suitabil…
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…
Coronavirus disease 2019 (COVID-19) is a highly contagious virus spreading all around the world. Deep learning has been adopted as an effective technique to aid COVID-19 detection and segmentation from computed tomography (CT) images. The major challenge lies in the inadequate public COVID-19 datasets. Recently, transfer learning has become a widely used technique that leverages the knowledge gained while solving one problem and applying it to a different but related problem. However, it remains unclear whether various non-COVID19 lung lesions could contribute to segmenting COVID-19 infection …
Nagoya University（名古屋大学）；Nara Institute of Science and Technology（奈良先端科学技术大学院大学）；National Institute of Informatics（国立信息学研究所）；Keio University School of Medicine（庆应义塾大学医学部）；Juntendo University（顺天堂大学）
This paper proposes an automated segmentation method of infection and normal regions in the lung from CT volumes of COVID-19 patients. From December 2019, novel coronavirus disease 2019 (COVID-19) spreads over the world and giving significant impacts to our economic activities and daily lives. To diagnose the large number of infected patients, diagnosis assistance by computers is needed. Chest CT is effective for diagnosis of viral pneumonia including COVID-19. A quantitative analysis method of condition of the lung from CT volumes by computers is required for diagnosis assistance of COVID-19.…
Shahid Sadoughi University of Medical Sciences（沙希德·萨杜吉医科大学）；Mashhad University of Medical Sciences（马什哈德医科大学）；Geneva University Hospital（日内瓦大学医院）
This study aimed to evaluate the performance of a novel unsupervised deep learning-based framework for automated infections lesion segmentation from CT images of Covid patients. In the first step, two residual networks were independently trained to identify the lung tissue for normal and Covid patients in a supervised manner. These two models, referred to as DL-Covid and DL-Norm for Covid-19 and normal patients, respectively, generate the voxel-wise probability maps for lung tissue identification. To detect Covid lesions, the CT image of the Covid patient is processed by the DL-Covid and DL-No…
KU Leuven（鲁汶大学）；UZ Leuven（鲁汶大学医院）；Vrije Universiteit Brussel (VUB)（布鲁塞尔自由大学）；imec
Recent research on COVID-19 suggests that CT imaging provides useful information to assess disease progression and assist diagnosis, in addition to help understanding the disease. There is an increasing number of studies that propose to use deep learning to provide fast and accurate quantification of COVID-19 using chest CT scans. The main tasks of interest are the automatic segmentation of lung and lung lesions in chest CT scans of confirmed or suspected COVID-19 patients. In this study, we compare twelve deep learning algorithms using a multi-center dataset, including both open-source and in…
With the ongoing COVID-19 pandemic, understanding the characteristics of the virus has become an important and challenging task in the scientific community. While tests do exist for COVID-19, the goal of our research is to explore other methods of identifying infected individuals. Our group applied unsupervised clustering techniques to explore a dataset of lungscans of COVID-19 infected, Viral Pneumonia infected, and healthy individuals. This is an important area to explore as COVID-19 is a novel disease that is currently being studied in detail. Our methodology explores the potential that uns…
University of Technology Sydney（悉尼科技大学）；Mehr General Hospital（Mehr综合医院）；Charles Sturt University（查尔斯特大学）
The COVID-19 pandemic has inspired unprecedented data collection and computer vision modelling efforts worldwide, focusing on diagnosis and stratification of COVID-19 from medical images. Despite this large-scale research effort, these models have found limited practical application due in part to unproven generalization of these models beyond their source study. This study investigates the generalizability of key published models using the publicly available COVID-19 Computed Tomography data through cross dataset validation. We then assess the predictive ability of these models for COVID-19 s…
Darmstadt University of Technology（达姆施塔特工业大学）；Uniklinik Frankfurt（法兰克福大学医院）
Automatic segmentation of ground glass opacities and consolidations in chest computer tomography (CT) scans can potentially ease the burden of radiologists during times of high resource utilisation. However, deep learning models are not trusted in the clinical routine due to failing silently on out-of-distribution (OOD) data. We propose a lightweight OOD detection method that leverages the Mahalanobis distance in the feature space and seamlessly integrates into state-of-the-art segmentation pipelines. The simple approach can even augment pre-trained models with clinically relevant uncertainty …
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 …
Melbourne Data Analytics Platform（墨尔本数据分析平台）；University of Melbourne（墨尔本大学）
Improving automated analysis of medical imaging will provide clinicians more options in providing care for patients. The 2023 AI-enabled Medical Image Analysis Workshop and Covid-19 Diagnosis Competition (AI-MIA-COV19D) provides an opportunity to test and refine machine learning methods for detecting the presence and severity of COVID-19 in patients from CT scans. This paper presents version 2 of Cov3d, a deep learning model submitted in the 2022 competition. The model has been improved through a preprocessing step which segments the lungs in the CT scan and crops the input to this region. It …
University of Science and Technology of China（中国科学技术大学）；The First Affiliated Hospital of USTC (Anhui Provincial Hospital)（中国科学技术大学附属第一医院（安徽省立医院））
COVID-19 has become a global pandemic and is still posing a severe health risk to the public. Accurate and efficient segmentation of pneumonia lesions in CT scans is vital for treatment decision-making. We proposed a novel unsupervised approach using cycle consistent generative adversarial network (cycle-GAN) which automates and accelerates the process of lesion delineation. The workflow includes lung volume segmentation, "synthetic" healthy lung generation, infected and healthy image subtraction, and binary lesion mask creation. The lung volume volume was firstly delineated using a pre-traine…
Beihang University（北京航空航天大学）；Taiyuan University of Technology（太原理工大学）；Hefei Innovation Research Institute, Beihang University（北京航空航天大学合肥创新研究院）；Beijing Advanced Innovation Centre for Biomedical Engineering（北京生物医学工程高精尖创新中心）；Beijing Advanced Innovation Centre for Big Data-Based Precision Medicine（北京大数据精准医疗高精尖创新中心）
The novel Coronavirus disease (COVID-19) is a highly contagious virus and has spread all over the world, posing an extremely serious threat to all countries. Automatic lung infection segmentation from computed tomography (CT) plays an important role in the quantitative analysis of COVID-19. However, the major challenge lies in the inadequacy of annotated COVID-19 datasets. Currently, there are several public non-COVID lung lesion segmentation datasets, providing the potential for generalizing useful information to the related COVID-19 segmentation task. In this paper, we propose a novel relati…
In recent years, the prevalence of several pulmonary diseases, especially the coronavirus disease 2019 (COVID-19) pandemic, has attracted worldwide attention. These diseases can be effectively diagnosed and treated with the help of lung imaging. With the development of deep learning technology and the emergence of many public medical image datasets, the diagnosis of lung diseases via medical imaging has been further improved. This article reviews pulmonary CT and X-ray image detection and classification in the last decade. It also provides an overview of the detection of lung nodules, pneumoni…
Seoul National University Hospital（首尔大学医院）；Massachusetts General Hospital（麻省总医院）；Kyungpook National University（庆北国立大学）；Yeungnam University College of Medicine（岭南大学医学院）；Catholic University of Daegu School of Medicine（大邱加图立大学医学院）；Keimyung University School of Medicine（启明大学医学院）
Purpose. Imaging plays an important role in assessing severity of COVID 19 pneumonia. However, semantic interpretation of chest radiography (CXR) findings does not include quantitative description of radiographic opacities. Most current AI assisted CXR image analysis framework do not quantify for regional variations of disease. To address these, we proposed a four region lung segmentation method to assist accurate quantification of COVID 19 pneumonia. Methods. A segmentation model to separate left and right lung is firstly applied, and then a carina and left hilum detection network is used, wh…
Ben-Gurion University（本-古里安大学）；Soroka Medical Center（索罗卡医疗中心）
We present a novel deep learning approach to categorical segmentation of lung CTs of COVID-19 patients. Specifically, we partition the scans into healthy lung tissues, non-lung regions, and two different, yet visually similar, pathological lung tissues, namely, ground-glass opacity and consolidation. This is accomplished via a unique, end-to-end hierarchical network architecture and ensemble learning, which contribute to the segmentation and provide a measure for segmentation uncertainty. The proposed framework achieves competitive results and outstanding generalization capabilities for three …
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 …
Lung X-ray images, if processed using statistical and computational methods, can distinguish pneumonia from COVID-19. The present work shows that it is possible to extract lung X-ray characteristics to improve the methods of examining and diagnosing patients with suspected COVID-19, distinguishing them from malaria, dengue, H1N1, tuberculosis, and Streptococcus pneumonia. More precisely, an intelligent computational model was developed to process lung X-ray images and classify whether the image is of a patient with COVID-19. The images were processed and extracted their characteristics. These …
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. …
University of Iowa（爱荷华大学）；Boston University（波士顿大学）；University of Pennsylvania（宾夕法尼亚大学）；University of Milano-Bicocca（米兰比可卡大学）；San Gerardo Hospital（圣杰拉多医院）
The purpose of this study was to develop a fully-automated segmentation algorithm, robust to various density enhancing lung abnormalities, to facilitate rapid quantitative analysis of computed tomography images. A polymorphic training approach is proposed, in which both specifically labeled left and right lungs of humans with COPD, and nonspecifically labeled lungs of animals with acute lung injury, were incorporated into training a single neural network. The resulting network is intended for predicting left and right lung regions in humans with or without diffuse opacification and consolidati…
Korea Advanced Institute of Science and Technology（韩国科学技术院）；Asan Medical Center（峨山医院）；University of Ulsan College of Medicine（蔚山大学医学院）；College of Medicine, Chungnam National Univerity（忠南国立大学医学院）；College of Medicine, Yeungnam University（岭南大学医学院）；School of Medicine, Kyungpook National University（庆北国立大学医学院）
Under the global pandemic of COVID-19, building an automated framework that quantifies the severity of COVID-19 and localizes the relevant lesion on chest X-ray images has become increasingly important. Although pixel-level lesion severity labels, e.g. lesion segmentation, can be the most excellent target to build a robust model, collecting enough data with such labels is difficult due to time and labor-intensive annotation tasks. Instead, array-based severity labeling that assigns integer scores on six subdivisions of lungs can be an alternative choice enabling the quick labeling. Several gro…
Sberbank AI Laboratory（俄罗斯联邦储蓄银行人工智能实验室）；New York University（纽约大学）
Analysis of chest CT scans can be used in detecting parts of lungs that are affected by infectious diseases such as COVID-19.Determining the volume of lungs affected by lesions is essential for formulating treatment recommendations and prioritizingpatients by severity of the disease. In this paper we adopted an approach based on using an ensemble of deep convolutionalneural networks for segmentation of slices of lung CT scans. Using our models we are able to segment the lesions, evaluatepatients dynamics, estimate relative volume of lungs affected by lesions and evaluate the lung damage stage.…
Nanjing University（南京大学）；National Institute of Healthcare Data Science at Nanjing University（南京大学医疗健康数据科学国家研究院）；Central South University（中南大学）；Second Xiangya Hospital, Central South University（中南大学湘雅二医院）；University of North Carolina（北卡罗来纳大学）
Understanding chest CT imaging of the coronavirus disease 2019 (COVID-19) will help detect infections early and assess the disease progression. Especially, automated severity assessment of COVID-19 in CT images plays an essential role in identifying cases that are in great need of intensive clinical care. However, it is often challenging to accurately assess the severity of this disease in CT images, due to variable infection regions in the lungs, similar imaging biomarkers, and large inter-case variations. To this end, we propose a synergistic learning framework for automated severity assessm…
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…
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…
The global pandemic of the novel coronavirus disease 2019 (COVID-19) has put tremendous pressure on the medical system. Imaging plays a complementary role in the management of patients with COVID-19. Computed tomography (CT) and chest X-ray (CXR) are the two dominant screening tools. However, difficulty in eliminating the risk of disease transmission, radiation exposure and not being costeffective are some of the challenges for CT and CXR imaging. This fact induces the implementation of lung ultrasound (LUS) for evaluating COVID-19 due to its practical advantages of noninvasiveness, repeatabil…
The coronavirus disease 2019 (COVID-19) affects billions of lives around the world and has a significant impact on public healthcare. Due to rising skepticism towards the sensitivity of RT-PCR as screening method, medical imaging like computed tomography offers great potential as alternative. For this reason, automated image segmentation is highly desired as clinical decision support for quantitative assessment and disease monitoring. However, publicly available COVID-19 imaging data is limited which leads to overfitting of traditional approaches. To address this problem, we propose an innovat…
Shahid Sadoughi University of Medical Sciences（沙希德·萨杜基医科大学）；Mashhad University of Medical Sciences（马什哈德医科大学）；Geneva University Hospital（日内瓦大学医院）
Automated semantic image segmentation is an essential step in quantitative image analysis and disease diagnosis. This study investigates the performance of a deep learning-based model for lung segmentation from CT images for normal and COVID-19 patients. Chest CT images and corresponding lung masks of 1200 confirmed COVID-19 cases were used for training a residual neural network. The reference lung masks were generated through semi-automated/manual segmentation of the CT images. The performance of the model was evaluated on two distinct external test datasets including 120 normal and COVID-19 …
Beirut Arab University（贝鲁特阿拉伯大学）；St. Joseph’s College of Engineering（圣约瑟夫工程学院）；Sejong University（世宗大学）
Recently, the lung infection due to Coronavirus Disease (COVID-19) affected a large human group worldwide and the assessment of the infection rate in the lung is essential for treatment planning. This research aims to propose a Machine-Learning-System (MLS) to detect the COVID-19 infection using the CT scan Slices (CTS). This MLS implements a sequence of methods, such as multi-thresholding, image separation using threshold filter, feature-extraction, feature-selection, feature-fusion and classification. The initial part implements the Chaotic-Bat-Algorithm and Kapur's Entropy (CBA+KE) threshol…
Indian Institute of Technology Roorkee（印度理工学院鲁尔基分校）；National Institute of Technology Delhi（印度德里国家技术学院）
Background and Objective: Artificial intelligence (AI) methods coupled with biomedical analysis has a critical role during pandemics as it helps to release the overwhelming pressure from healthcare systems and physicians. As the ongoing COVID-19 crisis worsens in countries having dense populations and inadequate testing kits like Brazil and India, radiological imaging can act as an important diagnostic tool to accurately classify covid-19 patients and prescribe the necessary treatment in due time. With this motivation, we present our study based on deep learning architecture for detecting covi…
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 …
Nanjing University of Science and Technology（南京理工大学）；Institute of Computing Technology, Chinese Academy of Sciences（中国科学院计算技术研究所）；University of Chinese Academy of Sciences（中国科学院大学）；China Electronics Cloud Brain (Tianjin) Technology CO., LTD（中电云脑（天津）科技有限公司）；Jiangsu University of Technology（江苏理工学院）；Fudan University（复旦大学）；University of Toronto（多伦多大学）；Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School（南京大学医学院附属鼓楼医院）；Lenovo Ltd.（联想集团）；Nanjing University（南京大学）
Purpose: Accurate segmentation of lung and infection in COVID-19 CT scans plays an important role in the quantitative management of patients. Most of the existing studies are based on large and private annotated datasets that are impractical to obtain from a single institution, especially when radiologists are busy fighting the coronavirus disease. Furthermore, it is hard to compare current COVID-19 CT segmentation methods as they are developed on different datasets, trained in different settings, and evaluated with different metrics. Methods: To promote the development of data-efficient deep …
Inception Institute of Artificial Intelligence（人工智能研究院）；School of Computer Science, Wuhan University（武汉大学计算机学院）；Mohamed bin Zayed University of Artificial Intelligence（穆罕默德·本·扎耶德人工智能大学）
Coronavirus Disease 2019 (COVID-19) spread globally in early 2020, causing the world to face an existential health crisis. Automated detection of lung infections from computed tomography (CT) images offers a great potential to augment the traditional healthcare strategy for tackling COVID-19. However, segmenting infected regions from CT slices faces several challenges, including high variation in infection characteristics, and low intensity contrast between infections and normal tissues. Further, collecting a large amount of data is impractical within a short time period, inhibiting the traini…
Technische Universität Darmstadt（达姆施塔特工业大学）；Universitätsklinikum Frankfurt（法兰克福大学医院）
Federated Learning is the most promising way to train robust Deep Learning models for the segmentation of Covid-19-related findings in chest CTs. By learning in a decentralized fashion, heterogeneous data can be leveraged from a variety of sources and acquisition protocols whilst ensuring patient privacy. It is, however, crucial to continuously monitor the performance of the model. Yet when it comes to the segmentation of diffuse lung lesions, a quick visual inspection is not enough to assess the quality, and thorough monitoring of all network outputs by expert radiologists is not feasible. In…
Universidade Estadual de Maringá（马里兰州立大学）；Instituto Federal do Paraná（巴拉那联邦学院）；Universidade Tecnológica Federal do Paraná（巴拉那联邦理工大学）；Universidade Federal do Paraná（巴拉那联邦大学）；Università Degli Studi di Padova（帕多瓦大学）；Universidade Federal de Pernambuco（伯南布哥联邦大学）
COVID-19 frequently provokes pneumonia, which can be diagnosed using imaging exams. Chest X-ray (CXR) is often useful because it is cheap, fast, widespread, and uses less radiation. Here, we demonstrate the impact of lung segmentation in COVID-19 identification using CXR images and evaluate which contents of the image influenced the most. Semantic segmentation was performed using a U-Net CNN architecture, and the classification using three CNN architectures (VGG, ResNet, and Inception). Explainable Artificial Intelligence techniques were employed to estimate the impact of segmentation. A three…
Segmentation of COVID-19 lesions from chest CT scans is of great importance for better diagnosing the disease and investigating its extent. However, manual segmentation can be very time consuming and subjective, given the lesions' large variation in shape, size and position. On the other hand, we still lack large manually segmented datasets that could be used for training machine learning-based models for fully automatic segmentation. In this work, we propose a new interactive and user-friendly tool for COVID-19 lesion segmentation, which works by alternating automatic steps (based on level-se…
The coronavirus disease (COVID-19) has resulted in a pandemic crippling the a breadth of services critical to daily life. Segmentation of lung infections in computerized tomography (CT) slices could be be used to improve diagnosis and understanding of COVID-19 in patients. Deep learning systems lack interpretability because of their black box nature. Inspired by human communication of complex ideas through language, we propose a symbolic framework based on emergent languages for the segmentation of COVID-19 infections in CT scans of lungs. We model the cooperation between two artificial agents…
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…
An early effective screening and grading of COVID-19 has become imperative towards optimizing the limited available resources of the medical facilities. An automated segmentation of the infected volumes in lung CT is expected to significantly aid in the diagnosis and care of patients. However, an accurate demarcation of lesions remains problematic due to their irregular structure and location(s) within the lung. A novel deep learning architecture, Composite Deep network with Feature Weighting (CDNetFW), is proposed for efficient delineation of infected regions from lung CT images. Initially a …
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…
Diagnosis of pulmonary lesions from computed tomography (CT) is important but challenging for clinical decision making in lung cancer related diseases. Deep learning has achieved great success in computer aided diagnosis (CADx) area for lung cancer, whereas it suffers from label ambiguity due to the difficulty in the radiological diagnosis. Considering that invasive pathological analysis serves as the clinical golden standard of lung cancer diagnosis, in this study, we solve the label ambiguity issue via a large-scale radio-pathomics dataset containing 5,134 radiological CT images with patholo…
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…
University of Michigan（密歇根大学）；Henry Ford Health System（亨利·福特医疗系统）；Molecular Medicine Institute（分子医学研究所）
CXR-Net is a two-module Artificial Intelligence pipeline for the quick detection of SARS-CoV-2 from chest X-rays (CXRs). Module 1 was trained on a public dataset of 6395 CXRs with radiologist annotated lung contours to generate masks of the lungs that overlap the heart and large vasa. Module 2 is a hybrid convnet in which the first convolutional layer with learned coefficients is replaced by a layer with fixed coefficients provided by the Wavelet Scattering Transform (WST). Module 2 takes as inputs the patients CXRs and corresponding lung masks calculated by Module 1, and produces as outputs a…
Concordia University（康考迪亚大学）；Sunnybrook Health Sciences Centre（桑尼布鲁克健康科学中心）；University of Toronto（多伦多大学）；McGill University（麦吉尔大学）
Novel Coronavirus disease (COVID-19) is a highly contagious respiratory infection that has had devastating effects on the world. Recently, new COVID-19 variants are emerging making the situation more challenging and threatening. Evaluation and quantification of COVID-19 lung abnormalities based on chest Computed Tomography (CT) scans can help determining the disease stage, efficiently allocating limited healthcare resources, and making informed treatment decisions. During pandemic era, however, visual assessment and quantification of COVID-19 lung lesions by expert radiologists become expensiv…
University of Waterloo（滑铁卢大学）；DarwinAI Corp.（DarwinAI公司）；Stony Brook School of Medicine（石溪大学医学院）；Montefiore Medical Center（蒙蒂菲奥里医疗中心）；Albert Einstein College of Medicine（阿尔伯特·爱因斯坦医学院）
Background: A critical step in effective care and treatment planning for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of the COVID-19 pandemic, is the assessment of the severity of disease progression. Chest x-rays (CXRs) are often used to assess SARS-CoV-2 severity, with two important assessment metrics being extent of lung involvement and degree of opacity. In this proof-of-concept study, we assess the feasibility of computer-aided scoring of CXRs of SARS-CoV-2 lung disease severity using a deep learning system. Materials and Methods: Data consisted of 396 CXRs fro…
University of Catania（卡塔尼亚大学）；STMicroelectronics（意法半导体）；University of Messina（墨西拿大学）
COVID-19 infection caused by SARS-CoV-2 pathogen is a catastrophic pandemic outbreak all over the world with exponential increasing of confirmed cases and, unfortunately, deaths. In this work we propose an AI-powered pipeline, based on the deep-learning paradigm, for automated COVID-19 detection and lesion categorization from CT scans. We first propose a new segmentation module aimed at identifying automatically lung parenchyma and lobes. Next, we combined such segmentation network with classification networks for COVID-19 identification and lesion categorization. We compare the obtained class…
IEO European Institute of Oncology IRCCS（IEO欧洲肿瘤研究所IRCCS）；Technical University of Munich（慕尼黑工业大学）；University of Milan（米兰大学）；Istituto Imaging della Svizzera Italiana (IIMSI)（瑞士意大利语区成像研究所（IIMSI））；Università della Svizzera italiana（瑞士意大利语区大学）；Bern University Hospital（伯尔尼大学医院）；University of Bern（伯尔尼大学）
Lesion segmentation is a crucial step of the radiomic workflow. Manual segmentation requires long execution time and is prone to variability, impairing the realisation of radiomic studies and their robustness. In this study, a deep-learning automatic segmentation method was applied on computed tomography images of non-small-cell lung cancer patients. The use of manual vs automatic segmentation in the performance of survival radiomic models was assessed, as well. METHODS A total of 899 NSCLC patients were included (2 proprietary: A and B, 1 public datasets: C). Automatic segmentation of lung le…
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…
