Tuberculosis (TB) is a contagious bacterial airborne disease, and is one of the top 10 causes of death worldwide. According to the World Health Organization (WHO), around 1.8 billion people are infected with TB and 1.6 million deaths were reported in 2018. More importantly,95% of cases and deaths were from developing countries. Yet, TB is a completely curable disease through early diagnosis. To achieve this goal one of the key requirements is efficient utilization of existing diagnostic technologies, among which chest X-ray is the first line of diagnostic tool used for screening for active TB. The presented deep learning pipeline consists of three different state of the art deep learning architectures, to generate, segment and classify lung X-rays. Apart from this image preprocessing, image augmentation, genetic algorithm based hyper parameter tuning and model ensembling were used to to improve the diagnostic process. We were able to achieve classification accuracy of 97.1% (Youden's index-0.941,sensitivity of 97.9% and specificity of 96.2%) which is a considerable improvement compared to the existing work in the literature. In our work, we present an highly accurate, automated TB screening system using chest X-rays, which would be helpful especially for low income countries with low access to qualified medical professionals.
Henan Provincial Chest Hospital(河南省胸科医院);Harbin Institute of Technology(哈尔滨工业大学);Huiying Medical Technology (Beijing) Co., Ltd.(慧影医疗科技(北京)有限公司)
Objective: We propose an end-to-end CNN-based locating model for pulmonary tuberculosis (TB) diagnosis in radiographs. This model makes full use of chest radiograph (X-ray) for its improved accessibility, reduced cost and high accuracy for TB disease. Methods: Several specialized improvements are proposed for detection task in medical field. A false positive (FP) restrictor head is introduced for FP reduction. Anchor-oriented network heads is proposed in the position regression section. An optimization of loss function is designed for hard example mining. Results: The experimental results show…
Concordia University(康考迪亚大学);North South University(北南大学)
Pretraining has sparked groundswell of interest in deep learning workflows to learn from limited data and improve generalization. While this is common for 2D image classification tasks, its application to 3D medical imaging tasks like chest CT interpretation is limited. We explore the idea of whether pretraining a model on realistic videos could improve performance rather than training the model from scratch, intended for tuberculosis type classification from chest CT scans. To incorporate both spatial and temporal features, we develop a hybrid convolutional neural network (CNN) and recurrent …
Deep learning-based lung segmentation and automatic regional template in chest X-ray images for pediatric tuberculosis
Universidad Politécnica de Madrid(马德里理工大学);CIBER-BBN(生物工程、生物材料与纳米医学网络研究中心);Children’s National Hospital(国家儿童医院);George Washington University School of Medicine(乔治华盛顿大学医学院);ISGlobal(巴塞罗那全球健康研究所);Hospital Clínic(巴塞罗那临床医院);Universitat de Barcelona(巴塞罗那大学);Stellenbosch University(斯泰伦博斯大学)
The University of Alabama(阿拉巴马大学);University of California, Santa Cruz(加州大学圣克鲁兹分校);New York University(纽约大学);NYU Grossman School of Medicine(纽约大学格罗斯曼医学院)
The evaluation of infectious disease processes on radiologic images is an important and challenging task in medical image analysis. Pulmonary infections can often be best imaged and evaluated through computed tomography (CT) scans, which are often not available in low-resource environments and difficult to obtain for critically ill patients. On the other hand, X-ray, a different type of imaging procedure, is inexpensive, often available at the bedside and more widely available, but offers a simpler, two dimensional image. We show that by relying on a model that learns to generate CT images fro…
University of Waterloo(滑铁卢大学);Waterloo Artificial Intelligence Institute(滑铁卢人工智能研究所);DarwinAI Corp.(DarwinAI公司);Niagara Health(尼亚加拉健康中心);McMaster University(麦克马斯特大学);Thunder Bay Regional Health Sciences Centre(桑德贝地区健康科学中心);Northern Ontario School of Medicine(北安大略医学院)
Tuberculosis (TB) remains a global health problem, and is the leading cause of death from an infectious disease. A crucial step in the treatment of tuberculosis is screening high risk populations and the early detection of the disease, with chest x-ray (CXR) imaging being the most widely-used imaging modality. As such, there has been significant recent interest in artificial intelligence-based TB screening solutions for use in resource-limited scenarios where there is a lack of trained healthcare workers with expertise in CXR interpretation. Motivated by this pressing need and the recent recom…
Chulalongkorn University(朱拉隆功大学);Thai Health AI Foundation(泰国健康人工智能基金会);Johns Hopkins Bloomberg School of Public Health(约翰斯·霍普金斯大学布隆伯格公共卫生学院)
Machine learning has been an emerging tool for various aspects of infectious diseases including tuberculosis surveillance and detection. However, WHO provided no recommendations on using computer-aided tuberculosis detection software because of the small number of studies, methodological limitations, and limited generalizability of the findings. To quantify the generalizability of the machine-learning model, we developed a Deep Convolutional Neural Network (DCNN) model using a TB-specific CXR dataset of one population (National Library of Medicine Shenzhen No.3 Hospital) and tested it with non…
National University of Sciences and Technology(国立科技大学);Khalifa University(哈利法大学)
Pulmonary diseases can cause severe respiratory problems, leading to sudden death if not treated timely. Many researchers have utilized deep learning systems to diagnose pulmonary disorders using chest X-rays (CXRs). However, such systems require exhaustive training efforts on large-scale data to effectively diagnose chest abnormalities. Furthermore, procuring such large-scale data is often infeasible and impractical, especially for rare diseases. With the recent advances in incremental learning, researchers have periodically tuned deep neural networks to learn different classification tasks w…
Vellore Institute of Technology, Chennai(韦洛尔理工学院(金奈校区))
Tuberculosis is an infectious disease that is leading to the death of millions of people across the world. The mortality rate of this disease is high in patients suffering from immuno-compromised disorders. The early diagnosis of this disease can save lives and can avoid further complications. But the diagnosis of TB is a very complex task. The standard diagnostic tests still rely on traditional procedures developed in the last century. These procedures are slow and expensive. So this paper presents an automatic approach for the diagnosis of TB from posteroanterior chest x-rays. This is a two-…
National Library of Medicine, National Institutes of Health(美国国立医学图书馆,美国国立卫生研究院)
Deep learning (DL) models are state-of-the-art in segmenting anatomical and disease regions of interest (ROIs) in medical images. Particularly, a large number of DL-based techniques have been reported using chest X-rays (CXRs). However, these models are reportedly trained on reduced image resolutions for reasons related to the lack of computational resources. Literature is sparse in discussing the optimal image resolution to train these models for segmenting the Tuberculosis (TB)-consistent lesions in CXRs. In this study, we investigated the performance variations using an Inception-V3 UNet mo…
National Library of Medicine, National Institutes of Health(美国国立卫生研究院国家医学图书馆)
Automated segmentation of tuberculosis (TB)-consistent lesions in chest X-rays (CXRs) using deep learning (DL) methods can help reduce radiologist effort, supplement clinical decision-making, and potentially result in improved patient treatment. The majority of works in the literature discuss training automatic segmentation models using coarse bounding box annotations. However, the granularity of the bounding box annotation could result in the inclusion of a considerable fraction of false positives and negatives at the pixel level that may adversely impact overall semantic segmentation perform…
Beth Israel Deaconess Medical Center(贝斯以色列女执事医疗中心);Harvard Medical School(哈佛医学院);Massachusetts Institute of Technology(麻省理工学院);Philips Research(飞利浦研究院)
Purpose: To develop a machine learning model to classify the severity grades of pulmonary edema on chest radiographs. Materials and Methods: In this retrospective study, 369,071 chest radiographs and associated radiology reports from 64,581 (mean age, 51.71; 54.51% women) patients from the MIMIC-CXR chest radiograph dataset were included. This dataset was split into patients with and without congestive heart failure (CHF). Pulmonary edema severity labels from the associated radiology reports were extracted from patients with CHF as four different ordinal levels: 0, no edema; 1, vascular conges…
The results of chest X-ray (CXR) analysis of 2D images to get the statistically reliable predictions (availability of tuberculosis) by computer-aided diagnosis (CADx) on the basis of deep learning are presented. They demonstrate the efficiency of lung segmentation, lossless and lossy data augmentation for CADx of tuberculosis by deep convolutional neural network (CNN) applied to the small and not well-balanced dataset even. CNN demonstrates ability to train (despite overfitting) on the pre-processed dataset obtained after lung segmentation in contrast to the original not-segmented dataset. Los…
Indian Institute of Technology Delhi(印度德里理工学院);Teleradiology Solutions(远程放射学解决方案公司);CSIR-Institute of Genomics and Integrative Biology(CSIR基因组学与整合生物学研究所);Christian Medical College(基督教医学院)
Background and Objective: Tuberculosis (TB) is a significant public health issue and a leading cause of death worldwide. Millions of deaths can be averted by early diagnosis and successful treatment of TB patients. Automated diagnosis of TB holds vast potential to assist medical experts in expediting and improving its diagnosis, especially in developing countries like India, where there is a shortage of trained medical experts and radiologists. To date, several deep learning based methods for automated detection of TB from chest radiographs have been proposed. However, the performance of a few…
University of Dhaka(达卡大学);Qatar University(卡塔尔大学);Bangabandhu Sheikh Mujib Medical University(邦班杜·谢赫·穆吉布医科大学);Hamad General Hospital(哈马德综合医院);Weill Cornell Medicine – Qatar(威尔康奈尔医学院卡塔尔分校);Universiti Kebangsaan Malaysia(马来西亚国民大学);North South University(北南大学);College of Engineering, Qatar University(卡塔尔大学工程学院)
Tuberculosis (TB) is a chronic lung disease that occurs due to bacterial infection and is one of the top 10 leading causes of death. Accurate and early detection of TB is very important, otherwise, it could be life-threatening. In this work, we have detected TB reliably from the chest X-ray images using image pre-processing, data augmentation, image segmentation, and deep-learning classification techniques. Several public databases were used to create a database of 700 TB infected and 3500 normal chest X-ray images for this study. Nine different deep CNNs (ResNet18, ResNet50, ResNet101, ChexNe…
With more than 60,000 deaths annually in the United States, Pulmonary Embolism (PE) is among the most fatal cardiovascular diseases. It is caused by an artery blockage in the lung; confirming its presence is time-consuming and is prone to over-diagnosis. The utilization of automated PE detection systems is critical for diagnostic accuracy and efficiency. In this study we propose a two-stage attention-based CNN-LSTM network for predicting PE, its associated type (chronic, acute) and corresponding location (leftsided, rightsided or central) on computed tomography (CT) examinations. We trained ou…
Stop TB Partnership(遏制结核病伙伴关系);International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)(孟加拉国国际腹泻病研究中心)
Artificial intelligence (AI) products can be trained to recognize tuberculosis (TB)-related abnormalities on chest radiographs. Various AI products are available commercially, yet there is lack of evidence on how their performance compared with each other and with radiologists. We evaluated five AI software products for screening and triaging TB using a large dataset that had not been used to train any commercial AI products. Individuals (>=15 years old) presenting to three TB screening centers in Dhaka, Bangladesh, were recruited consecutively. All CXR were read independently by a group of th…
National Library of Medicine, National Institutes of Health(美国国立卫生研究院国家医学图书馆);Clinical Center, National Institutes of Health(美国国立卫生研究院临床中心);Saint Louis University(圣路易斯大学)
Chest X-rays are the most commonly performed diagnostic examination to detect cardiopulmonary abnormalities. However, the presence of bony structures such as ribs and clavicles can obscure subtle abnormalities, resulting in diagnostic errors. This study aims to build a deep learning-based bone suppression model that identifies and removes these occluding bony structures in frontal CXRs to assist in reducing errors in radiological interpretation, including DL workflows, related to detecting manifestations consistent with tuberculosis (TB). Several bone suppression models with various deep archi…
Massachusetts Institute of Technology(麻省理工学院);Philips Research North America(飞利浦北美研究院);Beth Israel Deaconess Medical Center, Harvard Medical School(哈佛医学院贝斯以色列女执事医疗中心)
We propose and demonstrate a novel machine learning algorithm that assesses pulmonary edema severity from chest radiographs. While large publicly available datasets of chest radiographs and free-text radiology reports exist, only limited numerical edema severity labels can be extracted from radiology reports. This is a significant challenge in learning such models for image classification. To take advantage of the rich information present in the radiology reports, we develop a neural network model that is trained on both images and free-text to assess pulmonary edema severity from chest radiog…
Advancing Diagnostic Precision: Leveraging Machine Learning Techniques for Accurate Detection of Covid-19, Pneumonia, and Tuberculosis in Chest X-Ray Images
Massachusetts Institute of Technology(麻省理工学院);Philips Research North America(飞利浦北美研究院);Beth Israel Deaconess Medical Center(贝斯以色列女执事医疗中心);Harvard Medical School(哈佛医学院);Brigham and Women’s Hospital(布莱根妇女医院)
We propose and demonstrate machine learning algorithms to assess the severity of pulmonary edema in chest x-ray images of congestive heart failure patients. Accurate assessment of pulmonary edema in heart failure is critical when making treatment and disposition decisions. Our work is grounded in a large-scale clinical dataset of over 300,000 x-ray images with associated radiology reports. While edema severity labels can be extracted unambiguously from a small fraction of the radiology reports, accurate annotation is challenging in most cases. To take advantage of the unlabeled images, we deve…
VUNO Inc.(VUNO公司);Imperial College London(帝国理工学院);Asan Medical Center(峨山医疗中心);University of Ulsan(蔚山大学)
Generating large quantities of quality labeled data in medical imaging is very time consuming and expensive. The performance of supervised algorithms for various tasks on imaging has improved drastically over the years, however the availability of data to train these algorithms have become one of the main bottlenecks for implementation. To address this, we propose a semi-supervised learning method where pseudo-negative labels from unlabeled data are used to further refine the performance of a pulmonary nodule detection network in chest radiographs. After training with the proposed network, the…
Google Health(谷歌健康);Advanced Clinical(先进临床);Apollo Radiology International(阿波罗国际放射学);Center of Infectious Disease Research in Zambia(赞比亚传染病研究中心);Sibanye Stillwater(斯班耶-斯蒂尔沃特);Clickmedix
Tuberculosis (TB) is a top-10 cause of death worldwide. Though the WHO recommends chest radiographs (CXRs) for TB screening, the limited availability of CXR interpretation is a barrier. We trained a deep learning system (DLS) to detect active pulmonary TB using CXRs from 9 countries across Africa, Asia, and Europe, and utilized large-scale CXR pretraining, attention pooling, and noisy student semi-supervised learning. Evaluation was on (1) a combined test set spanning China, India, US, and Zambia, and (2) an independent mining population in South Africa. Given WHO targets of 90% sensitivity an…
Radboud University Medical Center(拉德堡德大学医学中心);Community Health Solutions(社区健康解决方案公司);Interactive Research and Development(互动研究与发展机构);The Indus Health Network(印度河健康网络);Thirona(Thirona公司);Universal Delft Ltd.(代尔夫特环球有限公司)
There is a growing interest in the automated analysis of chest X-Ray (CXR) as a sensitive and inexpensive means of screening susceptible populations for pulmonary tuberculosis. In this work we evaluate the latest version of CAD4TB, a commercial software platform designed for this purpose. Version 6 of CAD4TB was released in 2018 and is here tested on a fully independent dataset of 5565 CXR images with GeneXpert (Xpert) sputum test results available (854 Xpert positive subjects). A subset of 500 subjects (50% Xpert positive) was reviewed and annotated by 5 expert observers independently to obta…
The use of ImageNet pre-trained networks is becoming widespread in the medical imaging community. It enables training on small datasets, commonly available in medical imaging tasks. The recent emergence of a large Chest X-ray dataset opened the possibility for learning features that are specific to the X-ray analysis task. In this work, we demonstrate that the features learned allow for better classification results for the problem of Tuberculosis detection and enable generalization to an unseen dataset. To accomplish the task of feature learning, we train a DenseNet-121 CNN on 112K images fro…
Scientific Computing and Imaging Institute, University of Utah(犹他大学科学计算与成像研究所);Department of Radiology and Imaging Sciences, University of Utah(犹他大学放射学与影像科学系)
Knowledge of what spatial elements of medical images deep learning methods use as evidence is important for model interpretability, trustiness, and validation. There is a lack of such techniques for models in regression tasks. We propose a method, called visualization for regression with a generative adversarial network (VR-GAN), for formulating adversarial training specifically for datasets containing regression target values characterizing disease severity. We use a conditional generative adversarial network where the generator attempts to learn to shift the output of a regressor through cre…
Suppression of thoracic bone shadows on chest X-rays (CXRs) has been indicated to improve the diagnosis of pulmonary disease. Previous approaches can be categorized as unsupervised physical and supervised deep learning models. Nevertheless, with physical models able to preserve morphological details but at the cost of extremely long processing time, existing DL methods face challenges of gathering sufficient/qualitative ground truth (GT) for robust training, thus leading to failure in maintaining clinically acceptable false positive rates. We hereby propose a generalizable yet efficient workfl…
AI Research Group, Institute of Mathematics(人工智能研究组,数学研究所);Eötvös Loránd University(罗兰大学)
Chest X-ray is the most common test among medical imaging modalities. It is applied for detection and differentiation of, among others, lung cancer, tuberculosis, and pneumonia, the last with importance due to the COVID-19 disease. Integrating computer-aided detection methods into the radiologist diagnostic pipeline, greatly reduces the doctors' workload, increasing reliability and quantitative analysis. Here we present a novel deep learning approach for lung segmentation, a basic, but arduous task in the diagnostic pipeline. Our method uses state-of-the-art fully convolutional neural networks…
National Yang Ming Chiao Tung University(国立阳明交通大学);National Cheng Kung University Hospital(国立成功大学医院);National Cheng Kung University(国立成功大学)
The clinical symptoms of pulmonary embolism (PE) are very diverse and non-specific, which makes it difficult to diagnose. In addition, pulmonary embolism has multiple triggers and is one of the major causes of vascular death. Therefore, if it can be detected and treated quickly, it can significantly reduce the risk of death in hospitalized patients. In the detection process, the cost of computed tomography pulmonary angiography (CTPA) is high, and angiography requires the injection of contrast agents, which increase the risk of damage to the patient. Therefore, this study will use a deep learn…
National Tsing Hua University(国立清华大学);Massachusetts Institute of Technology(麻省理工学院);Emory University(埃默里大学);Beth Israel Deaconess Medical Center(贝斯以色列女执事医疗中心);Emory University School of Medicine(埃默里大学医学院)
Chronic obstructive pulmonary disease (COPD) is one of the most common chronic illnesses in the world and the third leading cause of mortality worldwide. It is often underdiagnosed or not diagnosed until later in the disease course. Spirometry tests are the gold standard for diagnosing COPD but can be difficult to obtain, especially in resource-poor countries. Chest X-rays (CXRs), however, are readily available and may serve as a screening tool to identify patients with COPD who should undergo further testing. Currently, no research applies deep learning (DL) algorithms that use large multi-si…
National Research Council Canada(加拿大国家研究委员会);University of Waterloo(滑铁卢大学);Ford Motor Company(福特汽车公司)
Chest radiography is an effective screening tool for diagnosing pulmonary diseases. In computer-aided diagnosis, extracting the relevant region of interest, i.e., isolating the lung region of each radiography image, can be an essential step towards improved performance in diagnosing pulmonary disorders. Methods: In this work, we propose a deep learning approach to enhance abnormal chest x-ray (CXR) identification performance through segmentations. Our approach is designed in a cascaded manner and incorporates two modules: a deep neural network with criss-cross attention modules (XLSor) for loc…
MEDPSeg: Hierarchical polymorphic multitask learning for the segmentation of ground-glass opacities, consolidation, and pulmonary structures on computed tomography
School of Electrical and Computer Engineering, Universidade Estadual de Campinas(坎皮纳斯州立大学电气与计算机工程学院);University of Iowa(爱荷华大学)
Bharti School of Telecommunications Technology & Management, Indian Institute of Technology Delhi(印度理工学院德里分校巴蒂电信技术与管理学院);Teleradiology Solutions(远程放射学解决方案公司);CSIR-Institute of Genomics and Integrative Biology(CSIR基因组学与整合生物学研究所);Christian Medical College, Vellore(韦洛尔基督教医学院)
A chest radiograph, commonly called chest x-ray (CxR), plays a vital role in the diagnosis of various lung diseases, such as lung cancer, tuberculosis, pneumonia, and many more. Automated segmentation of the lungs is an important step to design a computer-aided diagnostic tool for examination of a CxR. Precise lung segmentation is considered extremely challenging because of variance in the shape of the lung caused by health issues, age, and gender. The proposed work investigates the use of an efficient deep convolutional neural network for accurate segmentation of lungs from CxR. We attempt an…
Detection of pulmonary pathologies using convolutional neural networks, Data Augmentation, ResNet50 and Vision Transformers
Universidad Abierta Interamericana(泛美开放大学);Faculty of Information Technology(信息技术学院);Center for Advanced Studies in Information Technology(信息技术高级研究中心);Interamerican Open University(泛美开放大学)
Indian Institute of Technology Kharagpur(印度理工学院卡哈拉格普尔分校);Apollo Gleneagles Hospital(阿波罗格伦伊格尔斯医院);Intel Technology India Pvt. Ltd.(英特尔技术印度私人有限公司)
Chest radiographs are primarily employed for the screening of cardio, thoracic and pulmonary conditions. Machine learning based automated solutions are being developed to reduce the burden of routine screening on Radiologists, allowing them to focus on critical cases. While recent efforts demonstrate the use of ensemble of deep convolutional neural networks(CNN), they do not take disease comorbidity into consideration, thus lowering their screening performance. To address this issue, we propose a Graph Neural Network (GNN) based solution to obtain ensemble predictions which models the dependen…
Objectives: To compare artificial intelligence (AI) as a second reader in detecting lung nodules on chest X-rays (CXR) versus radiologists of two binational institutions, and to evaluate AI performance when using two different modes: automated versus assisted (additional remote radiologist review). Methods: The CXR public database (n = 247) of the Japanese Society of Radiological Technology with various types and sizes of lung nodules was analyzed. Eight radiologists evaluated the CXR images with regard to the presence of lung nodules and nodule conspicuity. After radiologist review, the AI so…
Charité Universitätsmedizin Berlin(柏林夏里特医学院);Technische Universität München(慕尼黑工业大学)
Segmentation of pulmonary infiltrates can help assess severity of COVID-19, but manual segmentation is labor and time-intensive. Using neural networks to segment pulmonary infiltrates would enable automation of this task. However, training a 3D U-Net from computed tomography (CT) data is time- and resource-intensive. In this work, we therefore developed and tested a solution on how transfer learning can be used to train state-of-the-art segmentation models on limited hardware and in shorter time. We use the recently published RSNA International COVID-19 Open Radiology Database (RICORD) to trai…
We developed a deep learning model-based system to automatically generate a quantitative Computed Tomography (CT) diagnostic report for Pulmonary Tuberculosis (PTB) cases.501 CT imaging datasets from 223 patients with active PTB were collected, and another 501 cases from a healthy population served as negative samples.2884 lesions of PTB were carefully labeled and classified manually by professional radiologists.Three state-of-the-art 3D convolution neural network (CNN) models were trained and evaluated in the inspection of PTB CT images. Transfer learning method was also utilized during this …
Total lung volume is an important quantitative biomarker and is used for the assessment of restrictive lung diseases. In this study, we investigate the performance of several deep-learning approaches for automated measurement of total lung volume from chest radiographs. 7621 posteroanterior and lateral view chest radiographs (CXR) were collected from patients with chest CT available. Similarly, 928 CXR studies were chosen from patients with pulmonary function test (PFT) results. The reference total lung volume was calculated from lung segmentation on CT or PFT data, respectively. This dataset …
Comparative Analysis of Deep Learning Architectures for Multi-Disease Classification of Single-Label Chest X-rays
Department of Computer Science, College of Science, Charmo University(查莫大学计算机科学系,科学学院);Department of Software Engineering, University of Raparin(拉帕林大学软件工程系)
Convolutional neural networks (CNN) are now being widely used for classifying and detecting pulmonary abnormalities in chest radiographs. Two complementary generalization properties of CNNs, translation invariance and equivariance, are particularly useful in detecting manifested abnormalities associated with pulmonary disease, regardless of their spatial locations within the image. However, these properties also come with the loss of exact spatial information and global relative positions of abnormalities detected in local regions. Global relative positions of such abnormalities may help disti…
With COVID-19 cases rising rapidly, deep learning has emerged as a promising diagnosis technique. However, identifying the most accurate models to characterize COVID-19 patients is challenging because comparing results obtained with different types of data and acquisition processes is non-trivial. In this paper we designed, evaluated, and compared the performance of 20 convolutional neutral networks in classifying patients as COVID-19 positive, healthy, or suffering from other pulmonary lung infections based on Chest CT scans, serving as the first to consider the EfficientNet family for COVID-…