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 study, we present an automatic COVID-19 diagnostic and severity prediction (COVIDX) system that uses deep feature maps from CXR images to diagnose COVID-19 and its severity prediction. The proposed system uses a three-phase classification approach (healthy vs unhealthy, COVID-19 vs Pneumonia, and COVID-19 severity) using different shallow supervised classification algorithms. We evaluated COVIDX not only through 10-fold cross2 validation and by using an external validation dataset but also in real settings by involving an experienced radiologist. In all the evaluation settings, COVIDX outperforms all the existing stateof-the-art methods designed for this purpose. We made COVIDX easily accessible through a cloud-based webserver and python code available at https://sites.google.com/view/wajidarshad/software and https://github.com/wajidarshad/covidx, respectively.
University of Waterloo（滑铁卢大学）；Waterloo AI Institute（滑铁卢人工智能研究院）；DarwinAI Corp.（达尔文人工智能公司）
After more than two years since the beginning of the COVID-19 pandemic, the pressure of this crisis continues to devastate globally. The use of chest X-ray (CXR) imaging as a complementary screening strategy to RT-PCR testing is not only prevailing but has greatly increased due to its routine clinical use for respiratory complaints. Thus far, many visual perception models have been proposed for COVID-19 screening based on CXR imaging. Nevertheless, the accuracy and the generalization capacity of these models are very much dependent on the diversity and the size of the dataset they were trained…
University of Waterloo（滑铁卢大学）；Waterloo Artificial Intelligence Institute（滑铁卢人工智能研究所）；DarwinAI Corp.（达尔文人工智能公司）
The COVID-19 pandemic continues to have a devastating effect on the health and well-being of the global population. A critical step in the fight against COVID-19 is effective screening of infected patients, with one of the key screening approaches being radiology examination using chest radiography. Motivated by this and inspired by the open source efforts of the research community, in this study we introduce COVID-Net, a deep convolutional neural network design tailored for the detection of COVID-19 cases from chest X-ray (CXR) images that is open source and available to the general public. T…
Vision Transformer-based Model for Severity Quantification of Lung Pneumonia Using Chest X-ray Images
University of the Basque Country（巴斯克大学）；IKERBASQUE；Ho Chi Minh City Open University（胡志明市开放大学）；University of Strasbourg（斯特拉斯堡大学）；INSERM（法国国家健康与医学研究院）；Université de Haute-Alsace（上阿尔萨斯大学）
本文提出 ViTReg-IP，一种由 ViT 与回归头构成的轻量模型，用于根据胸部 X 光量化 COVID-19 等肺病严重程度，并在多来源数据集上验证其低成本、高性能与泛化性。
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…
National Institute of Technology Delhi（德里国家技术学院）；Indian Institute of Technology, Roorkee（印度理工学院鲁尔基分校）
Biomedical imaging analysis combined with artificial intelligence (AI) methods has proven to be quite valuable in order to diagnose COVID-19. So far, various classification models have been used for diagnosing COVID-19. However, classification of patients based on their severity level is not yet analyzed. In this work, we classify covid images based on the severity of the infection. First, we pre-process the X-ray images using a median filter and histogram equalization. Enhanced X-ray images are then augmented using SMOTE technique for achieving a balanced dataset. Pre-trained Resnet50, VGG16 …
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…
Korea Advanced Institute of Science and Technology (KAIST)（韩国科学技术院）；Asan Medical Center, University of Ulsan College of Medicine（蔚山大学医学院峨山医学中心）；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）
Developing a robust algorithm to diagnose and quantify the severity of COVID-19 using Chest X-ray (CXR) requires a large number of well-curated COVID-19 datasets, which is difficult to collect under the global COVID-19 pandemic. On the other hand, CXR data with other findings are abundant. This situation is ideally suited for the Vision Transformer (ViT) architecture, where a lot of unlabeled data can be used through structural modeling by the self-attention mechanism. However, the use of existing ViT is not optimal, since feature embedding through direct patch flattening or ResNet backbone in…
University of Leeds（利兹大学）；Leeds Teaching Hospitals NHS Trust（利兹教学医院 NHS 信托基金）
Since the emergence of COVID-19, deep learning models have been developed to identify COVID-19 from chest X-rays. With little to no direct access to hospital data, the AI community relies heavily on public data comprising numerous data sources. Model performance results have been exceptional when training and testing on open-source data, surpassing the reported capabilities of AI in pneumonia-detection prior to the COVID-19 outbreak. In this study impactful models are trained on a widely used open-source data and tested on an external test set and a hospital dataset, for the task of classifyin…
Expert Uncertainty and Severity Aware Chest X-Ray Classification by Multi-Relationship Graph Learning
University of Texas at Arlington（德克萨斯大学阿灵顿分校）；RIKEN（理化学研究所）；University of Tokyo（东京大学）；National Institute of Health Clinical Center（美国国立卫生研究院临床中心）；National Cancer Center Research Institute（国立癌症研究中心研究所）
University of Waterloo（滑铁卢大学）；Waterloo AI Institute（滑铁卢人工智能研究所）；DarwinAI Corp.（达尔文人工智能公司）
Computed tomography (CT) has been widely explored as a COVID-19 screening and assessment tool to complement RT-PCR testing. To assist radiologists with CT-based COVID-19 screening, a number of computer-aided systems have been proposed. However, many proposed systems are built using CT data which is limited in both quantity and diversity. Motivated to support efforts in the development of machine learning-driven screening systems, we introduce COVIDx CT-3, a large-scale multinational benchmark dataset for detection of COVID-19 cases from chest CT images. COVIDx CT-3 includes 431,205 CT slices f…
Charles Sturt University（查尔斯特大学）；University of Technology Sydney（悉尼科技大学）；Wollongong Hospital（伍伦贡医院）
The application of computer vision for COVID-19 diagnosis is complex and challenging, given the risks associated with patient misclassifications. Arguably, the primary value of medical imaging for COVID-19 lies rather on patient prognosis. Radiological images can guide physicians assessing the severity of the disease, and a series of images from the same patient at different stages can help to gauge disease progression. Hence, a simple method based on lung-pathology interpretable features for scoring disease severity from Chest X-rays is proposed here. As the primary contribution, this method …
University of Waterloo（滑铁卢大学）；DarwinAI Corp.（DarwinAI公司）；Niagara Health（尼亚加拉医疗）；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（北部安大略医学院）
The world is still struggling in controlling and containing the spread of the COVID-19 pandemic caused by the SARS-CoV-2 virus. The medical conditions associated with SARS-CoV-2 infections have resulted in a surge in the number of patients at clinics and hospitals, leading to a significantly increased strain on healthcare resources. As such, an important part of managing and handling patients with SARS-CoV-2 infections within the clinical workflow is severity assessment, which is often conducted with the use of chest x-ray (CXR) images. In this work, we introduce COVID-Net CXR-S, a convolution…
Toronto Rehabilitation Institute, University Health Network（多伦多康复研究所，大学健康网络）；University of Toronto（多伦多大学）；University of Manitoba（曼尼托巴大学）
The current COVID-19 pandemic is now getting contained, albeit at the cost of morethan2.3million human lives. A critical phase in any pandemic is the early detection of cases to develop preventive treatments and strategies. In the case of COVID-19,several studies have indicated that chest radiography images of the infected patients show characteristic abnormalities. However, at the onset of a given pandemic, such asCOVID-19, there may not be sufficient data for the affected cases to train models for their robust detection. Hence, supervised classification is ill-posed for this problem because …
Recent developments in medical imaging with Deep Learning presents evidence of automated diagnosis and prognosis. It can also be a complement to currently available diagnosis methods. Deep Learning can be leveraged for diagnosis, severity prediction, intubation support prediction and many similar tasks. We present prediction of intubation support requirement for patients from the Chest X-ray using Deep representation learning. We release our source code publicly at https://github.com/aniketmaurya/covid-research.
National Institute of Technology Delhi（德里国家理工学院）；Indian Institute of Technology, Roorkee（鲁尔基印度理工学院）
Background and Objective: During pandemics, the use of artificial intelligence (AI) approaches combined with biomedical science play a significant role in reducing the burden on the healthcare systems and physicians. The rapid increment in cases of COVID-19 has led to an increase in demand for hospital beds and other medical equipment. However, since medical facilities are limited, it is recommended to diagnose patients as per the severity of the infection. Keeping this in mind, we share our research in detecting COVID-19 as well as assessing its severity using chest-CT scans and Deep Learning…
São Paulo State University (UNESP)（圣保罗州立大学（UNESP））
COVID-19 quickly became a global pandemic after only four months of its first detection. It is crucial to detect this disease as soon as possible to decrease its spread. The use of chest X-ray (CXR) images became an effective screening strategy, complementary to the reverse transcription-polymerase chain reaction (RT-PCR). Convolutional neural networks (CNNs) are often used for automatic image classification and they can be very useful in CXR diagnostics. In this paper, 21 different CNN architectures are tested and compared in the task of identifying COVID-19 in CXR images. They were applied t…
National Institute of Technology Karnataka（卡纳塔克邦国立理工学院）；Kasturba Medical College and Hospital, Manipal（马尼帕尔卡斯图巴医学院及医院）；Manipal Academy of Higher Education（马尼帕尔高等教育学院）；J.S.S. Medical College, Mysore（迈索尔J.S.S.医学院）；JSS Academy of Higher Education and Research（JSS高等教育与研究学院）
The world is going through a challenging phase due to the disastrous effect caused by the COVID-19 pandemic on the healthcare system and the economy. The rate of spreading, post-COVID-19 symptoms, and the occurrence of new strands of COVID-19 have put the healthcare systems in disruption across the globe. Due to this, the task of accurately screening COVID-19 cases has become of utmost priority. Since the virus infects the respiratory system, Chest X-Ray is an imaging modality that is adopted extensively for the initial screening. We have performed a comprehensive study that uses CXR images to…
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…
Bangladesh University of Engineering and Technology（孟加拉国工程技术大学）；The University of Texas at Dallas（德克萨斯大学达拉斯分校）
Rapid and precise diagnosis of COVID-19 is one of the major challenges faced by the global community to control the spread of this overgrowing pandemic. In this paper, a hybrid neural network is proposed, named CovTANet, to provide an end-to-end clinical diagnostic tool for early diagnosis, lesion segmentation, and severity prediction of COVID-19 utilizing chest computer tomography (CT) scans. A multi-phase optimization strategy is introduced for solving the challenges of complicated diagnosis at a very early stage of infection, where an efficient lesion segmentation network is optimized initi…
In this work we design an end-to-end deep learning architecture for predicting, on Chest X-rays images (CXR), a multi-regional score conveying the degree of lung compromise in COVID-19 patients. Such semi-quantitative scoring system, namely Brixia~score, is applied in serial monitoring of such patients, showing significant prognostic value, in one of the hospitals that experienced one of the highest pandemic peaks in Italy. To solve such a challenging visual task, we adopt a weakly supervised learning strategy structured to handle different tasks (segmentation, spatial alignment, and score est…
An Ordinal Regression Framework for a Deep Learning Based Severity Assessment for Chest Radiographs
RWTH Aachen University Hospital（亚琛工业大学医院）；Visual Computing Institute, RWTH Aachen University（亚琛工业大学视觉计算研究所）；Institute of Medical Informatics, RWTH Aachen University Hospital（亚琛工业大学医院医学信息学研究所）；Department of Oral and Maxillofacial Surgery, RWTH Aachen University Hospital（亚琛工业大学医院口腔颌面外科）
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…
Qatar University（卡塔尔大学）；Bangladesh University of Engineering and Technology（孟加拉国工程技术大学）；Reem Medical Center（Reem医疗中心）；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）
Coronavirus disease 2019 (COVID-19) has been the main agenda of the whole world, since it came into sight in December 2019 as it has significantly affected the world economy and healthcare system. Given the effects of COVID-19 on pulmonary tissues, chest radiographic imaging has become a necessity for screening and monitoring the disease. Numerous studies have proposed Deep Learning approaches for the automatic diagnosis of COVID-19. Although these methods achieved astonishing performance in detection, they have used limited chest X-ray (CXR) repositories for evaluation, usually with a few hun…
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…
Melbourne Data Analytics Platform（墨尔本数据分析平台）；University of Melbourne（墨尔本大学）
Deep learning has been used to assist in the analysis of medical imaging. One such use is the classification of Computed Tomography (CT) scans when detecting for COVID-19 in subjects. This paper presents Cov3d, a three dimensional convolutional neural network for detecting the presence and severity of COVID19 from chest CT scans. Trained on the COV19-CT-DB dataset with human expert annotations, it achieves a macro f1 score of 0.9476 on the validation set for the task of detecting the presence of COVID19. For the task of classifying the severity of COVID19, it achieves a macro f1 score of 0.755…
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…
In this work, we estimate the severity of pneumonia in COVID-19 patients and conduct a longitudinal study of disease progression. To achieve this goal, we developed a deep learning model for simultaneous detection and segmentation of pneumonia in chest Xray (CXR) images and generalized to COVID-19 pneumonia. The segmentations were utilized to calculate a "Pneumonia Ratio" which indicates the disease severity. The measurement of disease severity enables to build a disease extent profile over time for hospitalized patients. To validate the model relevance to the patient monitoring task, we devel…
Andalusian Research Institute in Data Science and Computational Intelligence（安达卢西亚数据科学与计算智能研究所）；University of Granada（格拉纳达大学）；University of Vigo（维戈大学）；University of Alicante（阿利坎特大学）
Currently, Coronavirus disease (COVID-19), one of the most infectious diseases in the 21st century, is diagnosed using RT-PCR testing, CT scans and/or Chest X-Ray (CXR) images. CT (Computed Tomography) scanners and RT-PCR testing are not available in most medical centers and hence in many cases CXR images become the most time/cost effective tool for assisting clinicians in making decisions. Deep learning neural networks have a great potential for building COVID-19 triage systems and detecting COVID-19 patients, especially patients with low severity. Unfortunately, current databases do not allo…
National Institutes of Health, Clinical Center（美国国立卫生研究院临床中心）；Ping An Technology Co., Ltd.（平安科技有限公司）
In this work, we exploit the task of joint classification and weakly supervised localization of thoracic diseases from chest radiographs, with only image-level disease labels coupled with disease severity-level (DSL) information of a subset. A convolutional neural network (CNN) based attention-guided curriculum learning (AGCL) framework is presented, which leverages the severity-level attributes mined from radiology reports. Images in order of difficulty (grouped by different severity-levels) are fed to CNN to boost the learning gradually. In addition, highly confident samples (measured by cla…
Stony Brook University（石溪大学）；Newark Beth Israel Medical Center（纽瓦克贝丝以色列医疗中心）；University Hospitals Cleveland Medical Center（大学医院克利夫兰医疗中心）
We predict mechanical ventilation requirement and mortality using computational modeling of chest radiographs (CXRs) for coronavirus disease 2019 (COVID-19) patients. This two-center, retrospective study analyzed 530 deidentified CXRs from 515 COVID-19 patients treated at Stony Brook University Hospital and Newark Beth Israel Medical Center between March and August 2020. DL and machine learning classifiers to predict mechanical ventilation requirement and mortality were trained and evaluated using patient CXRs. A novel radiomic embedding framework was also explored for outcome prediction. All …
Decision support tools that rely on supervised learning require large amounts of expert annotations. Using past radiological reports obtained from hospital archiving systems has many advantages as training data above manual single-class labels: they are expert annotations available in large quantities, covering a population-representative variety of pathologies, and they provide additional context to pathology diagnoses, such as anatomical location and severity. Learning to auto-generate such reports from images present many challenges such as the difficulty in representing and generating long…
COVID-19 Infection Map Generation and Detection from Chest X-Ray Images
Tampere University（坦佩雷大学）；Qatar University（卡塔尔大学）；Reem Medical Center（里姆医疗中心）；Hamad Medical Corporation Hospital（哈马德医疗公司医院）；Weill Cornell Medicine - Qatar（威尔康奈尔医学院卡塔尔分校）
Intelligent Medical Image Computing Systems (IMICS) Lab（智能医学影像计算系统实验室）；The Hospital for Sick Children（病童医院）；University of Toronto（多伦多大学）
COVID-19 spread across the globe at an immense rate has left healthcare systems incapacitated to diagnose and test patients at the needed rate. Studies have shown promising results for detection of COVID-19 from viral bacterial pneumonia in chest X-rays. Automation of COVID-19 testing using medical images can speed up the testing process of patients where health care systems lack sufficient numbers of the reverse-transcription polymerase chain reaction (RT-PCR) tests. Supervised deep learning models such as convolutional neural networks (CNN) need enough labeled data for all classes to correct…
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）
Bangladesh University of Engineering and Technology（孟加拉国工程技术大学）；Princeton University（普林斯顿大学）
Automatic lung lesions segmentation of chest CT scans is considered a pivotal stage towards accurate diagnosis and severity measurement of COVID-19. Traditional U-shaped encoder-decoder architecture and its variants suffer from diminutions of contextual information in pooling/upsampling operations with increased semantic gaps among encoded and decoded feature maps as well as instigate vanishing gradient problems for its sequential gradient propagation that result in sub-optimal performance. Moreover, operating with 3D CT-volume poses further limitations due to the exponential increase of compu…
The University of Sydney（悉尼大学）；Shanghai Jiao Tong University（上海交通大学）；Shandong First Medical University（山东第一医科大学）；Shandong Academy of Medical Sciences（山东省医学科学院）；Shandong Cancer Hospital and Institute（山东省肿瘤医院）
There is an urgent need for automated methods to assist accurate and effective assessment of COVID-19. Radiology and nucleic acid test (NAT) are complementary COVID-19 diagnosis methods. In this paper, we present an end-to-end multitask learning (MTL) framework (COVID-MTL) that is capable of automated and simultaneous detection (against both radiology and NAT) and severity assessment of COVID-19. COVID-MTL learns different COVID-19 tasks in parallel through our novel random-weighted loss function, which assigns learning weights under Dirichlet distribution to prevent task dominance; our new 3D…
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.…
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…
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…
Universidad de Antioquia（安蒂奥基亚大学）；Johns Hopkins University（约翰斯·霍普金斯大学）；Universidad Politécnica de Madrid（马德里理工大学）
Current standard protocols used in the clinic for diagnosing COVID-19 include molecular or antigen tests, generally complemented by a plain chest X-Ray. The combined analysis aims to reduce the significant number of false negatives of these tests, but also to provide complementary evidence about the presence and severity of the disease. However, the procedure is not free of errors, and the interpretation of the chest X-Ray is only restricted to radiologists due to its complexity. With the long term goal to provide new evidence for the diagnosis, this paper presents an evaluation of different m…
Obtaining automated preliminary read reports for common exams such as chest X-rays will expedite clinical workflows and improve operational efficiencies in hospitals. However, the quality of reports generated by current automated approaches is not yet clinically acceptable as they cannot ensure the correct detection of a broad spectrum of radiographic findings nor describe them accurately in terms of laterality, anatomical location, severity, etc. In this work, we present a domain-aware automatic chest X-ray radiology report generation algorithm that learns fine-grained description of findings…
Qatar University（卡塔尔大学）；North South University（北南大学）；University of South Carolina（南卡罗来纳大学）；Hamad General Hospital（哈马德综合医院）；AFG College with the University of Aberdeen（阿伯丁大学AFG学院）
Fast and accurate detection of the disease can significantly help in reducing the strain on the healthcare facility of any country to reduce the mortality during any pandemic. The goal of this work is to create a multimodal system using a novel machine learning framework that uses both Chest X-ray (CXR) images and clinical data to predict severity in COVID-19 patients. In addition, the study presents a nomogram-based scoring technique for predicting the likelihood of death in high-risk patients. This study uses 25 biomarkers and CXR images in predicting the risk in 930 COVID-19 patients admitt…
CIRCA: comprehensible online system in support of chest X-rays-based COVID-19 diagnosis
Silesian University of Technology（西里西亚工业大学）；Medical University of Silesia（西里西亚医科大学）；Voivodship Specialist Hospital（省立专科医院）；Central Clinical Hospital of the Ministry of Internal Affairs and Administration（内政与行政部中央临床医院）；Jagiellonian University Medical College（雅盖隆大学医学院）
Clinical Center（临床中心）；National Library of Medicine（美国国家医学图书馆）；National Institutes of Health（美国国立卫生研究院）
Despite the recent advances in automatically describing image contents, their applications have been mostly limited to image caption datasets containing natural images (e.g., Flickr 30k, MSCOCO). In this paper, we present a deep learning model to efficiently detect a disease from an image and annotate its contexts (e.g., location, severity and the affected organs). We employ a publicly available radiology dataset of chest x-rays and their reports, and use its image annotations to mine disease names to train convolutional neural networks (CNNs). In doing so, we adopt various regularization tech…
University of Waterloo（滑铁卢大学）；DarwinAI Corp.（达尔文人工智能公司）
The coronavirus disease 2019 (COVID-19) pandemic continues to have a tremendous impact on patients and healthcare systems around the world. In the fight against this novel disease, there is a pressing need for rapid and effective screening tools to identify patients infected with COVID-19, and to this end CT imaging has been proposed as one of the key screening methods which may be used as a complement to RT-PCR testing, particularly in situations where patients undergo routine CT scans for non-COVID-19 related reasons, patients with worsening respiratory status or developing complications tha…
University of Copenhagen（哥本哈根大学）；Eindhoven University of Technology（埃因霍温理工大学）；Hvidovre Hospital（维兹奥勒医院）；Bispebjerg Hospital（比斯佩比约医院）；Erasmus MC - University Medical Center Rotterdam（伊拉斯谟医学中心——鹿特丹大学医学中心）
Supervised feature learning using convolutional neural networks (CNNs) can provide concise and disease relevant representations of medical images. However, training CNNs requires annotated image data. Annotating medical images can be a time-consuming task and even expert annotations are subject to substantial inter- and intra-rater variability. Assessing visual similarity of images instead of indicating specific pathologies or estimating disease severity could allow non-experts to participate, help uncover new patterns, and possibly reduce rater variability. We consider the task of assessing e…
Sharif University of Technology（谢里夫理工大学）；Tehran University of Medical Sciences（德黑兰医科大学）；Iran University of Medical Sciences（伊朗医科大学）
COVID-19 is a virus with high transmission rate that demands rapid identification of the infected patients to reduce the spread of the disease. The current gold-standard test, Reverse-Transcription Polymerase Chain Reaction (RT-PCR), has a high rate of false negatives. Diagnosing from CT-scan images as a more accurate alternative has the challenge of distinguishing COVID-19 from other pneumonia diseases. Artificial intelligence can help radiologists and physicians to accelerate the process of diagnosis, increase its accuracy, and measure the severity of the disease. We designed a new interpret…
Enhancing chest X-ray datasets with privacy-preserving large language models and multi-type annotations: a data-driven approach for improved classification
Imaging Biomarkers and Computer-Aided Diagnosis Laboratory, Department of Radiology and Imaging Sciences, National Institutes of Health Clinical Center（影像生物标志物与计算机辅助诊断实验室，放射学与成像科学系，国家卫生研究院临床中心）
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…
University of Alabama（阿拉巴马大学）；University of Engineering & Technology, Peshawar（白沙瓦工程与技术大学）
In the last few months, the novel COVID19 pandemic has spread all over the world. Due to its easy transmission, developing techniques to accurately and easily identify the presence of COVID19 and distinguish it from other forms of flu and pneumonia is crucial. Recent research has shown that the chest Xrays of patients suffering from COVID19 depicts certain abnormalities in the radiography. However, those approaches are closed source and not made available to the research community for re-producibility and gaining deeper insight. The goal of this work is to build open source and open access dat…
For testing patients infected with COVID-19, along with RT-PCR testing, chest radiology images are being used. For the detection of COVID-19 from radiology images, many organizations are proposing the use of Deep Learning. University of Waterloo and DarwinAI, have designed their own Deep Learning model COVIDNet-CT to detect COVID-19 from infected chest CT images. Additionally, they have introduced a CT image dataset COVIDx-CT, from CT images collected by the China National Center for Bioinformation. COVIDx-CT contains 104,009 CT image slices across 1,489 patient cases. After obtaining remarkab…
