Locating lesions is important in the computer-aided diagnosis of X-ray images. However, box-level annotation is time-consuming and laborious. How to locate lesions accurately with few, or even without careful annotations is an urgent problem. Although several works have approached this problem with weakly-supervised methods, the performance needs to be improved. One obstacle is that general weakly-supervised methods have failed to consider the characteristics of X-ray images, such as the highly-structural attribute. We therefore propose the Cross-chest Graph (CCG), which improves the performance of automatic lesion detection by imitating doctor's training and decision-making process. CCG models the intra-image relationship between different anatomical areas by leveraging the structural information to simulate the doctor's habit of observing different areas. Meanwhile, the relationship between any pair of images is modeled by a knowledge-reasoning module to simulate the doctor's habit of comparing multiple images. We integrate intra-image and inter-image information into a unified end-to-end framework. Experimental results on the NIH Chest-14 database (112,120 frontal-view X-ray images with 14 diseases) demonstrate that the proposed method achieves state-of-the-art performance in weakly-supervised localization of lesions by absorbing professional knowledge in the medical field.
Seoul National University（首尔大学）；ASRI；INMC；ISRC；Institute of Engineering Research（工程研究所）
Automated diagnosis using deep neural networks in chest radiography can help radiologists detect life-threatening diseases. However, existing methods only provide predictions without accurate explanations, undermining the trustworthiness of the diagnostic methods. Here, we present XProtoNet, a globally and locally interpretable diagnosis framework for chest radiography. XProtoNet learns representative patterns of each disease from X-ray images, which are prototypes, and makes a diagnosis on a given X-ray image based on the patterns. It predicts the area where a sign of the disease is likely to…
Pneumothorax is a relatively common disease, but in some cases, it may be difficult to find with chest radiography. In this paper, we propose a novel method of detecting pneumothorax in chest radiography. We propose an ensemble model of identical convolutional neural networks (CNN) with three different sizes of radiography images. Conventional methods may not properly characterize lost features while resizing large size images into 256 x 256 or 224 x 224 sizes. Our model is evaluated with ChestX-ray dataset which contains over 100,000 chest radiography images. As a result of the experiment, th…
Imperial College London（帝国理工学院）；Technische Universität München（慕尼黑工业大学）；FAU Erlangen–Nürnberg（埃尔朗根-纽伦堡大学）；National Institutes of Health（美国国立卫生研究院）
Chest radiographs are one of the most common diagnostic modalities in clinical routine. It can be done cheaply, requires minimal equipment, and the image can be diagnosed by every radiologists. However, the number of chest radiographs obtained on a daily basis can easily overwhelm the available clinical capacities. We propose RATCHET: RAdiological Text Captioning for Human Examined Thoraces. RATCHET is a CNN-RNN-based medical transformer that is trained end-to-end. It is capable of extracting image features from chest radiographs, and generates medically accurate text reports that fit seamless…
Convolutional neural networks (ConvNets) are the actual standard for image recognizement and classification. On the present work we develop a Computer Aided-Diagnosis (CAD) system using ConvNets to classify a x-rays chest images dataset in two groups: Normal and Pneumonia. The study uses ConvNets models available on the PyTorch platform: AlexNet, SqueezeNet, ResNet and Inception. We initially use three training styles: complete from scratch using random initialization, using a pre-trained ImageNet model training only the last layer adapted to our problem (transfer learning) and a pre-trained m…
Image representation is a fundamental task in computer vision. However, most of the existing approaches for image representation ignore the relations between images and consider each input image independently. Intuitively, relations between images can help to understand the images and maintain model consistency over related images, leading to better explainability. In this paper, we consider modeling the image-level relations to generate more informative image representations, and propose ImageGCN, an end-to-end graph convolutional network framework for inductive multi-relational image modelin…
Computer-aided techniques may lead to more accurate and more acces-sible diagnosis of thorax diseases on chest radiography. Despite the success of deep learning-based solutions, this task remains a major challenge in smart healthcare, since it is intrinsically a weakly supervised learning problem. In this paper, we incorporate the attention mechanism into a deep convolutional neural network, and thus propose the ChestNet model to address effective diagnosis of thorax diseases on chest radiography. This model consists of two branches: a classification branch serves as a uniform feature extracti…
Convolutional Neural Networks (CNNs) intrinsically requires large-scale data whereas Chest X-Ray (CXR) images tend to be data/annotation-scarce, leading to over-fitting. Therefore, based on our development experience and related work, this paper thoroughly introduces tricks to improve generalization in the CXR diagnosis: how to (i) leverage additional data, (ii) augment/distillate data, (iii) regularize training, and (iv) conduct efficient segmentation. As a development example based on such optimization techniques, we also feature LPIXEL's CNN-based CXR solution, EIRL Chest Nodule, which impr…
Multi-label classification of chest X-ray images is frequently performed using discriminative approaches, i.e. learning to map an image directly to its binary labels. Such approaches make it challenging to incorporate auxiliary information such as annotation uncertainty or a dependency among the labels. Building towards this, we propose a novel knowledge graph reformulation of multi-label classification, which not only readily increases predictive performance of an encoder but also serves as a general framework for introducing new domain knowledge. Specifically, we construct a multi-modal know…
Chest X-ray is one of the most accessible medical imaging technique for diagnosis of multiple diseases. With the availability of ChestX-ray14, which is a massive dataset of chest X-ray images and provides annotations for 14 thoracic diseases; it is possible to train Deep Convolutional Neural Networks (DCNN) to build Computer Aided Diagnosis (CAD) systems. In this work, we experiment a set of deep learning models and present a cascaded deep neural network that can diagnose all 14 pathologies better than the baseline and is competitive with other published methods. Our work provides the quantita…
Brighton and Sussex University Hospitals, NHS Trust（布莱顿和苏塞克斯大学医院国民保健服务信托）；Institute of Theoretical Physics, Chinese Academy of Sciences（中国科学院理论物理研究所）；Alan Turing Institute（艾伦·图灵研究所）；University of Sussex（萨塞克斯大学）
In this paper we present our work to improve access to diagnosis in remote areas where good quality medical services may be lacking. We develop new Machine Learning methodologies for deployment onto mobile devices to help the early diagnosis of a number of life-threatening conditions using X-ray images. By using the latest developments in fast and portable Artificial Intelligence environments, we develop a smartphone app using an Artificial Neural Network to assist physicians in their diagnostic.
There are multiple papers published about different AI models for the COVID-19 diagnosis with promising results. Unfortunately according to the reviews many of the papers do not reach the level of sophistication needed for a clinically usable model. In this paper I go through multiple review papers, guidelines, and other relevant material in order to generate more comprehensive requirements for the future papers proposing a AI based diagnosis of the COVID-19 from chest X-ray data (CXR). Main findings are that a clinically usable AI needs to have an extremely good documentation, comprehensive s…
National University of Sciences and Technology (NUST)（国立科技大学）
Among various medical imaging tools, chest radiographs are the most important and widely used diagnostic tool for detection of thoracic pathologies. Research is being carried out in order to propose robust automatic diagnostic tool for detection of pathologies from chest radiographs. Artificial Intelligence techniques especially deep learning methodologies have found to be giving promising results in automating the field of medicine. Lot of research has been done for automatic and fast detection of pneumothorax from chest radiographs while proposing several frameworks based on artificial intel…
We introduce a new dataset called Synthetic COVID-19 Chest X-ray Dataset for training machine learning models. The dataset consists of 21,295 synthetic COVID-19 chest X-ray images to be used for computer-aided diagnosis. These images, generated via an unsupervised domain adaptation approach, are of high quality. We find that the synthetic images not only improve performance of various deep learning architectures when used as additional training data under heavy imbalance conditions, but also detect the target class with high confidence. We also find that comparable performance can also be achi…
We consider the problem of abnormality localization for clinical applications. While deep learning has driven much recent progress in medical imaging, many clinical challenges are not fully addressed, limiting its broader usage. While recent methods report high diagnostic accuracies, physicians have concerns trusting these algorithm results for diagnostic decision-making purposes because of a general lack of algorithm decision reasoning and interpretability. One potential way to address this problem is to further train these models to localize abnormalities in addition to just classifying them…
Semnan University（塞姆南大学）；Amirkabir University of Technology（阿米尔卡比尔理工大学）
The Coronavirus was detected in Wuhan, China in late 2019 and then led to a pandemic with a rapid worldwide outbreak. The number of infected people has been swiftly increasing since then. Therefore, in this study, an attempt was made to propose a new and efficient method for automatic diagnosis of Corona disease from X-ray images using Deep Neural Networks (DNNs). In the proposed method, the DensNet169 was used to extract the features of the patients' Chest X-Ray (CXR) images. The extracted features were given to a feature selection algorithm (i.e., ANOVA) to select a number of them. Finally, …
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.
Stony Brook University（石溪大学）；Stony Brook University Hospital（石溪大学医院）
Significant work has been done towards deep learning (DL) models for automatic lung and lesion segmentation and classification of COVID-19 on chest CT data. However, comprehensive visualization systems focused on supporting the dual visual+DL diagnosis of COVID-19 are non-existent. We present COVID-view, a visualization application specially tailored for radiologists to diagnose COVID-19 from chest CT data. The system incorporates a complete pipeline of automatic lungs segmentation, localization/ isolation of lung abnormalities, followed by visualization, visual and DL analysis, and measuremen…
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-…
The coronavirus continues to disrupt our everyday lives as it spreads at an exponential rate. It needs to be detected quickly in order to quarantine positive patients so as to avoid further spread. This work proposes a new convolutional neural network (CNN) architecture called 'slow Encoding CNN. The proposed model's best performance wrt Sensitivity, Positive Predictive Value (PPV) found to be SP=0.67, PP=0.98, SN=0.96, and PN=0.52 on AI AGAINST COVID19 - Screening X-ray images for COVID-19 Infections competition's test data samples. SP and PP stand for the Sensitivity and PPV of the COVID-19 …
Deep Learning has established in the latest years as a successful approach to address a great variety of tasks. Healthcare is one of the most promising field of application for Deep Learning approaches since it would allow to help clinicians to analyze patient data and perform diagnoses. However, despite the vast amount of data collected every year in hospitals and other clinical institutes, privacy regulations on sensitive data - such as those related to health - pose a serious challenge to the application of these methods. In this work, we focus on strategies to cope with privacy issues when…
A foundation model for generalizable disease diagnosis in chest X-ray images
Centre for Perceptual and Interactive Intelligence, the Chinese University of Hong Kong（香港中文大学感知与交互智能中心）；Shanghai Artificial Intelligence Laboratory（上海人工智能实验室）；SenseTime Research（商汤科技研究院）；Department of Electronic Engineering, the Chinese University of Hong Kong（香港中文大学电子工程系）
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…
One of the critical tools for early detection and subsequent evaluation of the incidence of lung diseases is chest radiography. This study presents a real-world implementation of a convolutional neural network (CNN) based Carebot Covid app to detect COVID-19 from chest X-ray (CXR) images. Our proposed model takes the form of a simple and intuitive application. Used CNN can be deployed as a STOW-RS prediction endpoint for direct implementation into DICOM viewers. The results of this study show that the deep learning model based on DenseNet and ResNet architecture can detect SARS-CoV-2 from CXR …
National University of Sciences and Technology (NUST)（国家科技大学（NUST））；Jeju National University（济州国立大学）
Pneumothorax, a life threatening disease, needs to be diagnosed immediately and efficiently. The prognosis in this case is not only time consuming but also prone to human errors. So an automatic way of accurate diagnosis using chest X-rays is the utmost requirement. To-date, most of the available medical images datasets have class-imbalance issue. The main theme of this study is to solve this problem along with proposing an automated way of detecting pneumothorax. We first compare the existing approaches to tackle the class-imbalance issue and find that data-level-ensemble (i.e. ensemble of su…
School of Computing and Information Technology, University of Wollongong（卧龙岗大学计算与信息技术学院）
The Coronavirus Disease 2019 (COVID-19) is affecting increasingly large number of people worldwide, posing significant stress to the health care systems. Early and accurate diagnosis of COVID-19 is critical in screening of infected patients and breaking the person-to-person transmission. Chest X-ray (CXR) based computer-aided diagnosis of COVID-19 using deep learning becomes a promising solution to this end. However, the diverse and various radiographic features of COVID-19 make it challenging, especially when considering each CXR scan typically only generates one single image. Data scarcity i…
University of New South Wales（新南威尔士大学）；Inception Institute of Artificial Intelligence（Inception人工智能研究院）；Stanford University（斯坦福大学）
The current pandemic, caused by the outbreak of a novel coronavirus (COVID-19) in December 2019, has led to a global emergency that has significantly impacted economies, healthcare systems and personal wellbeing all around the world. Controlling the rapidly evolving disease requires highly sensitive and specific diagnostics. While real-time RT-PCR is the most commonly used, these can take up to 8 hours, and require significant effort from healthcare professionals. As such, there is a critical need for a quick and automatic diagnostic system. Diagnosis from chest CT images is a promising direct…
Classification of COVID-19 cases from chest CT volumes using hybrid model of 3D CNN and 3D MLP-Mixer
Nagoya University（名古屋大学）；Graduate School of Informatics, Nagoya University（名古屋大学信息学研究科）；Graduate School of Science and Technology, Nara Institute of Science and Technology（奈良先端科学技术大学院大学科学技术研究科）；Research Center for Medical Bigdata, National Institute of Informatics（信息学研究所医疗大数据研究中心）；Keio University School of Medicine（庆应义塾大学医学院）；Juntendo University（顺天堂大学）
Christian Brothers University（基督教兄弟大学）；University of Dayton（代顿大学）
With a Coronavirus disease (COVID-19) case count exceeding 10 million worldwide, there is an increased need for a diagnostic capability. The main variables in increasing diagnostic capability are reduced cost, turnaround or diagnosis time, and upfront equipment cost and accessibility. Two candidates for machine learning COVID-19 diagnosis are Computed Tomography (CT) scans and plain chest X-rays. While CT scans score higher in sensitivity, they have a higher cost, maintenance requirement, and turnaround time as compared to plain chest X-rays. The use of portable chest X-radiograph (CXR) is rec…
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…
We propose an automated method based on deep learning to compute the cardiothoracic ratio and detect the presence of cardiomegaly from chest radiographs. We develop two separate models to demarcate the heart and chest regions in an X-ray image using bounding boxes and use their outputs to calculate the cardiothoracic ratio. We obtain a sensitivity of 0.96 at a specificity of 0.81 with a mean absolute error of 0.0209 on a held-out test dataset and a sensitivity of 0.84 at a specificity of 0.97 with a mean absolute error of 0.018 on an independent dataset from a different hospital. We also compa…
Thoracic diseases are very serious health problems that plague a large number of people. Chest X-ray is currently one of the most popular methods to diagnose thoracic diseases, playing an important role in the healthcare workflow. However, reading the chest X-ray images and giving an accurate diagnosis remain challenging tasks for expert radiologists. With the success of deep learning in computer vision, a growing number of deep neural network architectures were applied to chest X-ray image classification. However, most of the previous deep neural network classifiers were based on deterministi…
According to the considerable growth in the avail of chest X-ray images in diagnosing various diseases, as well as gathering extensive datasets, having an automated diagnosis procedure using deep neural networks has occupied the minds of experts. Most of the available methods in computer vision use a CNN backbone to acquire high accuracy on the classification problems. Nevertheless, recent researches show that transformers, established as the de facto method in NLP, can also outperform many CNN-based models in vision. This paper proposes a multi-label classification deep model based on the Swi…
IIIT-Delhi（印度德里信息技术学院）；IIT Jodhpur（印度焦特布尔理工学院）；Ashwini Hospital（阿什维尼医院）；Ramakant Heart Care Centre（拉马坎特心脏护理中心）；TeleRadiology Solutions（远程放射学解决方案公司）
With increasing number of COVID-19 cases globally, all the countries are ramping up the testing numbers. While the RT-PCR kits are available in sufficient quantity in several countries, others are facing challenges with limited availability of testing kits and processing centers in remote areas. This has motivated researchers to find alternate methods of testing which are reliable, easily accessible and faster. Chest X-Ray is one of the modalities that is gaining acceptance as a screening modality. Towards this direction, the paper has two primary contributions. Firstly, we present the COVID-1…
Instance level detection of thoracic diseases or abnormalities are crucial for automatic diagnosis in chest X-ray images. Most existing works on chest X-rays focus on disease classification and weakly supervised localization. In order to push forward the research on disease classification and localization on chest X-rays. We provide a new benchmark called ChestX-Det10, including box-level annotations of 10 categories of disease/abnormality of $\sim$ 3,500 images. The annotations are located at https://github.com/Deepwise-AILab/ChestX-Det10-Dataset.
University of Turin（都灵大学）；Azienda Ospedaliera Città della Salute e della Scienza Presidio Molinette（健康与科学城医院莫利内特分院）；AOU San Luigi Gonzaga（圣路易吉·贡扎加大学医院）
Early screening of patients is a critical issue in order to assess immediate and fast responses against the spread of COVID-19. The use of nasopharyngeal swabs has been considered the most viable approach; however, the result is not immediate or, in the case of fast exams, sufficiently accurate. Using Chest X-Ray (CXR) imaging for early screening potentially provides faster and more accurate response; however, diagnosing COVID from CXRs is hard and we should rely on deep learning support, whose decision process is, on the other hand, "black-boxed" and, for such reason, untrustworthy. We propos…
Automated segmentation of Lungs plays a crucial role in the computer-aided diagnosis of chest X-Ray (CXR) images. Developing an efficient Lung segmentation model is challenging because of difficulties such as the presence of several edges at the rib cage and clavicle, inconsistent lung shape among different individuals, and the appearance of the lung apex. In this paper, we propose a robust model for Lung segmentation in Chest Radiographs. Our model learns to ignore the irrelevant regions in an input Chest Radiograph while highlighting regions useful for lung segmentation. The proposed model i…
The infection of respiratory coronavirus disease 2019 (COVID-19) starts with the upper respiratory tract and as the virus grows, the infection can progress to lungs and develop pneumonia. The conventional way of COVID-19 diagnosis is reverse transcription polymerase chain reaction (RT-PCR), which is less sensitive during early stages; especially if the patient is asymptomatic, which may further cause more severe pneumonia. In this context, several deep learning models have been proposed to identify pulmonary infections using publicly available chest X-ray (CXR) image datasets for early diagnos…
Cockrell School of Engineering, The University of Texas at Austin（德克萨斯大学奥斯汀分校科克雷尔工程学院）；School of Information, The University of Texas at Austin（德克萨斯大学奥斯汀分校信息学院）；Weill Cornell Medicine（威尔康奈尔医学院）
Chest X-ray becomes one of the most common medical diagnoses due to its noninvasiveness. The number of chest X-ray images has skyrocketed, but reading chest X-rays still have been manually performed by radiologists, which creates huge burnouts and delays. Traditionally, radiomics, as a subfield of radiology that can extract a large number of quantitative features from medical images, demonstrates its potential to facilitate medical imaging diagnosis before the deep learning era. With the rise of deep learning, the explainability of deep neural networks on chest X-ray diagnosis remains opaque. …
