Deep learning semantic segmentation algorithms can localise abnormalities or opacities from chest radiographs. However, the task of collecting and annotating training data is expensive and requires expertise which remains a bottleneck for algorithm performance. We investigate the effect of image augmentations on reducing the requirement of labelled data in the semantic segmentation of chest X-rays for pneumonia detection. We train fully convolutional network models on subsets of different sizes from the total training data. We apply a different image augmentation while training each model and compare it to the baseline trained on the entire dataset without augmentations. We find that rotate and mixup are the best augmentations amongst rotate, mixup, translate, gamma and horizontal flip, wherein they reduce the labelled data requirement by 70% while performing comparably to the baseline in terms of AUC and mean IoU in our experiments.
Kobe University Graduate School of Medicine（神户大学医学院）；Kyoto University Graduate School of Medicine（京都大学医学院）
Purpose: This study aimed to develop and validate computer-aided diagnosis (CXDx) system for classification between COVID-19 pneumonia, non-COVID-19 pneumonia, and the healthy on chest X-ray (CXR) images. Materials and Methods: From two public datasets, 1248 CXR images were obtained, which included 215, 533, and 500 CXR images of COVID-19 pneumonia patients, non-COVID-19 pneumonia patients, and the healthy samples. The proposed CADx system utilized VGG16 as a pre-trained model and combination of conventional method and mixup as data augmentation methods. Other types of pre-trained models were …
Topcon Positioning Systems（拓普康定位系统公司）；University of Michigan（密歇根大学）；Shenzhen Research Institute of Big Data（深圳大数据研究院）
Pneumonia is the leading cause of death among young children and one of the top mortality causes worldwide. The pneumonia detection is usually performed through examine of chest X-ray radiograph by highly-trained specialists. This process is tedious and often leads to a disagreement between radiologists. Computer-aided diagnosis systems showed the potential for improving diagnostic accuracy. In this work, we develop the computational approach for pneumonia regions detection based on single-shot detectors, squeeze-and-excitation deep convolution neural networks, augmentations and multi-task lea…
Hangzhou Dianzi University（杭州电子科技大学）；Communication University of Zhejiang（浙江传媒学院）；University of North Carolina at Chapel Hill（北卡罗来纳大学教堂山分校）；Shanghai Jiao Tong University（上海交通大学）
Coronavirus disease 2019 (COVID-19) is one of the most destructive pandemic after millennium, forcing the world to tackle a health crisis. Automated lung infections classification using chest X-ray (CXR) images could strengthen diagnostic capability when handling COVID-19. However, classifying COVID-19 from pneumonia cases using CXR image is a difficult task because of shared spatial characteristics, high feature variation and contrast diversity between cases. Moreover, massive data collection is impractical for a newly emerged disease, which limited the performance of data thirsty deep learni…
With the advancement in AI, deep learning techniques are widely used to design robust classification models in several areas such as medical diagnosis tasks in which it achieves good performance. In this paper, we have proposed the CNN model (Convolutional Neural Network) for the classification of Chest X-ray images for Radiological Society of North America Pneumonia (RSNA) datasets. The study also tries to achieve the same RSNA benchmark results using the limited computational resources by trying out various approaches to the methodologies that have been implemented in recent years. The propo…
Technische Hochschule Ulm - Ulm University of Applied Sciences（乌尔姆应用技术大学）；Universitätsklinikum Ulm - Ulm University Medical Center（乌尔姆大学医学中心）
Since the beginning of the COVID-19 pandemic, researchers have developed deep learning models to classify COVID-19 induced pneumonia. As with many medical imaging tasks, the quality and quantity of the available data is often limited. In this work we train a deep learning model on publicly available COVID-19 image data and evaluate the model on local hospital chest X-ray data. The data has been reviewed and labeled by two radiologists to ensure a high quality estimation of the generalization capabilities of the model. Furthermore, we are using a Generative Adversarial Network to generate synth…
Deep Learning-Based Pneumonia Detection from Chest X-ray Images: A CNN Approach with Performance Analysis and Clinical Implications
Amity Institute of Bio Technology, Amity University Kolkata（阿米蒂大学加尔各答分校阿米蒂生物技术学院）；Dept of Computer Science, Heritage Institute of Technology, Kolkata（加尔各答遗产技术学院计算机科学系）；School of Engineering and Technology, Amity University Kolkata（阿米蒂大学加尔各答分校工程与技术学院）
Institute of Medical Science, University of Toronto（多伦多大学医学科学研究所）；The Hospital for Sick Children（病童医院）；University Health Network（大学健康网络）；Department of Mechanical and Industrial Engineering, University of Toronto（多伦多大学机械与工业工程系）
Successful training of convolutional neural networks (CNNs) requires a substantial amount of data. With small datasets networks generalize poorly. Data Augmentation techniques improve the generalizability of neural networks by using existing training data more effectively. Standard data augmentation methods, however, produce limited plausible alternative data. Generative Adversarial Networks (GANs) have been utilized to generate new data and improve the performance of CNNs. Nevertheless, data augmentation techniques for training GANs are under-explored compared to CNNs. In this work, we propos…
Bauman Moscow State Technical University（鲍曼莫斯科国立技术大学）
The possibility of high-precision and rapid detection of pathologies on chest X-rays makes it possible to detect the development of pneumonia at an early stage and begin immediate treatment. Artificial intelligence can speed up and qualitatively improve the procedure of X-ray analysis and give recommendations to the doctor for additional consideration of suspicious images. The purpose of this study is to determine the best models and implementations of the transfer learning method in the binary classification problem in the presence of a small amount of training data. In this article, various …
Background and Objective: The new type of coronavirus is also called COVID-19. It began to spread at the end of 2019 and has now spread across the world. Until October 2020, It has infected around 37 million people and claimed about 1 million lives. We propose a deep learning model that can help radiologists and clinicians use chest X-rays to diagnose COVID-19 cases and show the diagnostic features of pneumonia. Methods: The approach in this study is: 1) we propose a data enhancement method to increase the diversity of the data set, thereby improving the generalization performance of the model…
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…
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）
Medical image classification is one of the most critical problems in the image recognition area. One of the major challenges in this field is the scarcity of labelled training data. Additionally, there is often class imbalance in datasets as some cases are very rare to happen. As a result, accuracy in classification task is normally low. Deep Learning models, in particular, show promising results on image segmentation and classification problems, but they require very large datasets for training. Therefore, there is a need to generate more of synthetic samples from the same distribution. Previ…
People all over the globe are affected by pneumonia but deaths due to it are highest in Sub-Saharan Asia and South Asia. In recent years, the overall incidence and mortality rate of pneumonia regardless of the utilization of effective vaccines and compelling antibiotics has escalated. Thus, pneumonia remains a disease that needs spry prevention and treatment. The widespread prevalence of pneumonia has caused the research community to come up with a framework that helps detect, diagnose and analyze diseases accurately and promptly. One of the major hurdles faced by the Artificial Intelligence (…
Concordia University（康考迪亚大学）；Concordia Institute for Information Systems Engineering (CIISE)（康考迪亚信息系统工程研究所）；Sunnybrook Health Sciences Centre（桑尼布鲁克健康科学中心）；University of Toronto（多伦多大学）；New York University（纽约大学）；University of Montreal（蒙特利尔大学）；Iran university of medical science（伊朗医科大学）；McGill University Health Center-Research Institute（麦吉尔大学健康中心研究所）
The newly discovered Corona virus Disease 2019 (COVID-19) has been globally spreading and causing hundreds of thousands of deaths around the world as of its first emergence in late 2019. Computed tomography (CT) scans have shown distinctive features and higher sensitivity compared to other diagnostic tests, in particular the current gold standard, i.e., the Reverse Transcription Polymerase Chain Reaction (RT-PCR) test. Current deep learning-based algorithms are mainly developed based on Convolutional Neural Networks (CNNs) to identify COVID-19 pneumonia cases. CNNs, however, require extensive …
Escuela Técnica Superior de Ingenierías Informática y de Telecomunicación（信息与电信工程高等技术学院）
Currently, the diagnosis of Alzheimer's disease is a complex and error-prone process. Improving this diagnosis could allow earlier detection of the disease and improve the quality of life of patients and their families. For this work, we will use 249 brain images from two modalities: PET and MRI, taken from the ADNI database, and labelled into three classes according to the degree of development of Alzheimer's disease. We propose the development of a convolutional neural network to perform the classification of these images, during which, we will study the appropriate depth of the networks for…
National Cheng Kung University（台湾成功大学）；Kun Shan University（昆山科技大学）；National Cheng Kung University Hospital（台湾成功大学医院）
In recent years, convolutional neural networks (CNNs) have been successfully implemented to various image recognition applications, such as medical image analysis, object detection, and image segmentation. Many studies and applications have been working on improving the performance of CNN algorithms and models. The strategies that aim to improve the performance of CNNs can be grouped into three major approaches: (1) deeper and wider network architecture, (2) automatic architecture search, and (3) convolutional attention block. Unlike approaches (1) and (2), the convolutional attention block ap…
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）
Coronavirus disease 2019 (COVID-19) has rapidly become a global health concern after its first known detection in December 2019. As a result, accurate and reliable advance warning system for the early diagnosis of COVID-19 has now become a priority. The detection of COVID-19 in early stages is not a straightforward task from chest X-ray images according to expert medical doctors because the traces of the infection are visible only when the disease has progressed to a moderate or severe stage. In this study, our first aim is to evaluate the ability of recent \textit{state-of-the-art} Machine Le…
Daegu Gyeongbuk Institute of Science and Technology (DGIST)（大邱庆北科学技术院）；Yeungnam University（岭南大学）；Yeungnam University Medical Center（岭南大学医疗中心）
Following the pandemic outbreak, several works have proposed to diagnose COVID-19 with deep learning in computed tomography (CT); reporting performance on-par with experts. However, models trained/tested on the same in-distribution data may rely on the inherent data biases for successful prediction, failing to generalize on out-of-distribution samples or CT with different scanning protocols. Early attempts have partly addressed bias-mitigation and generalization through augmentation or re-sampling, but are still limited by collection costs and the difficulty of quantifying bias in medical imag…
Universidade do Vale do Rio dos Sinos（瓦莱杜里奥杜斯辛诺斯大学）
Early identification of patients with COVID-19 is essential to enable adequate treatment and to reduce the burden on the health system. The gold standard for COVID-19 detection is the use of RT-PCR tests. However, due to the high demand for tests, these can take days or even weeks in some regions of Brazil. Thus, an alternative for detecting COVID-19 is the analysis of Digital Chest X-rays (XR). Changes due to COVID-19 can be detected in XR, even in asymptomatic patients. In this context, models based on deep learning have great potential to be used as support systems for diagnosis or as scree…
University College London（伦敦大学学院）；Frimley Health NHS Foundation Trust（弗林姆利健康国民医疗服务基金会信托）；Royal Berkshire NHS Foundation Trust（皇家伯克郡国民医疗服务基金会信托）；Hospital de La Santa Creu I Sant Pau（圣克鲁和圣保罗医院）；West Suffolk NHS Foundation Trust（西萨福克国民医疗服务基金会信托）；Cambridge University Hospital（剑桥大学医院）；University of Cambridge（剑桥大学）；Great Ormond Street Children's Hospital NHS Foundation Trust（大奥蒙德街儿童医院国民医疗服务基金会信托）；Institute of Child Health, University College London（伦敦大学学院儿童健康研究所）；UCL Queen Square Institute of Neurology（伦敦大学学院皇后广场神经病学研究所）；University of Pavia（帕维亚大学）
Lung ultrasound imaging has been shown effective in detecting typical patterns for interstitial pneumonia, as a point-of-care tool for both patients with COVID-19 and other community-acquired pneumonia (CAP). In this work, we focus on the hyperechoic B-line segmentation task. Using deep neural networks, we automatically outline the regions that are indicative of pathology-sensitive artifacts and their associated sonographic patterns. With a real-world data-scarce scenario, we investigate approaches to utilize both COVID-19 and CAP lung ultrasound data to train the networks; comparing fine-tuni…
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…
The Coronavirus disease 2019 (COVID-19) was first identified in Wuhan, China, in early December 2019 and now becoming a pandemic. When COVID-19 patients undergo radiography examination, radiologists can observe the present of radiographic abnormalities from their chest X-ray (CXR) images. In this study, a deep convolutional neural network (CNN) model was proposed to aid radiologists in diagnosing COVID-19 patients. First, this work conducted a comparative study on the performance of modified VGG-16, ResNet-50 and DenseNet-121 to classify CXR images into normal, COVID-19 and viral pneumonia. Th…
Leveraging Semi-Supervised Graph Learning for Enhanced Diabetic Retinopathy Detection
Vel Tech Rangarajan Dr. Sagunthala R&D Institute of Science and Technology（韦尔技术兰加拉詹博士萨贡塔拉研发科学技术学院）；Dr. N.G.P. Institute of Technology（恩.G.P.博士技术学院）；Panimalar Engineering College（帕尼马尔工程学院）；R.M.K College of Engineering and Technology（R.M.K.工程技术学院）
Imperial College London（帝国理工学院）；City, University of London（伦敦城市大学）
Neural network-based approaches can achieve high accuracy in various medical image segmentation tasks. However, they generally require large labelled datasets for supervised learning. Acquiring and manually labelling a large medical dataset is expensive and sometimes impractical due to data sharing and privacy issues. In this work, we propose an adversarial data augmentation method for training neural networks for medical image segmentation. Instead of generating pixel-wise adversarial attacks, our model generates plausible and realistic signal corruptions, which models the intensity inhomogen…
School of Biomedical Engineering & Imaging Sciences, King's College London（伦敦国王学院生物医学工程与影像科学学院）；St Thomas' Hospital NHS Foundation Trust（圣托马斯医院NHS基金会信托）；University Medical Centre Utrecht（乌得勒支大学医学中心）；Imperial College London（伦敦帝国理工学院）
One of the challenges in developing deep learning algorithms for medical image segmentation is the scarcity of annotated training data. To overcome this limitation, data augmentation and semi-supervised learning (SSL) methods have been developed. However, these methods have limited effectiveness as they either exploit the existing data set only (data augmentation) or risk negative impact by adding poor training examples (SSL). Segmentations are rarely the final product of medical image analysis - they are typically used in downstream tasks to infer higher-order patterns to evaluate diseases. C…
University of Girona（赫罗纳大学）；Parc Tauli Hospital Universitari（帕克陶利大学医院）；Institut d’Investigacio i Innovacio Parc Tauli (I3PT)（帕克陶利研究与创新研究所（I3PT））
Early detection of breast cancer has a major contribution to curability, and using mammographic images, this can be achieved non-invasively. Supervised deep learning, the dominant CADe tool currently, has played a great role in object detection in computer vision, but it suffers from a limiting property: the need of a large amount of labelled data. This becomes stricter when it comes to medical datasets which require high-cost and time-consuming annotations. Furthermore, medical datasets are usually imbalanced, a condition that often hinders classifiers performance. The aim of this paper is to…
RMIT University（皇家墨尔本理工大学）；Baker Heart and Diabetes Institute（贝克心脏与糖尿病研究所）
Diabetes is a global raising pandemic. Diabetes patients are at risk of developing foot ulcer that usually leads to limb amputation. In order to develop a self monitoring mobile application, in this work, we propose a novel deep subspace analysis pipeline for semi-supervised diabetic foot ulcer mulit-label classification. To avoid any chance of over-fitting, unlike recent state of the art deep semi-supervised methods, the proposed pipeline dose not include any data augmentation. Whereas, after extracting deep features, in order to make the representation shift invariant, we employ variety of d…
Imsight Medical Technology Co., Ltd.（深圳市智视医疗科技有限公司）；The Chinese University of Hong Kong（香港中文大学）；The Hong Kong Polytechnic University（香港理工大学）；Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院）；Imperial College London（帝国理工学院）
Automated skin lesion analysis is very crucial in clinical practice, as skin cancer is among the most common human malignancy. Existing approaches with deep learning have achieved remarkable performance on this challenging task, however, heavily relying on large-scale labelled datasets. In this paper, we present a novel active learning framework for cost-effective skin lesion analysis. The goal is to effectively select and utilize much fewer labelled samples, while the network can still achieve state-of-the-art performance. Our sample selection criteria complementarily consider both informativ…
National Institute of Technology Delhi（德里国立技术学院）；Pandit Deendayal Energy University（潘迪特·迪恩达亚尔能源大学）
Since the onset of the COVID-19 pandemic in 2020, millions of people have succumbed to this deadly virus. Many attempts have been made to devise an automated method of testing that could detect the virus. Various researchers around the globe have proposed deep learning based methodologies to detect the COVID-19 using Chest X-Rays. However, questions have been raised on the presence of bias in the publicly available Chest X-Ray datasets which have been used by the majority of the researchers. In this paper, we propose a 2 staged methodology to address this topical issue. Two experiments have be…
The First Affiliated Hospital of USTC（中国科学技术大学附属第一医院）；University of Science and Technology of China（中国科学技术大学）；University of Science and Technology（科技大学）；The first affiliated hospital of Bengbu medical college（蚌埠医学院第一附属医院）；AItour（AItour公司）
Background: Triage of patients is important to control the pandemic of coronavirus disease 2019 (COVID-19), especially during the peak of the pandemic when clinical resources become extremely limited. Purpose: To develop a method that automatically segments and quantifies lung and pneumonia lesions with synthetic chest CT and assess disease severity in COVID-19 patients. Materials and Methods: In this study, we incorporated data augmentation to generate synthetic chest CT images using public available datasets (285 datasets from "Lung Nodule Analysis 2016"). The synthetic images and masks were…
