Computer-Aided Diagnosis (CAD) systems for chest radiographs using artificial intelligence (AI) have recently shown a great potential as a second opinion for radiologists. The performances of such systems, however, were mostly evaluated on a fixed dataset in a retrospective manner and, thus, far from the real performances in clinical practice. In this work, we demonstrate a mechanism for validating an AI-based system for detecting abnormalities on X-ray scans, VinDr-CXR, at the Phu Tho General Hospital - a provincial hospital in the North of Vietnam. The AI system was directly integrated into the Picture Archiving and Communication System (PACS) of the hospital after being trained on a fixed annotated dataset from other sources. The performance of the system was prospectively measured by matching and comparing the AI results with the radiology reports of 6,285 chest X-ray examinations extracted from the Hospital Information System (HIS) over the last two months of 2020. The normal/abnormal status of a radiology report was determined by a set of rules and served as the ground truth. Our system achieves an F1 score - the harmonic average of the recall and the precision - of 0.653 (95% CI 0.635, 0.671) for detecting any abnormalities on chest X-rays. Despite a significant drop from the in-lab performance, this result establishes a high level of confidence in applying such a system in real-life situations.
VinUniversity（文大大学）；VinBigData JSC（Vin大数据公司）；Vingroup Big Data Institute（Vingroup大数据研究院）；Hanoi Medical University Hospital（河内医科大学附属医院）；Hospital 108（108医院）
Recent artificial intelligence (AI) algorithms have achieved radiologist-level performance on various medical classification tasks. However, only a few studies addressed the localization of abnormal findings from CXR scans, which is essential in explaining the image-level classification to radiologists. We introduce in this paper an explainable deep learning system called VinDr-CXR that can classify a CXR scan into multiple thoracic diseases and, at the same time, localize most types of critical findings on the image. VinDr-CXR was trained on 51,485 CXR scans with radiologist-provided bounding…
Vingroup Big Data Institute（Vingroup大数据研究所）；Hanoi University of Science and Technology（河内理工大学）；VinUniversity（Vin大学）；Yale University（耶鲁大学）
Radiographs are used as the most important imaging tool for identifying spine anomalies in clinical practice. The evaluation of spinal bone lesions, however, is a challenging task for radiologists. This work aims at developing and evaluating a deep learning-based framework, named VinDr-SpineXR, for the classification and localization of abnormalities from spine X-rays. First, we build a large dataset, comprising 10,468 spine X-ray images from 5,000 studies, each of which is manually annotated by an experienced radiologist with bounding boxes around abnormal findings in 13 categories. Using thi…
PURPOSE: This study aimed to develop a deep learning-based tool to detect and localize lung nodules with chest radiographs(CXRs). We expected it to enhance the efficiency of interpreting CXRs and reduce the possibilities of delayed diagnosis of lung cancer. MATERIALS AND METHODS: We collected CXRs from NCKUH database and VBD, an open-source medical image dataset, as our training and validation data. A number of CXRs from the Ministry of Health and Welfare(MOHW) database served as our test data. We built a segmentation model to identify lung areas from CXRs, and sliced them into 16 patches. Phy…
Institute of Medical Engineering & Science, Massachusetts Institute of Technology（麻省理工学院医学工程与科学研究所）；Beth Israel Deaconess Medical Center（贝斯以色列女执事医疗中心）；Stanford University（斯坦福大学）；Harvard Medical School（哈佛医学院）；National Center for Biotechnology Information, National Library of Medicine, National Institutes of Health（美国国立卫生研究院国家医学图书馆国家生物技术信息中心）
Chest radiography is an extremely powerful imaging modality, allowing for a detailed inspection of a patient's thorax, but requiring specialized training for proper interpretation. With the advent of high performance general purpose computer vision algorithms, the accurate automated analysis of chest radiographs is becoming increasingly of interest to researchers. However, a key challenge in the development of these techniques is the lack of sufficient data. Here we describe MIMIC-CXR-JPG v2.0.0, a large dataset of 377,110 chest x-rays associated with 227,827 imaging studies sourced from the B…
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…
Perelman School of Medicine, University of Pennsylvania（宾夕法尼亚大学佩雷尔曼医学院）；Siemens Healthineers（西门子医疗）
Purpose: To leverage volumetric quantification of airspace disease (AD) derived from a superior modality (CT) serving as ground truth, projected onto digitally reconstructed radiographs (DRRs) to: 1) train a convolutional neural network to quantify airspace disease on paired CXRs; and 2) compare the DRR-trained CNN to expert human readers in the CXR evaluation of patients with confirmed COVID-19. Materials and Methods: We retrospectively selected a cohort of 86 COVID-19 patients (with positive RT-PCR), from March-May 2020 at a tertiary hospital in the northeastern USA, who underwent chest CT a…
Who Gets Missed in the Tail? Thresholded Subgroup Underdiagnosis in Long-Tailed Chest X-ray Classification
University of Science, Ho Chi Minh City（胡志明市科学大学）；Vietnam National University, Ho Chi Minh City（胡志明市越南国立大学）；VinUni-Illinois Smart Health Center, VinUniversity（VinUni-伊利诺伊智能健康中心，Vin大学）；Carnegie Mellon University（卡内基梅隆大学）；Northwestern University（西北大学）；College of Engineering & Computer Science, VinUniversity（Vin大学工程与计算机科学学院）
VinBigData JSC（VinBigData 公司）；VinUniversity（温纳大学）；Phu Tho Department of Health（富寿省卫生厅）；Phu Tho General Hospital（富寿综合医院）
The development of diagnostic models for detecting and diagnosing pediatric diseases in CXR scans is undertaken due to the lack of high-quality physician-annotated datasets. To overcome this challenge, we introduce and release PediCXR, a new pediatric CXR dataset of 9,125 studies retrospectively collected from a major pediatric hospital in Vietnam between 2020 and 2021. Each scan was manually annotated by a pediatric radiologist with more than ten years of experience. The dataset was labeled for the presence of 36 critical findings and 15 diseases. In particular, each abnormal finding was iden…
Northwestern University（西北大学）；Northwestern Memorial Hospital（西北纪念医院）
Propose: To present DeepCOVID-Fuse, a deep learning fusion model to predict risk levels in patients with confirmed coronavirus disease 2019 (COVID-19) and to evaluate the performance of pre-trained fusion models on full or partial combination of chest x-ray (CXRs) or chest radiograph and clinical variables. Materials and Methods: The initial CXRs, clinical variables and outcomes (i.e., mortality, intubation, hospital length of stay, ICU admission) were collected from February 2020 to April 2020 with reverse-transcription polymerase chain reaction (RT-PCR) test results as the reference standard…
Medical Imaging Center, Vingroup Big Data Institute（Vingroup大数据研究院医学影像中心）；College of Engineering & Computer Science, VinUniversity（VinUniversity工程与计算机科学学院）
Chest radiograph (CXR) interpretation in pediatric patients is error-prone and requires a high level of understanding of radiologic expertise. Recently, deep convolutional neural networks (D-CNNs) have shown remarkable performance in interpreting CXR in adults. However, there is a lack of evidence indicating that D-CNNs can recognize accurately multiple lung pathologies from pediatric CXR scans. In particular, the development of diagnostic models for the detection of pediatric chest diseases faces significant challenges such as (i) lack of physician-annotated datasets and (ii) class imbalance …
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 …
Automated infection measurement and COVID-19 diagnosis based on Chest X-ray (CXR) imaging is important for faster examination. We propose a novel approach, called DRR4Covid, to learn automated COVID-19 diagnosis and infection segmentation on CXRs from digitally reconstructed radiographs (DRRs). DRR4Covid comprises of an infection-aware DRR generator, a classification and/or segmentation network, and a domain adaptation module. The infection-aware DRR generator is able to produce DRRs with adjustable strength of radiological signs of COVID-19 infection, and generate pixel-level infection annota…
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…
Google Health, Google（谷歌健康，谷歌）；Apollo Radiology International（阿波罗国际放射医学）；Northwestern Medicine（西北医学）
Chest radiography (CXR) is the most widely-used thoracic clinical imaging modality and is crucial for guiding the management of cardiothoracic conditions. The detection of specific CXR findings has been the main focus of several artificial intelligence (AI) systems. However, the wide range of possible CXR abnormalities makes it impractical to build specific systems to detect every possible condition. In this work, we developed and evaluated an AI system to classify CXRs as normal or abnormal. For development, we used a de-identified dataset of 248,445 patients from a multi-city hospital networ…
X2CT-CLIP: Enable Multi-Abnormality Detection in Computed Tomography from Chest Radiography via Tri-Modal Contrastive Learning
Peter Munk Cardiac Centre（彼得·芒克心脏中心）；University Health Network (UHN)（大学健康网络）；University of Toronto (U of T)（多伦多大学）；Ted Rogers Centre for Heart Research（泰德·罗杰斯心脏研究中心）；Toronto General Hospital Research Institute（多伦多综合医院研究所）；Vector Institute（矢量研究所）
We propose a data collecting and annotation pipeline that extracts information from Vietnamese radiology reports to provide accurate labels for chest X-ray (CXR) images. This can benefit Vietnamese radiologists and clinicians by annotating data that closely match their endemic diagnosis categories which may vary from country to country. To assess the efficacy of the proposed labeling technique, we built a CXR dataset containing 9,752 studies and evaluated our pipeline using a subset of this dataset. With an F1-score of at least 0.9923, the evaluation demonstrates that our labeling tool perform…
Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National Health System（儿童国家卫生系统谢赫扎耶德儿科外科创新研究所）；Children’s National Health System（儿童国家卫生系统）；San Francisco State University（旧金山州立大学）；School of Medicine and Health Sciences, George Washington University（乔治华盛顿大学医学与健康科学学院）
Computer-aided diagnosis (CAD) techniques for lung field segmentation from chest radiographs (CXR) have been proposed for adult cohorts, but rarely for pediatric subjects. Statistical shape models (SSMs), the workhorse of most state-of-the-art CXR-based lung field segmentation methods, do not efficiently accommodate shape variation of the lung field during the pediatric developmental stages. The main contributions of our work are: (1) a generic lung field segmentation framework from CXR accommodating large shape variation for adult and pediatric cohorts; (2) a deep representation learning dete…
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…
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 …
Despite the success of deep neural networks in chest X-ray (CXR) diagnosis, supervised learning only allows the prediction of disease classes that were seen during training. At inference, these networks cannot predict an unseen disease class. Incorporating a new class requires the collection of labeled data, which is not a trivial task, especially for less frequently-occurring diseases. As a result, it becomes inconceivable to build a model that can diagnose all possible disease classes. Here, we propose a multi-label generalized zero shot learning (CXR-ML-GZSL) network that can simultaneously…
Vingroup Big Data Institute（温氏集团大数据研究院）；VinUniversity（文大大学）
We introduce a new benchmark dataset, namely VinDr-RibCXR, for automatic segmentation and labeling of individual ribs from chest X-ray (CXR) scans. The VinDr-RibCXR contains 245 CXRs with corresponding ground truth annotations provided by human experts. A set of state-of-the-art segmentation models are trained on 196 images from the VinDr-RibCXR to segment and label 20 individual ribs. Our best performing model obtains a Dice score of 0.834 (95% CI, 0.810--0.853) on an independent test set of 49 images. Our study, therefore, serves as a proof of concept and baseline performance for future rese…
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…
Shiraz University（设拉子大学）；Lancaster University（兰卡斯特大学）；Tehran University of Medical Sciences（德黑兰医科大学）；Bushehr University of Medical Sciences（布什尔医科大学）
The rapid outbreak of COVID-19 threatens humans life all around the world. Due to insufficient diagnostic infrastructures, developing an accurate, efficient, inexpensive, and quick diagnostic tool is of great importance. As chest radiography, such as chest X-ray (CXR) and CT computed tomography (CT), is a possible way for screening COVID-19, developing an automatic image classification tool is immensely helpful for detecting the patients with COVID-19. To date, researchers have proposed several different screening methods; however, none of them could achieve a reliable and highly sensitive per…
Radboud University Medical Center（拉德堡德大学医学中心）；Netherlands Cancer Institute (NKI)（荷兰癌症研究所）；Z 2 Sky Technologies Inc.（Z 2 Sky 技术公司）；Johns Hopkins University（约翰斯·霍普金斯大学）；University of Science and Technology of China（中国科学技术大学）；Institute of Computing Technology, CAS（中国科学院计算技术研究所）
Clinical evidence has shown that rib-suppressed chest X-rays (CXRs) can improve the reliability of pulmonary disease diagnosis. However, previous approaches on generating rib-suppressed CXR face challenges in preserving details and eliminating rib residues. We hereby propose a GAN-based disentanglement learning framework called Rib Suppression GAN, or RSGAN, to perform rib suppression by utilizing the anatomical knowledge embedded in unpaired computed tomography (CT) images. In this approach, we employ a residual map to characterize the intensity difference between CXR and the corresponding ri…
Automatic Chest Radiograph X-ray (CXR) interpretation by machines is an important research topic of Artificial Intelligence. As part of my journey through the California Science Fair, I have developed an algorithm that can detect pneumonia from a CXR image to compensate for human fallibility. My algorithm, PneumoXttention, is an ensemble of two 13 layer convolutional neural network trained on the RSNA dataset, a dataset provided by the Radiological Society of North America, containing 26,684 frontal X-ray images split into the categories of pneumonia and no pneumonia. The dataset was annotated…
Silesian University of Technology（西里西亚理工大学）；Medical University of Silesia（西里西亚医科大学）；Voivodship Specialist Hospital（省专科医院）；Central Clinical Hospital of the Ministry of Internal Affairs and Administration（内务与行政部中央临床医院）；Jagiellonian University Medical College（雅盖隆大学医学院）；Kujawsko-Pomorskie Pulmonology Center（库亚维-波美拉尼亚肺病中心）；Silesian Hospital（西里西亚医院）；Medical University of Warsaw（华沙医科大学）；Nicolaus Copernicus University（尼古拉斯·哥白尼大学）；Medical University of Bialystok（比亚韦斯托克医科大学）；Wroclaw Medical University（弗罗茨瓦夫医科大学）；Czerniakowski Hospital（切尔尼亚科夫斯基医院）；MEGREZ Hospital（MEGREZ医院）；Medical University of Gdansk（格但斯克医科大学）；Yale School of Medicine（耶鲁大学医学院）；The Maria Sklodowska-Curie National Research Institute of Oncology（玛丽·斯克沃多夫斯卡-居里国家肿瘤研究所）
The outbreak of the SARS-CoV-2 pandemic has put healthcare systems worldwide to their limits, resulting in increased waiting time for diagnosis and required medical assistance. With chest radiographs (CXR) being one of the most common COVID-19 diagnosis methods, many artificial intelligence tools for image-based COVID-19 detection have been developed, often trained on a small number of images from COVID-19-positive patients. Thus, the need for high-quality and well-annotated CXR image databases increased. This paper introduces POLCOVID dataset, containing chest X-ray (CXR) images of patients w…
Korea Advanced Institute of Science and Technology (KAIST)（韩国科学技术院）
Under the global pandemic of COVID-19, the use of artificial intelligence to analyze chest X-ray (CXR) image for COVID-19 diagnosis and patient triage is becoming important. Unfortunately, due to the emergent nature of the COVID-19 pandemic, a systematic collection of the CXR data set for deep neural network training is difficult. To address this problem, here we propose a patch-based convolutional neural network approach with a relatively small number of trainable parameters for COVID-19 diagnosis. The proposed method is inspired by our statistical analysis of the potential imaging biomarkers…
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…
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…
Stony Brook University（石溪大学）；Newark Beth Israel Medical Center（纽瓦克贝斯以色列医疗中心）；University Hospitals Cleveland Medical Center（克利夫兰大学医院医疗中心）
Well-labeled datasets of chest radiographs (CXRs) are difficult to acquire due to the high cost of annotation. Thus, it is desirable to learn a robust and transferable representation in an unsupervised manner to benefit tasks that lack labeled data. Unlike natural images, medical images have their own domain prior; e.g., we observe that many pulmonary diseases, such as the COVID-19, manifest as changes in the lung tissue texture rather than the anatomical structure. Therefore, we hypothesize that studying only the texture without the influence of structure variations would be advantageous for …
Real-World Performance of Autonomously Reporting Normal Chest Radiographs in NHS Trusts Using a Deep-Learning Algorithm on the GP Pathway
behold.ai Technologies Limited（behold.ai科技有限公司）；University Hospitals Coventry and Warwickshire（考文垂与沃里克郡大学医院）；Mid and South Essex NHS Trust（中埃塞克斯和南埃塞克斯国民保健服务信托基金）
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…
University of Wisconsin（威斯康星大学）；Henry Ford Health（亨利福特医疗集团）
Purpose: To answer the long-standing question of whether a model trained from a single clinical site can be generalized to external sites. Materials and Methods: 17,537 chest x-ray radiographs (CXRs) from 3,264 COVID-19-positive patients and 4,802 COVID-19-negative patients were collected from a single site for AI model development. The generalizability of the trained model was retrospectively evaluated using four different real-world clinical datasets with a total of 26,633 CXRs from 15,097 patients (3,277 COVID-19-positive patients). The area under the receiver operating characteristic curve…
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…
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…
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…
Emory School of Medicine（埃默里医学院）；MentorGraphics Indian Pvt. Ltd.（MentorGraphics印度私人有限公司）；K. N. Toosi University of Technology（K.N.托西理工大学）；EMORY Hospital（埃默里医院）
Purpose: Since the recent COVID-19 outbreak, there has been an avalanche of research papers applying deep learning based image processing to chest radiographs for detection of the disease. To test the performance of the two top models for CXR COVID-19 diagnosis on external datasets to assess model generalizability. Methods: In this paper, we present our argument regarding the efficiency and applicability of existing deep learning models for COVID-19 diagnosis. We provide results from two popular models - COVID-Net and CoroNet evaluated on three publicly available datasets and an additional ins…
University of Cambridge（剑桥大学）；AstraZeneca（阿斯利康）；University of Manchester（曼彻斯特大学）；Royal Papworth Hospital（皇家帕普沃斯医院）；Cambridge University Hospitals NHS Trust（剑桥大学医院国民医疗服务信托）
Machine learning methods offer great promise for fast and accurate detection and prognostication of COVID-19 from standard-of-care chest radiographs (CXR) and computed tomography (CT) images. Many articles have been published in 2020 describing new machine learning-based models for both of these tasks, but it is unclear which are of potential clinical utility. In this systematic review, we search EMBASE via OVID, MEDLINE via PubMed, bioRxiv, medRxiv and arXiv for published papers and preprints uploaded from January 1, 2020 to October 3, 2020 which describe new machine learning models for the d…
From Classification to Localization and Clinical Validation: Large-Scale Development of a Deep Learning System for Thoracic Disease Detection on Chest Radiographs in Thailand
Perceptra Co., Ltd.（Perceptra有限公司）；Radiology Department, Faculty of Medicine Siriraj Hospital, Mahidol University（玛希隆大学诗里拉吉医院医学院放射科）；Institute of Field Robotics, King Mongkut’s University of Technology Thonburi（泰国国王科技大学吞武里分校野外机器人研究所）
VRVis Center for Virtual Reality and Visualization（VRVis虚拟现实与可视化中心）
The success of deep convolutional neural networks on image classification and recognition tasks has led to new applications in very diversified contexts, including the field of medical imaging. In this paper we investigate and propose neural network architectures for automated multi-class segmentation of anatomical organs in chest radiographs, namely for lungs, clavicles and heart. We address several open challenges including model overfitting, reducing number of parameters and handling of severely imbalanced data in CXR by fusing recent concepts in convolutional networks and adapting them to …
Most of the existing chest X-ray datasets include labels from a list of findings without specifying their locations on the radiographs. This limits the development of machine learning algorithms for the detection and localization of chest abnormalities. In this work, we describe a dataset of more than 100,000 chest X-ray scans that were retrospectively collected from two major hospitals in Vietnam. Out of this raw data, we release 18,000 images that were manually annotated by a total of 17 experienced radiologists with 22 local labels of rectangles surrounding abnormalities and 6 global labels…
NYU Abu Dhabi（纽约大学阿布扎比分校）；NYU Grossman School of Medicine（纽约大学格罗斯曼医学院）
The healthcare domain is characterized by heterogeneous data modalities, such as imaging and physiological data. In practice, the variety of medical data assists clinicians in decision-making. However, most of the current state-of-the-art deep learning models solely rely upon carefully curated data of a single modality. In this paper, we propose a dynamic training approach to learn modality-specific data representations and to integrate auxiliary features, instead of solely relying on a single modality. Our preliminary experiments results for a patient phenotyping task using physiological data…
Rutgers University（罗格斯大学）；Rutgers New Jersey Medical School（罗格斯新泽西医学院）；Rutgers Cancer Institute of New Jersey（罗格斯新泽西癌症研究所）；Rutgers Robert Wood Johnson Medical School（罗格斯罗伯特·伍德·约翰逊医学院）
Recently, the outbreak of the novel Coronavirus disease 2019 (COVID-19) pandemic has seriously endangered human health and life. Due to limited availability of test kits, the need for auxiliary diagnostic approach has increased. Recent research has shown radiography of COVID-19 patient, such as CT and X-ray, contains salient information about the COVID-19 virus and could be used as an alternative diagnosis method. Chest X-ray (CXR) due to its faster imaging time, wide availability, low cost and portability gains much attention and becomes very promising. Computational methods with high accurac…
