While medical image segmentation is an important task for computer aided diagnosis, the high expertise requirement for pixelwise manual annotations makes it a challenging and time consuming task. Since conventional data augmentations do not fully represent the underlying distribution of the training set, the trained models have varying performance when tested on images captured from different sources. Most prior work on image synthesis for data augmentation ignore the interleaved geometric relationship between different anatomical labels. We propose improvements over previous GAN-based medical image synthesis methods by learning the relationship between different anatomical labels. We use a weakly supervised segmentation method to obtain pixel level semantic label map of images which is used learn the intrinsic relationship of geometry and shape across semantic labels. Latent space variable sampling results in diverse generated images from a base image and improves robustness. We use the synthetic images from our method to train networks for segmenting COVID-19 infected areas from lung CT images. The proposed method outperforms state-of-the-art segmentation methods on a public dataset. Ablation studies also demonstrate benefits of integrating geometry and diversity.
Peng Cheng Laboratory（鹏城实验室）；Sun Yat-sen University（中山大学）；Harbin Institute of Technology, Shenzhen（哈尔滨工业大学（深圳））；Shenzhen People's Hospital（深圳市人民医院）；Shenzhen Institute of Respiratory Diseases（深圳呼吸疾病研究所）；Peking University Shenzhen Graduate School（北京大学深圳研究生院）
Despite tremendous efforts, it is very challenging to generate a robust model to assist in the accurate quantification assessment of COVID-19 on chest CT images. Due to the nature of blurred boundaries, the supervised segmentation methods usually suffer from annotation biases. To support unbiased lesion localisation and to minimise the labeling costs, we propose a data-driven framework supervised by only image-level labels. The framework can explicitly separate potential lesions from original images, with the help of a generative adversarial network and a lesion-specific decoder. Experiments o…
National Center for Biotechnology Information (NCBI)（美国国家生物技术信息中心）；National Library of Medicine (NLM)（美国国家医学图书馆）；National Institutes of Health (NIH)（美国国立卫生研究院）；Weill Cornell Medicine（威尔康奈尔医学院）；University of Texas at Arlington（德克萨斯大学阿灵顿分校）
The latest threat to global health is the COVID-19 outbreak. Although there exist large datasets of chest X-rays (CXR) and computed tomography (CT) scans, few COVID-19 image collections are currently available due to patient privacy. At the same time, there is a rapid growth of COVID-19-relevant articles in the biomedical literature. Here, we present COVID-19-CT-CXR, a public database of COVID-19 CXR and CT images, which are automatically extracted from COVID-19-relevant articles from the PubMed Central Open Access (PMC-OA) Subset. We extracted figures, associated captions, and relevant figure…
Element AI；Universitat Politècnica de Catalunya（加泰罗尼亚理工大学）；Xtract AI；University of British Columbia（不列颠哥伦比亚大学）；SapienML；McGill University（麦吉尔大学）
Coronavirus Disease 2019 (COVID-19) has spread aggressively across the world causing an existential health crisis. Thus, having a system that automatically detects COVID-19 in tomography (CT) images can assist in quantifying the severity of the illness. Unfortunately, labelling chest CT scans requires significant domain expertise, time, and effort. We address these labelling challenges by only requiring point annotations, a single pixel for each infected region on a CT image. This labeling scheme allows annotators to label a pixel in a likely infected region, only taking 1-3 seconds, as oppose…
Tsinghua University（清华大学）；Huazhong University of Science and Technology（华中科技大学）
Segmentation of infected areas in chest CT volumes is of great significance for further diagnosis and treatment of COVID-19 patients. Due to the complex shapes and varied appearances of lesions, a large number of voxel-level labeled samples are generally required to train a lesion segmentation network, which is a main bottleneck for developing deep learning based medical image segmentation algorithms. In this paper, we propose a weakly-supervised lesion segmentation framework by embedding the Generative Adversarial training process into the Segmentation Network, which is called GASNet. GASNet …
Element AI；Xtract AI；University of British Columbia（不列颠哥伦比亚大学）；SapienML；McGill University（麦吉尔大学）
One of the key challenges in the battle against the Coronavirus (COVID-19) pandemic is to detect and quantify the severity of the disease in a timely manner. Computed tomographies (CT) of the lungs are effective for assessing the state of the infection. Unfortunately, labeling CT scans can take a lot of time and effort, with up to 150 minutes per scan. We address this challenge introducing a scalable, fast, and accurate active learning system that accelerates the labeling of CT scan images. Conventionally, active learning methods require the labelers to annotate whole images with full supervis…
Hospital of Wuhan Red Cross Society（武汉红十字会医院）；Institute of Biomedical Engineering, University of Oxford（牛津大学生物医学工程研究所）；Aladdin Healthcare Technologies Ltd（阿拉丁医疗科技有限公司）；Hangzhou Ocean's Smart Boya Co., Ltd（杭州奥盛博雅智能科技有限公司）；Mind Rank Ltd（Mind Rank有限公司）；IIAT；University of Oslo（奥斯陆大学）；Shenzhen Second People’s Hospital（深圳市第二人民医院）；Hunan Cancer Hospital（湖南省肿瘤医院）；NHLI, Imperial College London（伦敦帝国理工学院国家心肺研究所）；Royal Brompton Hospital（皇家布朗普顿医院）
An outbreak of a novel coronavirus disease (i.e., COVID-19) has been recorded in Wuhan, China since late December 2019, which subsequently became pandemic around the world. Although COVID-19 is an acutely treated disease, it can also be fatal with a risk of fatality of 4.03% in China and the highest of 13.04% in Algeria and 12.67% Italy (as of 8th April 2020). The onset of serious illness may result in death as a consequence of substantial alveolar damage and progressive respiratory failure. Although laboratory testing, e.g., using reverse transcription polymerase chain reaction (RT-PCR), is t…
University of California, San Diego（加州大学圣迭戈分校）；University of Oxford（牛津大学）；Aladdin Healthcare Technologies Ltd（阿拉丁医疗科技有限公司）；Nantong University（南通大学）；University of Edinburgh（爱丁堡大学）；Mind Rank Ltd（Mind Rank有限公司）；University of Oslo（奥斯陆大学）；Royal Brompton Hospital（皇家布朗普顿医院）；Imperial College London（伦敦帝国理工学院）
The world is currently experiencing an ongoing pandemic of an infectious disease named coronavirus disease 2019 (i.e., COVID-19), which is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Computed Tomography (CT) plays an important role in assessing the severity of the infection and can also be used to identify those symptomatic and asymptomatic COVID-19 carriers. With a surge of the cumulative number of COVID-19 patients, radiologists are increasingly stressed to examine the CT scans manually. Therefore, an automated 3D CT scan recognition tool is highly in demand s…
Automatic lesion segmentation on thoracic CT enables rapid quantitative analysis of lung involvement in COVID-19 infections. However, obtaining a large amount of voxel-level annotations for training segmentation networks is prohibitively expensive. Therefore, we propose a weakly-supervised segmentation method based on dense regression activation maps (dRAMs). Most weakly-supervised segmentation approaches exploit class activation maps (CAMs) to localize objects. However, because CAMs were trained for classification, they do not align precisely with the object segmentations. Instead, we produce…
Shahid Sadoughi University of Medical Sciences（沙希德·萨杜吉医科大学）；Mashhad University of Medical Sciences（马什哈德医科大学）；Geneva University Hospital（日内瓦大学医院）
This study aimed to evaluate the performance of a novel unsupervised deep learning-based framework for automated infections lesion segmentation from CT images of Covid patients. In the first step, two residual networks were independently trained to identify the lung tissue for normal and Covid patients in a supervised manner. These two models, referred to as DL-Covid and DL-Norm for Covid-19 and normal patients, respectively, generate the voxel-wise probability maps for lung tissue identification. To detect Covid lesions, the CT image of the Covid patient is processed by the DL-Covid and DL-No…
Korea Advanced Institute of Science and Technology（韩国科学技术院）；Asan Medical Center（峨山医院）；University of Ulsan College of Medicine（蔚山大学医学院）；College of Medicine, Chungnam National Univerity（忠南国立大学医学院）；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）
Under the global pandemic of COVID-19, building an automated framework that quantifies the severity of COVID-19 and localizes the relevant lesion on chest X-ray images has become increasingly important. Although pixel-level lesion severity labels, e.g. lesion segmentation, can be the most excellent target to build a robust model, collecting enough data with such labels is difficult due to time and labor-intensive annotation tasks. Instead, array-based severity labeling that assigns integer scores on six subdivisions of lungs can be an alternative choice enabling the quick labeling. Several gro…
National Heart and Lung Institute, Imperial College London（帝国理工学院国家心肺研究所）；Royal Brompton Hospital（皇家布朗普顿医院）；Shenzhen Second People’s Hospital（深圳市第二人民医院）；TECNALIA（泰克纳利亚研究中心）；University of the Basque Country（巴斯克大学）
The upheaval brought by the arrival of the COVID-19 pandemic has continued to bring fresh challenges over the past two years. During this COVID-19 pandemic, there has been a need for rapid identification of infected patients and specific delineation of infection areas in computed tomography (CT) images. Although deep supervised learning methods have been established quickly, the scarcity of both image-level and pixel-level labels as well as the lack of explainable transparency still hinder the applicability of AI. Can we identify infected patients and delineate the infections with extreme mini…
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…
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…
VinUniversity（文大大学）；Vinmec International Hospital（Vinmec国际医院）
The COVID-19 pandemic has exposed the vulnerability of healthcare services worldwide, raising the need to develop novel tools to provide rapid and cost-effective screening and diagnosis. Clinical reports indicated that COVID-19 infection may cause cardiac injury, and electrocardiograms (ECG) may serve as a diagnostic biomarker for COVID-19. This study aims to utilize ECG signals to detect COVID-19 automatically. We propose a novel method to extract ECG signals from ECG paper records, which are then fed into a one-dimensional convolution neural network (1D-CNN) to learn and diagnose the disease…
The coronavirus disease (COVID-19) has resulted in a pandemic crippling the a breadth of services critical to daily life. Segmentation of lung infections in computerized tomography (CT) slices could be be used to improve diagnosis and understanding of COVID-19 in patients. Deep learning systems lack interpretability because of their black box nature. Inspired by human communication of complex ideas through language, we propose a symbolic framework based on emergent languages for the segmentation of COVID-19 infections in CT scans of lungs. We model the cooperation between two artificial agents…
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…
Carnegie Mellon University（卡内基梅隆大学）；Louisiana State University（路易斯安那州立大学）；Cosmeticsurg.net, LLC（Cosmeticsurg.net有限责任公司）
With the onset of the COVID-19 pandemic, ultrasound has emerged as an effective tool for bedside monitoring of patients. Due to this, a large amount of lung ultrasound scans have been made available which can be used for AI based diagnosis and analysis. Several AI-based patient severity scoring models have been proposed that rely on scoring the appearance of the ultrasound scans. AI models are trained using ultrasound-appearance severity scores that are manually labeled based on standardized visual features. We address the challenge of labeling every ultrasound frame in the video clips. Our co…
University of Waterloo（滑铁卢大学）；McGill University（麦吉尔大学）；St. Mary’s Hospital（圣玛丽医院）；Waterloo AI Institute（滑铁卢人工智能研究院）；DarwinAI Corp.（达尔文人工智能公司）
As the global population continues to face significant negative impact by the on-going COVID-19 pandemic, there has been an increasing usage of point-of-care ultrasound (POCUS) imaging as a low-cost and effective imaging modality of choice in the COVID-19 clinical workflow. A major barrier with widespread adoption of POCUS in the COVID-19 clinical workflow is the scarcity of expert clinicians that can interpret POCUS examinations, leading to considerable interest in deep learning-driven clinical decision support systems to tackle this challenge. A major challenge to building deep neural networ…
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…
Beijing University of Posts and Telecommunications（北京邮电大学）
The COVID-19 epidemic has become a major safety and health threat worldwide. Imaging diagnosis is one of the most effective ways to screen COVID-19. This project utilizes several open-source or public datasets to present an open-source dataset of COVID-19 CXRs, named COVID-19-CXR-Dataset, and introduces a deep convolutional neural network model. The model validates on 740 test images and achieves 87.3% accuracy, 89.67 % precision, and 84.46% recall, and correctly classifies 98 out of 100 COVID-19 x-ray images in test set with more than 81% prediction probability under the condition of 95% conf…
University of New South Wales（新南威尔士大学）；The Commonwealth Scientific and Industrial Research Organisation (CSIRO)（联邦科学与工业研究组织（CSIRO））
Coronavirus Disease 2019 (COVID-19) has spread globally and become a health crisis faced by humanity since first reported. Radiology imaging technologies such as computer tomography (CT) and chest X-ray imaging (CXR) are effective tools for diagnosing COVID-19. However, in CT and CXR images, the infected area occupies only a small part of the image. Some common deep learning methods that integrate large-scale receptive fields may cause the loss of image detail, resulting in the omission of the region of interest (ROI) in COVID-19 images and are therefore not suitable for further processing. To…
Concordia University（康考迪亚大学）；Sunnybrook Health Sciences Centre（桑尼布鲁克健康科学中心）；University of Toronto（多伦多大学）
Novel Coronavirus disease (COVID-19) has abruptly and undoubtedly changed the world as we know it at the end of the 2nd decade of the 21st century. COVID-19 is extremely contagious and quickly spreading globally making its early diagnosis of paramount importance. Early diagnosis of COVID-19 enables health care professionals and government authorities to break the chain of transition and flatten the epidemic curve. The common type of COVID-19 diagnosis test, however, requires specific equipment and has relatively low sensitivity. Computed tomography (CT) scans and X-ray images, on the other han…
University of Waterloo（滑铁卢大学）；Niagara Health（尼亚加拉医疗）；McMaster University（麦克马斯特大学）；Hamilton Health Sciences（汉密尔顿健康科学中心）；Waterloo Artificial Intelligence Institute（滑铁卢人工智能研究院）；DarwinAI Corp.（达尔文人工智能公司）
The COVID-19 pandemic continues to rage on, with multiple waves causing substantial harm to health and economies around the world. Motivated by the use of CT imaging at clinical institutes around the world as an effective complementary screening method to RT-PCR testing, we introduced COVID-Net CT, a neural network tailored for detection of COVID-19 cases from chest CT images as part of the open source COVID-Net initiative. However, one potential limiting factor is restricted quantity and diversity given the single nation patient cohort used. In this study, we introduce COVID-Net CT-2, enhance…
Concordia Institute for Information Systems Engineering (CIISE)（康考迪亚信息系统工程研究所）；Concordia University（康考迪亚大学）；Sunnybrook Health Sciences Centre（森尼布鲁克健康科学中心）；University of Toronto（多伦多大学）；McGill University Health Center-Research Institute（麦吉尔大学健康中心研究所）；University of Calgary（卡尔加里大学）
The novel Coronavirus disease, COVID-19, has rapidly and abruptly changed the world as we knew in 2020. It becomes the most unprecedent challenge to analytic epidemiology in general and signal processing theories in specific. Given its high contingency nature and adverse effects across the world, it is important to develop efficient processing/learning models to overcome this pandemic and be prepared for potential future ones. In this regard, medical imaging plays an important role for the management of COVID-19. Human-centered interpretation of medical images is, however, tedious and can be s…
International Institute of Information Technology, Bangalore（班加罗尔国际信息技术学院）；Infineon Technologies AG（英飞凌科技股份公司）
Background and Objective:Currently, the whole world is facing a pandemic disease, novel Coronavirus also known as COVID-19, which spread in more than 200 countries with around 3.3 million active cases and 4.4 lakh deaths approximately. Due to rapid increase in number of cases and limited supply of testing kits, availability of alternative diagnostic method is necessary for containing the spread of COVID-19 cases at an early stage and reducing the death count. For making available an alternative diagnostic method, we proposed a deep neural network based diagnostic method which can be easily int…
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…
