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 contrastive learning method treats the video clip severity labels as noisy weak severity labels for individual frames, thus requiring only video-level labels. We show that it performs better than the conventional cross-entropy loss based training. We combine frame severity predictions to come up with video severity predictions and show that the frame based model achieves comparable performance to a video based TSM model, on a large dataset combining public and private sources.
Cross-Modal Ultrasound-MRI Learning for Fetal Brain Ventricular Volumetry and Abnormality Screening
Harvard Medical School（哈佛医学院）；Shenzhen University（深圳大学）；Centre for Artificial Intelligence and Robotics, Hong Kong Institute of Science & Innovation, Chinese Academy of Sciences（中国科学院香港创新研究院人工智能与机器人中心）；School of Artificial Intelligence, Shenzhen University（深圳大学人工智能学院）；School of Biomedical Engineering and Informatics, Nanjing Medical University（南京医科大学生物医学工程与信息学院）
The Efficacy of Semantics-Preserving Transformations in Self-Supervised Learning for Medical Ultrasound
Cheriton School of Computer Science, University of Waterloo（滑铁卢大学计算机科学学院）；Department of Systems Design Engineering, University of Waterloo（滑铁卢大学系统设计工程系）；Schulich School of Medicine and Dentistry, Western University（西部大学施乐希医学与牙科学校）
Cochin University of Science and Technology（科钦科技大学）；Indian Institute of Technology Palakkad（帕拉卡德印度理工学院）
In the recent past with the rapid surge of COVID-19 infections, lung ultrasound has emerged as a fast and powerful diagnostic tool particularly for continuous and periodic monitoring of the lung. There have been many attempts towards severity classification, segmentation and detection of key landmarks in the lung. Leveraging the progress, an automated lung ultrasound video analysis package is presented in this work, which can provide summary of key frames in the video, flagging of the key frames with lung infection and options to automatically detect and segment the lung landmarks. The integra…
Guy’s and St Thomas’ NHS Foundation Trust（盖伊和圣托马斯国民保健服务基金会信托）；King’s College London（伦敦国王学院）；King’s College Hospital NHS Foundation Trust（国王学院医院国民保健服务基金会信托）
Lung ultrasound (LUS) imaging is used to assess lung abnormalities, including the presence of B-line artefacts due to fluid leakage into the lungs caused by a variety of diseases. However, manual detection of these artefacts is challenging. In this paper, we propose a novel methodology to automatically detect and localize B-lines in LUS videos using deep neural networks trained with weak labels. To this end, we combine a convolutional neural network (CNN) with a long short-term memory (LSTM) network and a temporal attention mechanism. Four different models are compared using data from 60 patie…
Nanjing University（南京大学）；National Institute of Healthcare Data Science at Nanjing University（南京大学医疗健康数据科学国家研究院）；Central South University（中南大学）；Second Xiangya Hospital, Central South University（中南大学湘雅二医院）；University of North Carolina（北卡罗来纳大学）
Understanding chest CT imaging of the coronavirus disease 2019 (COVID-19) will help detect infections early and assess the disease progression. Especially, automated severity assessment of COVID-19 in CT images plays an essential role in identifying cases that are in great need of intensive clinical care. However, it is often challenging to accurately assess the severity of this disease in CT images, due to variable infection regions in the lungs, similar imaging biomarkers, and large inter-case variations. To this end, we propose a synergistic learning framework for automated severity assessm…
Melbourne Data Analytics Platform（墨尔本数据分析平台）；University of Melbourne（墨尔本大学）
Improving automated analysis of medical imaging will provide clinicians more options in providing care for patients. The 2023 AI-enabled Medical Image Analysis Workshop and Covid-19 Diagnosis Competition (AI-MIA-COV19D) provides an opportunity to test and refine machine learning methods for detecting the presence and severity of COVID-19 in patients from CT scans. This paper presents version 2 of Cov3d, a deep learning model submitted in the 2022 competition. The model has been improved through a preprocessing step which segments the lungs in the CT scan and crops the input to this region. It …
Ultrasound Lung Aeration Map via Physics-Aware Neural Operators
California Institute of Technology（加州理工学院）；University of North Carolina at Chapel Hill（北卡罗来纳大学教堂山分校）；North Carolina State University（北卡罗来纳州立大学）；NVIDIA（英伟达）
ETH Zurich（苏黎世联邦理工学院）；Clinique des Grangettes（格兰奇诊所）；Biomedical Research Institute August Pi i Sunyer（奥古斯特·皮·苏涅尔生物医学研究所）；Technische Universität München（慕尼黑工业大学）
With the rapid development of COVID-19 into a global pandemic, there is an ever more urgent need for cheap, fast and reliable tools that can assist physicians in diagnosing COVID-19. Medical imaging such as CT can take a key role in complementing conventional diagnostic tools from molecular biology, and, using deep learning techniques, several automatic systems were demonstrated promising performances using CT or X-ray data. Here, we advocate a more prominent role of point-of-care ultrasound imaging to guide COVID-19 detection. Ultrasound is non-invasive and ubiquitous in medical facilities ar…
Imperial College London（帝国理工学院）；The University of Hong Kong（香港大学）
Transfer learning (TL) for medical image segmentation helps deep learning models achieve more accurate performances when there are scarce medical images. This study focuses on completing segmentation of the ribs from lung ultrasound images and finding the best TL technique with U-Net, a convolutional neural network for precise and fast image segmentation. Two approaches of TL were used, using a pre-trained VGG16 model to build the U-Net (V-Unet) and pre-training U-Net network with grayscale natural salient object dataset (X-Unet). Visual results and dice coefficients (DICE) of the models were …
University of Waterloo（滑铁卢大学）；DarwinAI Corp.（DarwinAI公司）；Stony Brook School of Medicine（石溪大学医学院）；Montefiore Medical Center（蒙蒂菲奥里医疗中心）；Albert Einstein College of Medicine（阿尔伯特·爱因斯坦医学院）
Background: A critical step in effective care and treatment planning for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of the COVID-19 pandemic, is the assessment of the severity of disease progression. Chest x-rays (CXRs) are often used to assess SARS-CoV-2 severity, with two important assessment metrics being extent of lung involvement and degree of opacity. In this proof-of-concept study, we assess the feasibility of computer-aided scoring of CXRs of SARS-CoV-2 lung disease severity using a deep learning system. Materials and Methods: Data consisted of 396 CXRs fro…
Using Few-Shot Learning to Classify Primary Lung Cancer and Other Malignancy with Lung Metastasis in Cytological Imaging via Endobronchial Ultrasound Procedures
National Yang Ming Chiao Tung University（阳明交通大学）；National Taiwan University Cancer Center（台湾大学医学院附设癌医中心医院）；National Taiwan University Hospital（台湾大学医学院附设医院）；National Taiwan University Hsin-Chu Hospital（台湾大学医学院附设新竹医院）
Shenzhen Research Institute of Big Data, The Chinese University of Hong Kong, Shenzhen（香港中文大学（深圳）深圳大数据研究院）
Ultrasound (US) is a non-invasive yet effective medical diagnostic imaging technique for the COVID-19 global pandemic. However, due to complex feature behaviors and expensive annotations of US images, it is difficult to apply Artificial Intelligence (AI) assisting approaches for lung's multi-symptom (multi-label) classification. To overcome these difficulties, we propose a novel semi-supervised Two-Stream Active Learning (TSAL) method to model complicated features and reduce labeling costs in an iterative procedure. The core component of TSAL is the multi-label learning mechanism, in which lab…
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）
Contemporary artificial neural networks (ANN) are trained end-to-end, jointly learning both features and classifiers for the task of interest. Though enormously effective, this paradigm imposes significant costs in assembling annotated task-specific datasets and training large-scale networks. We propose to decouple feature learning from downstream lung ultrasound tasks by introducing an auxiliary pre-task of visual biomarker classification. We demonstrate that one can learn an informative, concise, and interpretable feature space from ultrasound videos by training models for predicting biomark…
Ben-Gurion University（本-古里安大学）；Soroka Medical Center（索罗卡医疗中心）
We present a novel deep learning approach to categorical segmentation of lung CTs of COVID-19 patients. Specifically, we partition the scans into healthy lung tissues, non-lung regions, and two different, yet visually similar, pathological lung tissues, namely, ground-glass opacity and consolidation. This is accomplished via a unique, end-to-end hierarchical network architecture and ensemble learning, which contribute to the segmentation and provide a measure for segmentation uncertainty. The proposed framework achieves competitive results and outstanding generalization capabilities for three …
Robotics Institute and Department of ECE, Carnegie Mellon University（卡内基梅隆大学机器人研究所与电子与计算机工程系）；Dept. of Pulmonary and Critical Care Medicine, Louisiana State University（路易斯安那州立大学肺病与危重症医学科）；Cosmeticsurg.net, LLC（Cosmeticsurg.net有限责任公司）
In this paper, we study the significance of the pleura and adipose tissue in lung ultrasound AI analysis. We highlight their more prominent appearance when using high-frequency linear (HFL) instead of curvilinear ultrasound probes, showing HFL reveals better pleura detail. We compare the diagnostic utility of the pleura and adipose tissue using an HFL ultrasound probe. Masking the adipose tissue during training and inference (while retaining the pleural line and Merlin's space artifacts such as A-lines and B-lines) improved the AI model's diagnostic accuracy.
King’s College London（伦敦国王学院）；Oxford University Clinical Research Unit（牛津大学临床研究组）；Mahidol Oxford Research Unit（玛希隆牛津研究组）
Lung ultrasound (LUS) imaging is becoming popular in the intensive care units (ICU) for assessing lung abnormalities such as the appearance of B-line artefacts as a result of severe dengue. These artefacts appear in the LUS images and disappear quickly, making their manual detection very challenging. They also extend radially following the propagation of the sound waves. As a result, we hypothesize that a polar representation may be more adequate for automatic image analysis of these images. This paper presents an attention-based Convolutional+LSTM model to automatically detect B-lines in LUS …
Vision Transformer-based Model for Severity Quantification of Lung Pneumonia Using Chest X-ray Images
University of the Basque Country（巴斯克大学）；IKERBASQUE；Ho Chi Minh City Open University（胡志明市开放大学）；University of Strasbourg（斯特拉斯堡大学）；INSERM（法国国家健康与医学研究院）；Université de Haute-Alsace（上阿尔萨斯大学）
本文提出 ViTReg-IP，一种由 ViT 与回归头构成的轻量模型，用于根据胸部 X 光量化 COVID-19 等肺病严重程度，并在多来源数据集上验证其低成本、高性能与泛化性。
The University of Sydney（悉尼大学）；University of California San Diego（加州大学圣地亚哥分校）
Ultrasound is progressing toward becoming an affordable and versatile solution to medical imaging. With the advent of COVID-19 global pandemic, there is a need to fully automate ultrasound imaging as it requires trained operators in close proximity to patients for a long period of time, therefore increasing risk of infection. In this work, we investigate the important yet seldom-studied problem of scan target localization, under the setting of lung ultrasound imaging. We propose a purely vision-based, data driven method that incorporates learning-based computer vision techniques. We combine a …
Ultrasound Image Synthesis Using Generative AI for Lung Ultrasound Detection
Johns Hopkins University（约翰斯·霍普金斯大学）；Philips Ultrasound（飞利浦超声）；Columbia University Vagelos College of Physicians and Surgeons（哥伦比亚大学瓦格洛斯内科医生与外科医生学院）；MedStar Washington Hospital Center（MedStar华盛顿医院中心）；Yale University School of Medicine（耶鲁大学医学院）
Studies have proved that the number of B-lines in lung ultrasound images has a strong statistical link to the amount of extravascular lung water, which is significant for hemodialysis treatment. Manual inspection of B-lines requires experts and is time-consuming, whilst modelling automation methods is currently problematic because of a lack of ground truth. Therefore, in this paper, we propose a novel semi-supervised learning method for the B-line detection task based on contrastive learning. Through multi-level unsupervised learning on unlabelled lung ultrasound images, the features of the ar…
Universidad Nacional Mayor de San Marcos（圣马科斯国立大学）；Universidad Nacional de Ingeniería（国立工程大学）
The COVID-19 pandemic started in China in December 2019 and quickly spread to several countries. The consequences of this pandemic are incalculable, causing the death of millions of people and damaging the global economy. To achieve large-scale control of this pandemic, fast tools for detection and treatment of patients are needed. Thus, the demand for alternative tools for the diagnosis of COVID-19 has increased dramatically since accurated and automated tools are not available. In this paper we present the ongoing work on a system for COVID-19 detection using ultrasound imaging and using Dee…
How well do routinely collected demographic and clinical variables aid point-of-care lung ultrasound TB classification
University of Stellenbosch（斯泰伦博斯大学）；Swiss Federal Institute of Technology (EPFL)（瑞士联邦理工学院（EPFL））；National Teaching Hospital for Tuberculosis and Pulmonary Diseases (CNHU-PPC)（国家结核病与肺部疾病教学医院（CNHU-PPC））；South African Medical Research Council（南非医学研究理事会）；Stellenbosch University（斯泰伦博斯大学）
TMF-RSE: Tri-Modal Fusion with Regional Semantics and Evidential Uncertainty for Lung Severity Scoring
Institute of Applied Sciences and Intelligent Systems (ISASI), CNR（应用科学与智能系统研究所（ISASI），CNR）；Department of Computer Science and Artificial Intelligence, University of the Basque Country (UPV/EHU)（巴斯克国家大学计算机科学与人工智能系）；University of Salento（萨莱nton大学）
Indian Institute of Technology Palakkad（帕拉卡德印度理工学院）；La Paz Hospital（拉巴斯医院）；Government Medical College Thiruvananthapuram（特里凡得琅医学院）
Lung ultrasound (LUS) is an increasingly popular diagnostic imaging modality for continuous and periodic monitoring of lung infection, given its advantages of non-invasiveness, non-ionizing nature, portability and easy disinfection. The major landmarks assessed by clinicians for triaging using LUS are pleura, A and B lines. There have been many efforts for the automatic detection of these landmarks. However, restricting to a few pre-defined landmarks may not reveal the actual imaging biomarkers particularly in case of new pathologies like COVID-19. Rather, the identification of key landmarks s…
Carnegie Mellon University（卡内基梅隆大学）；University of Pittsburgh Medical Center（匹兹堡大学医学中心）；Louisiana State University（路易斯安那州立大学）；Cosmeticsurg.net, LLC（Cosmeticsurg.net有限责任公司）
We propose using a pre-trained segmentation model to perform diagnostic classification in order to achieve better generalization and interpretability, terming the technique reverse-transfer learning. We present an architecture to convert segmentation models to classification models. We compare and contrast dense vs sparse segmentation labeling and study its impact on diagnostic classification. We compare the performance of U-Net trained with dense and sparse labels to segment A-lines, B-lines, and Pleural lines on a custom dataset of lung ultrasound scans from 4 patients. Our experiments show …
Indian Institute of Technology Palakkad（印度理工学院帕拉卡德分校）；Hospital Universitario Puerta de Hierro（普埃尔塔·德·耶罗大学医院）；Sree Chitra Tirunal Institute for Medical Sciences & Technology（斯里·奇特拉·蒂鲁纳尔医学科学与技术研究所）；Government Medical College Thiruvananthapuram（特里凡得琅政府医学院）
Lung ultrasound (LUS) is possibly the only medical imaging modality which could be used for continuous and periodic monitoring of the lung. This is extremely useful in tracking the lung manifestations either during the onset of lung infection or to track the effect of vaccination on lung as in pandemics such as COVID-19. There have been many attempts in automating the classification of severity of lung into various classes or automatic segmentation of various LUS landmarks and manifestations. However, all these approaches are based on training static machine learning models which require a sig…
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…
Using Spatio-Temporal Dual-Stream Network with Self-Supervised Learning for Lung Tumor Classification on Radial Probe Endobronchial Ultrasound Video
National Yang Ming Chiao Tung University（国立阳明交通大学）；National Taiwan University Cancer Center（台湾大学癌症中心）；National Taiwan University Hospital（台湾大学医院）；National Taiwan University Hsin-Chu Hospital（台湾大学新竹医院）
Government Medical College, Thiruvananthapuram（特里凡得琅政府医学院）；Hospital Universitario Puerta de Hierro（普埃尔塔德耶罗大学医院）
Ultrasound is fast becoming an inevitable diagnostic tool for regular and continuous monitoring of the lung with the recent outbreak of COVID-19. In this work, a novel approach is presented to extract acoustic propagation-based features to automatically highlight the region below pleura, which is an important landmark in lung ultrasound (LUS). Subsequently, a multichannel input formed by using the acoustic physics-based feature maps is fused to train a neural network, referred to as LUSNet, to classify the LUS images into five classes of varying severity of lung infection to track the progress…
The health and socioeconomic difficulties caused by the COVID-19 pandemic continues to cause enormous tensions around the world. In particular, this extraordinary surge in the number of cases has put considerable strain on health care systems around the world. A critical step in the treatment and management of COVID-19 positive patients is severity assessment, which is challenging even for expert radiologists given the subtleties at different stages of lung disease severity. Motivated by this challenge, we introduce COVID-Net CT-S, a suite of deep convolutional neural networks for predicting l…
Indian Institute of Technology Palakkad（印度理工学院帕拉卡德分校）；University of Alberta（阿尔伯塔大学）；Hospital Universitario Puerta de Hierro（铁门大学医院）；Government Medical College Thiruvananthapuram（特里凡得琅政府医学院）；Sree Chitra Tirunal Institute for Medical Sciences & Technology（斯里奇特拉蒂鲁纳尔医学科学与技术研究所）
Most applications of deep learning techniques in medical imaging are supervised and require a large number of labeled data which is expensive and requires many hours of careful annotation by experts. In this paper, we propose an unsupervised, physics driven domain specific transporter framework with an attention mechanism to identify relevant key points with applications in ultrasound imaging. The proposed framework identifies key points that provide a concise geometric representation highlighting regions with high structural variation in ultrasound videos. We incorporate physics driven domain…
Indian Institute of Technology Madras（印度理工学院马德拉斯分校）
Computed Tomography (CT) scans provide a detailed image of the lungs, allowing clinicians to observe the extent of damage caused by COVID-19. The CT severity score (CTSS) based scoring method is used to identify the extent of lung involvement observed on a CT scan. This paper presents a domain knowledge-based pipeline for extracting regions of infection in COVID-19 patients using a combination of image-processing algorithms and a pre-trained UNET model. The severity of the infection is then classified into different categories using an ensemble of three machine-learning models: Extreme Gradien…
Saratoga High School（萨拉托加高中）；Stanford University（斯坦福大学）
Chest X-rays of coronavirus disease 2019 (COVID-19) patients are frequently obtained to determine the extent of lung disease and are a valuable source of data for creating artificial intelligence models. Most work to date assessing disease severity on chest imaging has focused on segmenting computed tomography (CT) images; however, given that CTs are performed much less frequently than chest X-rays for COVID-19 patients, automated lung lesion segmentation on chest X-rays could be clinically valuable. There currently exists a universal shortage of chest X-rays with ground truth COVID-19 lung le…
University of Sheffield（谢菲尔德大学）；Sheffield Teaching Hospitals NHS Foundation Trust（谢菲尔德教学医院NHS基金会信托）；INSIGNEO, Institute for In Silico Medicine, University of Sheffield（谢菲尔德大学INSIGNEO计算医学研究所）；NIHR Sheffield Biomedical Research Centre, University of Sheffield（谢菲尔德大学NIHR谢菲尔德生物医学研究中心）
Purpose: Lung disease assessment in precapillary pulmonary hypertension (PH) is essential for appropriate patient management. This study aims to develop an artificial intelligence (AI) deep learning model for lung texture classification in CT Pulmonary Angiography (CTPA), and evaluate its correlation with clinical assessment methods. Materials and Methods: In this retrospective study with external validation, 122 patients with pre-capillary PH were used to train (n=83), validate (n=17) and test (n=10 internal test, n=12 external test) a patch based DenseNet-121 classification model. "Normal", …
Incremental Value and Interpretability of Radiomics Features of Both Lung and Epicardial Adipose Tissue for Detecting the Severity of COVID-19 Infection
School of Computer and Communication Engineering, Zhengzhou University of Light Industry（郑州轻工业大学计算机与通信工程学院）；Universidade Federal Fluminense（弗鲁米嫩塞联邦大学）；DASA Complexo Hospitalar de Niterói（达萨尼泰罗伊医院综合体）；Michigan Technological University（密歇根理工大学）；Zhongshan Hospital, Fudan University（复旦大学附属中山医院）；Shanghai Institute of Cardiovascular Diseases（上海市心血管病研究所）；National Clinical Research Center for Interventional Medicine（国家介入医学临床研究中心）；Center for Biocomputing and Digital Health, Institute of Computing and Cybersystems, and Health Research Institute, Michigan Technological University（密歇根理工大学生物计算与数字健康中心、计算与网络系统研究所及健康研究所）
Since COVID strongly affects the respiratory system, lung CT-scans can be used for the analysis of a patients health. We introduce a neural network for the prediction of the severity of lung damage and the detection of a COVID-infection using three-dimensional CT-data. Therefore, we adapt the recent ConvNeXt model to process three-dimensional data. Furthermore, we design and analyze different pretraining methods specifically designed to improve the models ability to handle three-dimensional CT-data. We rank 2nd in the 1st COVID19 Severity Detection Challenge and 3rd in the 2nd COVID19 Detectio…
University of Bristol（布里斯托大学）；CHU Purpan（普尔潘大学中心医院）；IRIT, University of Toulouse（图卢兹大学计算机信息技术研究所）；CNRS（法国国家科学研究中心）
In this paper, we present a novel method for line artefacts quantification in lung ultrasound (LUS) images of COVID-19 patients. We formulate this as a non-convex regularisation problem involving a sparsity-enforcing, Cauchy-based penalty function, and the inverse Radon transform. We employ a simple local maxima detection technique in the Radon transform domain, associated with known clinical definitions of line artefacts. Despite being non-convex, the proposed technique is guaranteed to convergence through our proposed Cauchy proximal splitting (CPS) method and accurately identifies both hori…
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…
Sberbank AI Laboratory（俄罗斯联邦储蓄银行人工智能实验室）；New York University（纽约大学）
Analysis of chest CT scans can be used in detecting parts of lungs that are affected by infectious diseases such as COVID-19.Determining the volume of lungs affected by lesions is essential for formulating treatment recommendations and prioritizingpatients by severity of the disease. In this paper we adopted an approach based on using an ensemble of deep convolutionalneural networks for segmentation of slices of lung CT scans. Using our models we are able to segment the lesions, evaluatepatients dynamics, estimate relative volume of lungs affected by lesions and evaluate the lung damage stage.…
University College London（伦敦大学学院）；Frimley Park Hospital, Frimley Health NHS Foundation Trust（弗林利公园医院，弗林利健康NHS基金会信托）；Royal Berkshire Hospital, Royal Berkshire NHS Foundation Trust（皇家伯克郡医院，皇家伯克郡NHS基金会信托）；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）
We describe a novel, two-stage computer assistance system for lung anomaly detection using ultrasound imaging in the intensive care setting to improve operator performance and patient stratification during coronavirus pandemics. The proposed system consists of two deep-learning-based models: a quality assessment module that automates predictions of image quality, and a diagnosis assistance module that determines the likelihood-oh-anomaly in ultrasound images of sufficient quality. Our two-stage strategy uses a novelty detection algorithm to address the lack of control cases available for train…
Beihang University（北京航空航天大学）；Central South University（中南大学）；The Second Xiangya Hospital, Central South University（中南大学湘雅二医院）；First hospital of Changsha（长沙市第一医院）；Changsha public health treatment center（长沙市公共卫生救治中心）；Shanghai United Imaging Intelligence Co., Ltd.（上海联影智能医疗科技有限公司）
Background: Chest computed tomography (CT) is recognized as an important tool for COVID-19 severity assessment. As the number of affected patients increase rapidly, manual severity assessment becomes a labor-intensive task, and may lead to delayed treatment. Purpose: Using machine learning method to realize automatic severity assessment (non-severe or severe) of COVID-19 based on chest CT images, and to explore the severity-related features from the resulting assessment model. Materials and Method: Chest CT images of 176 patients (age 45.3$\pm$16.5 years, 96 male and 80 female) with confirmed …
University College London（伦敦大学学院）；Frimley Health NHS Foundation Trust（弗林利健康NHS基金会信托）；Royal Berkshire NHS Foundation Trust（皇家伯克希尔NHS基金会信托）；Hospital de La Santa Creu I Sant Pau（圣十字圣保罗医院）；West Suffolk NHS Foundation Trust（西萨福克NHS基金会信托）；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NHS基金会信托）；University of Pavia（帕维亚大学）
Artificial intelligence-based analysis of lung ultrasound imaging has been demonstrated as an effective technique for rapid diagnostic decision support throughout the COVID-19 pandemic. However, such techniques can require days- or weeks-long training processes and hyper-parameter tuning to develop intelligent deep learning image analysis models. This work focuses on leveraging 'off-the-shelf' pre-trained models as deep feature extractors for scoring disease severity with minimal training time. We propose using pre-trained initializations of existing methods ahead of simple and compact neural …
Wrong Organ, Right Physics: Transferring Echocardiography Pretraining to Lung Ultrasound for Tuberculosis Screening
University of Stellenbosch（斯泰伦博斯大学）；Swiss Federal Institute of Technology (EPFL)（瑞士联邦理工学院（EPFL））；National Teaching Hospital for Tuberculosis and Pulmonary Diseases (CNHU-PPC)（国家结核病与肺病教学医院（CNHU-PPC））；South African Medical Research Council（南非医学研究理事会）；Stellenbosch University（斯泰伦博斯大学）
The global pandemic of the novel coronavirus disease 2019 (COVID-19) has put tremendous pressure on the medical system. Imaging plays a complementary role in the management of patients with COVID-19. Computed tomography (CT) and chest X-ray (CXR) are the two dominant screening tools. However, difficulty in eliminating the risk of disease transmission, radiation exposure and not being costeffective are some of the challenges for CT and CXR imaging. This fact induces the implementation of lung ultrasound (LUS) for evaluating COVID-19 due to its practical advantages of noninvasiveness, repeatabil…
CPSNet: Physics-Inspired Label-Free Deep Unfolding for Lung Ultrasound B-Line Detection
UCL Hawkes Institute, University College London（伦敦大学学院霍克斯研究所）；Visual Information Laboratory, University of Bristol（布里斯托大学视觉信息实验室）；School of Computer Science and Informatics, Cardiff University（卡迪夫大学计算机科学与信息学院）；Nephrology, Dialysis and Transplantation, Careggi University Hospital（卡尔加奇大学医院肾病、透析与移植科）
提出用于肺部超声图像分析的 CPSNet 无标签深度展开框架，将柯西近端分裂算法展开为网络架构，引入新损失函数，无监督训练，用于 B 线检测时比传统方法更具优势，能有效辅助临床诊断。
Worcester Polytechnic Institute（伍斯特理工学院）；MCPHS University（麻省药科与健康科学大学）；Beth Israel Deaconess Medical Center（贝斯以色列女执事医疗中心）
Novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a pandemic of epic proportions and a global response to prepare health systems worldwide is of utmost importance. In addition to its cost-effectiveness in a resources-limited setting, lung ultrasound (LUS) has emerged as a rapid noninvasive imaging tool for the diagnosis of COVID-19 infected patients. Concerns surrounding LUS include the disparity of infected patients and healthcare providers, relatively small number of physicians and sonographers capable of performing LUS, and most importantly, the requirement for s…
Lung ultrasound (LUS) is an important imaging modality used by emergency physicians to assess pulmonary congestion at the patient bedside. B-line artifacts in LUS videos are key findings associated with pulmonary congestion. Not only can the interpretation of LUS be challenging for novice operators, but visual quantification of B-lines remains subject to observer variability. In this work, we investigate the strengths and weaknesses of multiple deep learning approaches for automated B-line detection and localization in LUS videos. We curate and publish, BEDLUS, a new ultrasound dataset compris…
National Research Council Canada（加拿大国家研究委员会）；University of Waterloo（滑铁卢大学）
Besides vaccination, as an effective way to mitigate the further spread of COVID-19, fast and accurate screening of individuals to test for the disease is yet necessary to ensure public health safety. We propose COVID-Net UV, an end-to-end hybrid spatio-temporal deep neural network architecture, to detect COVID-19 infection from lung point-of-care ultrasound videos captured by convex transducers. COVID-Net UV comprises a convolutional neural network that extracts spatial features and a recurrent neural network that learns temporal dependence. After careful hyperparameter tuning, the network ac…
Qatar University（卡塔尔大学）；University of Dhaka（达卡大学）；Bangladesh University of Engineering and Technology（孟加拉国工程技术大学）
Since the breakout of coronavirus disease (COVID-19), the computer-aided diagnosis has become a necessity to prevent the spread of the virus. Detecting COVID-19 at an early stage is essential to reduce the mortality risk of the patients. In this study, a cascaded system is proposed to segment the lung, detect, localize, and quantify COVID-19 infections from computed tomography (CT) images Furthermore, the system classifies the severity of COVID-19 as mild, moderate, severe, or critical based on the percentage of infected lungs. An extensive set of experiments were performed using state-of-the-…
