pt-sk/ml_research_abs huggingface dataset:
A Deep Learning Radiomics Model to Identify Poor Outcome in COVID-19 Patients With Underlying Health Conditions: A Multicenter Study.
Authors: SiwenWang, DiDong, LiangLi, HailinLi, YanBai, YahuaHu, YuanyiHuang, XiangrongYu, SibinLiu, XiaomingQiu, LigongLu, MeiyunWang, YunfeiZha, JieTian
Journal: IEEE journal of biomedical and health informatics

Coronavirus disease 2019 (COVID-19) has caused considerable morbidity and mortality, especially in patients with underlying health conditions. A precise prognostic tool to identify poor outcomes among such cases is desperately needed.
Total 400 COVID-19 patients with underlying health conditions were retrospectively recruited from 4 centers, including 54 dead cases (labeled as poor outcomes) and 346 patients discharged or hospitalized for at least 7 days since initial CT scan. Patients were allocated to a training set (n = 271), a test set (n = 68), and an external test set (n = 61). We proposed an initial CT-derived hybrid model by combining a 3D-ResNet10 based deep learning model and a quantitative 3D radiomics model to predict the probability of COVID-19 patients reaching poor outcome. The model performance was assessed by area under the receiver operating characteristic curve (AUC), survival analysis, and subgroup analysis.
The hybrid model achieved AUCs of 0.876 (95% confidence interval: 0.752-0.999) and 0.864 (0.766-0.962) in test and external test sets, outperforming other models. The survival analysis verified the hybrid model as a significant risk factor for mortality (hazard ratio, 2.049 [1.462-2.871], P < 0.001) that could well stratify patients into high-risk and low-risk of reaching poor outcomes (P < 0.001).
The hybrid model that combined deep learning and radiomics could accurately identify poor outcomes in COVID-19 patients with underlying health conditions from initial CT scans. The great risk stratification ability could help alert risk of death and allow for timely surveillance plans.
DenseCapsNet: Detection of COVID-19 from X-ray images using a capsule neural network.
Authors: HaoQuan, XiaosongXu, TingtingZheng, ZhiLi, MingfangZhao, XiaoyuCui
Journal: Computers in biology and medicine

At present, the global pandemic as it relates to novel coronavirus pneumonia is still a very difficult situation. Due to the recent outbreak of novel coronavirus pneumonia, novel chest X-ray (CXR) images that can be used for deep learning analysis are very rare. To solve this problem, we propose a deep learning framework that integrates a convolutional neural network and a capsule network. DenseCapsNet, a new deep learning framework, is formed by the fusion of a dense convolutional network (DenseNet) and the capsule neural network (CapsNet), leveraging their respective advantages and reducing the dependence of convolutional neural networks on a large amount of data. Using 750 CXR images of lungs of healthy patients as well as those of patients with other pneumonia and novel coronavirus pneumonia, the method can obtain an accuracy of 90.7% and an F1 score of 90.9%, and the sensitivity for detecting COVID-19 can reach 96%. These results show that the deep fusion neural network DenseCapsNet has good performance in novel coronavirus pneumonia CXR radiography detection.
RANDGAN: Randomized generative adversarial network for detection of COVID-19 in chest X-ray.
Authors: SamanMotamed, PatrikRogalla, FarzadKhalvati
Journal: Scientific reports

COVID-19 spread across the globe at an immense rate and 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 tests. Supervised deep learning models such as convolutional neural networks need enough labeled data for all classes to correctly learn the task of detection. Gathering labeled data is a cumbersome task and requires time and resources which could further strain health care systems and radiologists at the early stages of a pandemic such as COVID-19. In this study, we propose a randomized generative adversarial network (RANDGAN) that detects images of an unknown class (COVID-19) from known and labelled classes (Normal and Viral Pneumonia) without the need for labels and training data from the unknown class of images (COVID-19). We used the largest publicly available COVID-19 chest X-ray dataset, COVIDx, which is comprised of Normal, Pneumonia, and COVID-19 images from multiple public databases. In this work, we use transfer learning to segment the lungs in the COVIDx dataset. Next, we show why segmentation of the region of interest (lungs) is vital to correctly learn the task of classification, specifically in datasets that contain images from different resources as it is the case for the COVIDx dataset. Finally, we show improved results in detection of COVID-19 cases using our generative model (RANDGAN) compared to conventional generative adversarial networks for anomaly detection in medical images, improving the area under the ROC curve from 0.71 to 0.77.
COVID-19 Automatic Diagnosis With Radiographic Imaging: Explainable Attention Transfer Deep Neural Networks.
Authors: WenqiShi, LiTong, YuandaZhu, May DWang
Journal: IEEE journal of biomedical and health informatics

Researchers seek help from deep learning methods to alleviate the enormous burden of reading radiological images by clinicians during the COVID-19 pandemic. However, clinicians are often reluctant to trust deep models due to their black-box characteristics. To automatically differentiate COVID-19 and community-acquired pneumonia from healthy lungs in radiographic imaging, we propose an explainable attention-transfer classification model based on the knowledge distillation network structure. The attention transfer direction always goes from the teacher network to the student network. Firstly, the teacher network extracts global features and concentrates on the infection regions to generate attention maps. It uses a deformable attention module to strengthen the response of infection regions and to suppress noise in irrelevant regions with an expanded reception field. Secondly, an image fusion module combines attention knowledge transferred from teacher network to student network with the essential information in original input. While the teacher network focuses on global features, the student branch focuses on irregularly shaped lesion regions to learn discriminative features. Lastly, we conduct extensive experiments on public chest X-ray and CT datasets to demonstrate the explainability of the proposed architecture in diagnosing COVID-19.
Artificial intelligence (AI) for medical imaging to combat coronavirus disease (COVID-19): a detailed review with direction for future research.
Authors: Toufique ASoomro, LihongZheng, Ahmed JAfifi, AhmedAli, MingYin, JunbinGao
Journal: Artificial intelligence review

Since early 2020, the whole world has been facing the deadly and highly contagious disease named coronavirus disease (COVID-19) and the World Health Organization declared the pandemic on 11 March 2020. Over 23 million positive cases of COVID-19 have been reported till late August 2020. Medical images such as chest X-rays and Computed Tomography scans are becoming one of the main leading clinical diagnosis tools in fighting against COVID-19, underpinned by Artificial Intelligence based techniques, resulting in rapid decision-making in saving lives. This article provides an extensive review of AI-based methods to assist medical practitioners with comprehensive knowledge of the efficient AI-based methods for efficient COVID-19 diagnosis. Nearly all the reported methods so far along with their pros and cons as well as recommendations for improvements are discussed, including image acquisition, segmentation, classification, and follow-up diagnosis phases developed between 2019 and 2020. AI and machine learning technologies have boosted the accuracy of Covid-19 diagnosis, and most of the widely used deep learning methods have been implemented and worked well with a small amount of data for COVID-19 diagnosis. This review presents a detailed mythological analysis for the evaluation of AI-based methods used in the process of detecting COVID-19 from medical images. However, due to the quick outbreak of Covid-19, there are not many ground-truth datasets available for the communities. It is necessary to combine clinical experts' observations and information from images to have a reliable and efficient COVID-19 diagnosis. This paper suggests that future research may focus on multi-modality based models as well as how to select the best model architecture where AI can introduce more intelligence to medical systems to capture the characteristics of diseases by learning from multi-modality data to obtain reliable results for COVID-19 diagnosis for timely treatment .
Convolutional Sparse Support Estimator-Based COVID-19 Recognition From X-Ray Images.
Authors: MehmetYamac, MeteAhishali, AysenDegerli, SerkanKiranyaz, Muhammad E HChowdhury, MoncefGabbouj
Journal: IEEE transactions on neural networks and learning systems

Coronavirus disease (COVID-19) has been the main agenda of the whole world ever since it came into sight. X-ray imaging is a common and easily accessible tool that has great potential for COVID-19 diagnosis and prognosis. Deep learning techniques can generally provide state-of-the-art performance in many classification tasks when trained properly over large data sets. However, data scarcity can be a crucial obstacle when using them for COVID-19 detection. Alternative approaches such as representation-based classification [collaborative or sparse representation (SR)] might provide satisfactory performance with limited size data sets, but they generally fall short in performance or speed compared to the neural network (NN)-based methods. To address this deficiency, convolution support estimation network (CSEN) has recently been proposed as a bridge between representation-based and NN approaches by providing a noniterative real-time mapping from query sample to ideally SR coefficient support, which is critical information for class decision in representation-based techniques. The main premises of this study can be summarized as follows: 1) A benchmark X-ray data set, namely QaTa-Cov19, containing over 6200 X-ray images is created. The data set covering 462 X-ray images from COVID-19 patients along with three other classes; bacterial pneumonia, viral pneumonia, and normal. 2) The proposed CSEN-based classification scheme equipped with feature extraction from state-of-the-art deep NN solution for X-ray images, CheXNet, achieves over 98% sensitivity and over 95% specificity for COVID-19 recognition directly from raw X-ray images when the average performance of 5-fold cross validation over QaTa-Cov19 data set is calculated. 3) Having such an elegant COVID-19 assistive diagnosis performance, this study further provides evidence that COVID-19 induces a unique pattern in X-rays that can be discriminated with high accuracy.
CovidXrayNet: Optimizing data augmentation and CNN hyperparameters for improved COVID-19 detection from CXR.
Authors: Maram Mahmoud AMonshi, JosiahPoon, VeraChung, Fahad MahmoudMonshi
Journal: Computers in biology and medicine

To mitigate the spread of the current coronavirus disease 2019 (COVID-19) pandemic, it is crucial to have an effective screening of infected patients to be isolated and treated. Chest X-Ray (CXR) radiological imaging coupled with Artificial Intelligence (AI) applications, in particular Convolutional Neural Network (CNN), can speed the COVID-19 diagnostic process. In this paper, we optimize the data augmentation and the CNN hyperparameters for detecting COVID-19 from CXRs in terms of validation accuracy. This optimization increases the accuracy of the popular CNN architectures such as the Visual Geometry Group network (VGG-19) and the Residual Neural Network (ResNet-50), by 11.93% and 4.97%, respectively. We then proposed CovidXrayNet model that is based on EfficientNet-B0 and our optimization results. We evaluated CovidXrayNet on two datasets, including our generated balanced COVIDcxr dataset (960 CXRs) and the benchmark COVIDx dataset (15,496 CXRs). With only 30 epochs of training, CovidXrayNet achieves state-of-the-art accuracy of 95.82% on the COVIDx dataset in the three-class classification task (COVID-19, normal or pneumonia). The CovidXRayNet model, the COVIDcxr dataset, and several optimization experiments are publicly available at https://github.com/MaramMonshi/CovidXrayNet.
BS-Net: Learning COVID-19 pneumonia severity on a large chest X-ray dataset.
Authors: AlbertoSignoroni, MattiaSavardi, SergioBenini, NicolaAdami, RiccardoLeonardi, PaoloGibellini, FilippoVaccher, MarcoRavanelli, AndreaBorghesi, RobertoMaroldi, DavideFarina
Journal: Medical image analysis

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 estimation) trained with a "from-the-part-to-the-whole" procedure involving different datasets. In particular, we exploit a clinical dataset of almost 5,000 CXR annotated images collected in the same hospital. Our BS-Net demonstrates self-attentive behavior and a high degree of accuracy in all processing stages. Through inter-rater agreement tests and a gold standard comparison, we show that our solution outperforms single human annotators in rating accuracy and consistency, thus supporting the possibility of using this tool in contexts of computer-assisted monitoring. Highly resolved (super-pixel level) explainability maps are also generated, with an original technique, to visually help the understanding of the network activity on the lung areas. We also consider other scores proposed in literature and provide a comparison with a recently proposed non-specific approach. We eventually test the performance robustness of our model on an assorted public COVID-19 dataset, for which we also provide Brixia score annotations, observing good direct generalization and fine-tuning capabilities that highlight the portability of BS-Net in other clinical settings. The CXR dataset along with the source code and the trained model are publicly released for research purposes.
Automated detection of pneumonia cases using deep transfer learning with paediatric chest X-ray images.
Authors: MohammadSalehi, RezaMohammadi, HamedGhaffari, NahidSadighi, RezaReiazi
Journal: The British journal of radiology

Pneumonia is a lung infection and causes the inflammation of the small air sacs (Alveoli) in one or both lungs. Proper and faster diagnosis of pneumonia at an early stage is imperative for optimal patient care. Currently, chest X-ray is considered as the best imaging modality for diagnosing pneumonia. However, the interpretation of chest X-ray images is challenging. To this end, we aimed to use an automated convolutional neural network-based transfer-learning approach to detect pneumonia in paediatric chest radiographs.
Herein, an automated convolutional neural network-based transfer-learning approach using four different pre-trained models (
All proposed models provide accuracy greater than 83.0% for binary classification. The pre-trained DenseNet121 model provides the highest classification performance of automated pneumonia classification with 86.8% accuracy, followed by Xception model with an accuracy of 86.0%. The sensitivity of the proposed models was greater than 91.0%. The Xception and DenseNet121 models achieve the highest classification performance with F1-score greater than 89.0%. The plotted area under curve of receiver operating characteristics of VGG19, Xception, ResNet50, and DenseNet121 models are 0.78, 0.81, 0.81, and 0.86, respectively.
Our data showed that the proposed models achieve a high accuracy for binary classification. Transfer learning was used to accelerate training of the proposed models and resolve the problem associated with insufficient data. We hope that these proposed models can help radiologists for a quick diagnosis of pneumonia at radiology departments. Moreover, our proposed models may be useful to detect other chest-related diseases such as novel Coronavirus 2019.
Herein, we used transfer learning as a machine learning approach to accelerate training of the proposed models and resolve the problem associated with insufficient data. Our proposed models achieved accuracy greater than 83.0% for binary classification.
A deep-learning pipeline for the diagnosis and discrimination of viral, non-viral and COVID-19 pneumonia from chest X-ray images.
Authors: GuangyuWang, XiaohongLiu, JunShen, ChengdiWang, ZhihuanLi, LinsenYe, XingwangWu, TingChen, KaiWang, XuanZhang, ZhongguoZhou, JianYang, YeSang, RuiyunDeng, WenhuaLiang, TaoYu, MingGao, JinWang, ZehongYang, HuiminCai, GuangmingLu, LingyanZhang, LeiYang, WenqinXu, WinstonWang, AndreaOlvera, IanZiyar, CharlotteZhang, OulanLi, WeihuaLiao, JunLiu, WenChen, WeiChen, JichanShi, LianghongZheng, LongjiangZhang, ZhihanYan, XiaoguangZou, GuipingLin, GuiqunCao, Laurance LLau, LongMo, YongLiang, MichaelRoberts, EvisSala, Carola-BibianeSchönlieb, MansonFok, Johnson Yiu-NamLau, TaoXu, JianxingHe, KangZhang, WeiminLi, TianxinLin
Journal: Nature biomedical engineering

Common lung diseases are first diagnosed using chest X-rays. Here, we show that a fully automated deep-learning pipeline for the standardization of chest X-ray images, for the visualization of lesions and for disease diagnosis can identify viral pneumonia caused by coronavirus disease 2019 (COVID-19) and assess its severity, and can also discriminate between viral pneumonia caused by COVID-19 and other types of pneumonia. The deep-learning system was developed using a heterogeneous multicentre dataset of 145,202 images, and tested retrospectively and prospectively with thousands of additional images across four patient cohorts and multiple countries. The system generalized across settings, discriminating between viral pneumonia, other types of pneumonia and the absence of disease with areas under the receiver operating characteristic curve (AUCs) of 0.94-0.98; between severe and non-severe COVID-19 with an AUC of 0.87; and between COVID-19 pneumonia and other viral or non-viral pneumonia with AUCs of 0.87-0.97. In an independent set of 440 chest X-rays, the system performed comparably to senior radiologists and improved the performance of junior radiologists. Automated deep-learning systems for the assessment of pneumonia could facilitate early intervention and provide support for clinical decision-making.
Machine learning based on clinical characteristics and chest CT quantitative measurements for prediction of adverse clinical outcomes in hospitalized patients with COVID-19.
Authors: ZhichaoFeng, HuiShen, KaiGao, JianpoSu, ShanhuYao, QinLiu, ZhiminYan, JunhongDuan, DaliYi, HuafeiZhao, HuilingLi, QizhiYu, WenmingZhou, XiaowenMao, XinOuyang, JiMei, QiuhuaZeng, LindyWilliams, XiaoqianMa, PengfeiRong, DewenHu, WeiWang
Journal: European radiology

To develop and validate a machine learning model for the prediction of adverse outcomes in hospitalized patients with COVID-19.
We included 424 patients with non-severe COVID-19 on admission from January 17, 2020, to February 17, 2020, in the primary cohort of this retrospective multicenter study. The extent of lung involvement was quantified on chest CT images by a deep learning-based framework. The composite endpoint was the occurrence of severe or critical COVID-19 or death during hospitalization. The optimal machine learning classifier and feature subset were selected for model construction. The performance was further tested in an external validation cohort consisting of 98 patients.
There was no significant difference in the prevalence of adverse outcomes (8.7% vs. 8.2%, p = 0.858) between the primary and validation cohorts. The machine learning method extreme gradient boosting (XGBoost) and optimal feature subset including lactic dehydrogenase (LDH), presence of comorbidity, CT lesion ratio (lesion%), and hypersensitive cardiac troponin I (hs-cTnI) were selected for model construction. The XGBoost classifier based on the optimal feature subset performed well for the prediction of developing adverse outcomes in the primary and validation cohorts, with AUCs of 0.959 (95% confidence interval [CI]: 0.936-0.976) and 0.953 (95% CI: 0.891-0.986), respectively. Furthermore, the XGBoost classifier also showed clinical usefulness.
We presented a machine learning model that could be effectively used as a predictor of adverse outcomes in hospitalized patients with COVID-19, opening up the possibility for patient stratification and treatment allocation.
• Developing an individually prognostic model for COVID-19 has the potential to allow efficient allocation of medical resources. • We proposed a deep learning-based framework for accurate lung involvement quantification on chest CT images. • Machine learning based on clinical and CT variables can facilitate the prediction of adverse outcomes of COVID-19.
An Insight of the First Community Infected COVID-19 Patient in Beijing by Imported Case: Role of Deep Learning-Assisted CT Diagnosis.
Authors: Da ShengLi, Da WeiWang, Na NaWang, Hai WangXu, HeHuang, Jian PingDong, ChenXia
Journal: Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih

In the era of coronavirus disease 2019 (COVID-19) pandemic, imported COVID-19 cases pose great challenges to many countries. Chest CT examination is considered to be complementary to nucleic acid test for COVID-19 detection and diagnosis. We report the first community infected COVID-19 patient by an imported case in Beijing, which manifested as nodular lesions on chest CT imaging at the early stage. Deep Learning (DL)-based diagnostic systems quantitatively monitored the progress of pulmonary lesions in 6 days and timely made alert for suspected pneumonia, so that prompt medical isolation was taken. The patient was confirmed as COVID-19 case after nucleic acid test, for which the community transmission was prevented timely. The roles of DL-assisted diagnosis in helping radiologists screening suspected COVID cases were discussed.