zurlog/subset_wlabels huggingface dataset:
Title: integrative analysis for covid-19 patient outcome prediction
Journal: Med Image Anal
Published: 2020-10-23 (Journal Article;Research Support, N.I.H., Extramural, Peer reviewed (PubMed))
Condition: COVID-19;Disease Progression;Lung Diseases;Pneumonia
Task: 4. Prognosis/Treatment | Modality: CT

Abstract: While image analysis of chest computed tomography (CT) for COVID-19 diagnosis has been intensively studied, little work has been performed for image-based patient outcome prediction. Management of high-risk patients with early intervention is a key to lower the fatality rate of COVID-19 pneumonia, as a majority of patients recover naturally. Therefore, an accurate prediction of disease progression with baseline imaging at the time of the initial presentation can help in patient management. In lieu of only size and volume information of pulmonary abnormalities and features through deep learning based image segmentation, here we combine radiomics of lung opacities and non-imaging features from demographic data, vital signs, and laboratory findings to predict need for intensive care unit (ICU) admission. To our knowledge, this is the first study that uses holistic information of a patient including both imaging and non-imaging data for outcome prediction. The proposed methods were thoroughly evaluated on datasets separately collected from three hospitals, one in the United States, one in Iran, and another in Italy, with a total 295 patients with reverse transcription polymerase chain reaction (RT-PCR) assay positive COVID-19 pneumonia. Our experimental results demonstrate that adding non-imaging features can significantly improve the performance of prediction to achieve AUC up to 0.884 and sensitivity as high as 96.1%, which can be valuable to provide clinical decision support in managing COVID-19 patients. Our methods may also be applied to other lung diseases including but not limited to community acquired pneumonia. The source code of our work is available at GitHub
Title: a fully automated deep learning-based network for detecting covid-19 from a new and large lung ct scan dataset
Journal: Biomed Signal Process Control
Published: 2021-04-07 (Journal Article, Peer reviewed (PubMed))
Condition: COVID-19;Infections
Task: 2. Detection/Diagnosis | Modality: CT

Abstract: This paper aims to propose a high-speed and accurate fully-automated method to detect COVID-19 from the patient's chest CT scan images. We introduce a new dataset that contains 48,260 CT scan images from 282 normal persons and 15,589 images from 95 patients with COVID-19 infections. At the first stage, this system runs our proposed image processing algorithm that analyzes the view of the lung to discard those CT images that inside the lung is not properly visible in them. This action helps to reduce the processing time and false detections. At the next stage, we introduce a novel architecture for improving the classification accuracy of convolutional networks on images containing small important objects. Our architecture applies a new feature pyramid network designed for classification problems to the ResNet50V2 model so the model becomes able to investigate different resolutions of the image and do not lose the data of small objects. As the infections of COVID-19 exist in various scales, especially many of them are tiny, using our method helps to increase the classification performance remarkably. After running these two phases, the system determines the condition of the patient using a selected threshold. We are the first to evaluate our system in two different ways on Xception, ResNet50V2, and our model. In the single image classification stage, our model achieved 98.49% accuracy on more than 7996 test images. At the patient condition identification phase, the system correctly identified almost 234 of 245 patients with high speed. Our dataset is accessible at GitHub
Title: prediction of disease progression in patients with covid-19 by artificial intelligence assisted lesion quantification
Journal: Sci Rep
Published: 2020-12-18 (Journal Article;Research Support, Non-U.S. Gov't, Peer reviewed (PubMed))
Condition: COVID-19;Disease Progression;Infections
Task: 4. Prognosis/Treatment | Modality: CT

Abstract: To investigate the value of artificial intelligence (AI) assisted quantification on initial chest CT for prediction of disease progression and clinical outcome in patients with coronavirus disease 2019 (COVID-19). Patients with confirmed COVID-19 infection and initially of non-severe type were retrospectively included. The initial CT scan on admission was used for imaging analysis. The presence of ground glass opacity (GGO), consolidation and other findings were visually evaluated. CT severity score was calculated according to the extent of lesion involvement. In addition, AI based quantification of GGO and consolidation volume were also performed. 123 patients (mean age: 64.43 ; 62 males) were included. GGO + consolidation was more frequently revealed in progress-to-severe group whereas pure GGO was more likely to be found in non-severe group. Compared to non-severe group, patients in progress-to-severe group had larger GGO volume (167.33 cm3 versus 101.12 cm3, p = 0.013) as well as consolidation volume (40.85 cm3 versus 6.63 cm3, p < 0.001). Among imaging parameters, consolidation volume had the largest area under curve (AUC) in discriminating non-severe from progress-to-severe group (AUC = 0.796, p < 0.001) and patients with or without critical events (AUC = 0.754, p < 0.001). According to multivariate regression, consolidation volume and age were two strongest predictors for disease progression (hazard ratio: 1.053 and 1.071, p: 0.006 and 0.008) whereas age and diabetes were predictors for unfavorable outcome. Consolidation volume quantified on initial chest CT was the strongest predictor for disease severity progression and larger consolidation volume was associated with unfavorable clinical outcome.
Title: covid-19 detection in chest x-ray images using a new channel boosted cnn
Published: 2020-12-17 (Preprint, arXiv)
Condition: COVID-19;Infections;Respiratory Tract Infections
Task: 2. Detection/Diagnosis | Modality: X-Ray

Abstract: COVID-19 is a highly contagious respiratory infection that has affected a large population across the world and continues with its devastating consequences. It is imperative to detect COVID-19 at the earliest to limit the span of infection. In this work, a new classification technique CB-STM-RENet based on deep Convolutional Neural Network (CNN) and Channel Boosting is proposed for the screening of COVID-19 in chest X-Rays. In this connection, to learn the COVID-19 specific radiographic patterns, a new convolution block based on split-transform-merge (STM) is developed. This new block systematically incorporates region and edge-based operations at each branch to capture the diverse set of features at various levels, especially those related to region homogeneity, textural variations, and boundaries of the infected region. The learning and discrimination capability of the proposed CNN architecture is enhanced by exploiting the Channel Boosting idea that concatenates the auxiliary channels along with the original channels. The auxiliary channels are generated from the pre-trained CNNs using Transfer Learning. The effectiveness of the proposed technique CB-STM-RENet is evaluated on three different datasets of chest X-Rays namely CoV-Healthy-6k, CoV-NonCoV-10k, and CoV-NonCoV-15k. The performance comparison of the proposed CB-STM-RENet with the existing techniques exhibits high performance both in discriminating COVID-19 chest infections from Healthy, as well as, other types of chest infections. CB-STM-RENet provides the highest performance on all these three datasets; especially on the stringent CoV-NonCoV-15k dataset. The good detection rate , and high precision of the proposed technique suggest that it can be adapted for the diagnosis of COVID-19 infected patients.GitHub
Title: using artificial intelligence to assist radiologists in distinguishing covid-19 from other pulmonary infections
Journal: J Xray Sci Technol
Published: 2020-11-10 (Journal Article;Research Support, N.I.H., Intramural;Research Support, Non-U.S. Gov't, Peer reviewed (PubMed))
Condition: COVID-19;Infections;Pneumonia;Pneumonia, Viral;Tuberculosis
Task: 2. Detection/Diagnosis | Modality: CT

Abstract: Accurate and rapid diagnosis of coronavirus disease (COVID-19) is crucial for timely quarantine and treatment. In this study, a deep learning algorithm-based AI model using ResUNet network was developed to evaluate the performance of radiologists with and without AI assistance in distinguishing COVID-19 infected pneumonia patients from other pulmonary infections on CT scans. For model development and validation, a total number of 694 cases with 111,066 CT slides were retrospectively collected as training data and independent test data in the study. Among them, 118 are confirmed COVID-19 infected pneumonia cases and 576 are other pulmonary infection cases (e.g. tuberculosis cases, common pneumonia cases and non-COVID-19 viral pneumonia cases). The cases were divided into training and testing datasets. The independent test was performed by evaluating and comparing the performance of three radiologists with different years of practice experience in distinguishing COVID-19 infected pneumonia cases with and without the AI assistance. Our final model achieved an overall test accuracy of 0.914 with an area of the receiver operating characteristic (ROC) curve (AUC) of 0.903 in which the sensitivity and specificity are 0.918 and 0.909, respectively. The deep learning-based model then achieved a comparable performance by improving the radiologists' performance in distinguish COVOD-19 from other pulmonary infections, yielding better average accuracy and sensitivity, from 0.941 to 0.951 and from 0.895 to 0.942, respectively, when compared to radiologists without using AI assistance. A deep learning algorithm-based AI model developed in this study successfully improved radiologists' performance in distinguishing COVID-19 from other pulmonary infections using chest CT images.
Title: automated deep transfer learning-based approach for detection of covid-19 infection in chest x-rays
Journal: Ing Rech Biomed
Published: 2020-08-25 (Journal Article, Peer reviewed (PubMed))
Condition: COVID-19;Infections
Task: 2. Detection/Diagnosis | Modality: X-Ray

Abstract: The most widely used novel coronavirus (COVID-19) detection technique is a real-time polymerase chain reaction (RT-PCR). However, RT-PCR kits are costly and take 6-9 hours to confirm infection in the patient. Due to less sensitivity of RT-PCR, it provides high false-negative results. To resolve this problem, radiological imaging techniques such as chest X-rays and computed tomography (CT) are used to detect and diagnose COVID-19. In this paper, chest X-rays is preferred over CT scan. The reason behind this is that X-rays machines are available in most of the hospitals. X-rays machines are cheaper than the CT scan machine. Besides this, X-rays has low ionizing radiations than CT scan. COVID-19 reveals some radiological signatures that can be easily detected through chest X-rays. For this, radiologists are required to analyze these signatures. However, it is a time-consuming and error-prone task. Hence, there is a need to automate the analysis of chest X-rays. The automatic analysis of chest X-rays can be done through deep learning-based approaches, which may accelerate the analysis time. These approaches can train the weights of networks on large datasets as well as fine-tuning the weights of pre-trained networks on small datasets. However, these approaches applied to chest X-rays are very limited. Hence, the main objective of this paper is to develop an automated deep transfer learning-based approach for detection of COVID-19 infection in chest X-rays by using the extreme version of the Inception (Xception) model. Extensive comparative analyses show that the proposed model performs significantly better as compared to the existing models.
Title: detection of coronavirus disease from x-ray images using deep learning and transfer learning algorithms
Journal: J Xray Sci Technol
Published: 2020-08-18 (Comparative Study;Journal Article, Peer reviewed (PubMed))
Condition: COVID-19;Pneumonia
Task: 2. Detection/Diagnosis | Modality: X-Ray

Abstract: This study aims to employ the advantages of computer vision and medical image analysis to develop an automated model that has the clinical potential for early detection of novel coronavirus (COVID-19) infected disease. This study applied transfer learning method to develop deep learning models for detecting COVID-19 disease. Three existing state-of-the-art deep learning models namely, Inception ResNetV2, InceptionNetV3 and NASNetLarge, were selected and fine-tuned to automatically detect and diagnose COVID-19 disease using chest X-ray images. A dataset involving 850 images with the confirmed COVID-19 disease, 500 images of community-acquired (non-COVID-19) pneumonia cases and 915 normal chest X-ray images was used in this study. Among the three models, InceptionNetV3 yielded the best performance with accuracy levels of 98.63% and 99.02% with and without using data augmentation in model training, respectively. All the performed networks tend to overfitting (with high training accuracy) when data augmentation is not used, this is due to the limited amount of image data used for training and validation. This study demonstrated that a deep transfer learning is feasible to detect COVID-19 disease automatically from chest X-ray by training the learning model with chest X-ray images mixed with COVID-19 patients, other pneumonia affected patients and people with healthy lungs, which may help doctors more effectively make their clinical decisions. The study also gives an insight to how transfer learning was used to automatically detect the COVID-19 disease. In future studies, as the amount of available dataset increases, different convolution neutral network models could be designed to achieve the goal more efficiently.
Title: instacovnet-19: a deep learning classification model for the detection of covid-19 patients using chest x-ray
Journal: Appl Soft Comput
Published: 2020-11-10 (Journal Article, Peer reviewed (PubMed))
Condition: COVID-19;Pneumonia
Task: 2. Detection/Diagnosis | Modality: X-Ray

Abstract: Recently, the whole world became infected by the newly discovered coronavirus (COVID-19). SARS-CoV-2, or widely known as COVID-19, has proved to be a hazardous virus severely affecting the health of people. It causes respiratory illness, especially in people who already suffer from other diseases. Limited availability of test kits as well as symptoms similar to other diseases such as pneumonia has made this disease deadly, claiming the lives of millions of people. Artificial intelligence models are found to be very successful in the diagnosis of various diseases in the biomedical field In this paper, an integrated stacked deep convolution network InstaCovNet-19 is proposed. The proposed model makes use of various pre-trained models such as ResNet101, Xception, InceptionV3, MobileNet, and NASNet to compensate for a relatively small amount of training data. The proposed model detects COVID-19 and pneumonia by identifying the abnormalities caused by such diseases in Chest X-ray images of the person infected. The proposed model achieves an accuracy of 99.08% on 3 class (COVID-19, Pneumonia, Normal) classification while achieving an accuracy of 99.53% on 2 class (COVID, NON-COVID) classification. The proposed model achieves an average recall, F1 score, and precision of 99%, 99%, and 99%, respectively on ternary classification, while achieving a 100% precision and a recall of 99% on the binary class., while achieving a 100% precision and a recall of 99% on the COVID class. InstaCovNet-19's ability to detect COVID-19 without any human intervention at an economical cost with high accuracy can benefit humankind greatly in this age of Quarantine.
Title: artificial intelligence-enabled rapid diagnosis of patients with covid-19
Journal: Nat Med
Published: 2020-05-20 (Journal Article;Research Support, N.I.H., Extramural;Research Support, Non-U.S. Gov't, Peer reviewed (PubMed))
Condition: COVID-19
Task: 2. Detection/Diagnosis | Modality: CT

Abstract: For diagnosis of coronavirus disease 2019 (COVID-19), a SARS-CoV-2 virus-specific reverse transcriptase polymerase chain reaction (RT-PCR) test is routinely used. However, this test can take up to 2 d to complete, serial testing may be required to rule out the possibility of false negative results and there is currently a shortage of RT-PCR test kits, underscoring the urgent need for alternative methods for rapid and accurate diagnosis of patients with COVID-19. Chest computed tomography (CT) is a valuable component in the evaluation of patients with suspected SARS-CoV-2 infection. Nevertheless, CT alone may have limited negative predictive value for ruling out SARS-CoV-2 infection, as some patients may have normal radiological findings at early stages of the disease. In this study, we used artificial intelligence (AI) algorithms to integrate chest CT findings with clinical symptoms, exposure history and laboratory testing to rapidly diagnose patients who are positive for COVID-19. Among a total of 905 patients tested by real-time RT-PCR assay and next-generation sequencing RT-PCR, 419 tested positive for SARS-CoV-2. In a test set of 279 patients, the AI system achieved an area under the curve of 0.92 and had equal sensitivity as compared to a senior thoracic radiologist. The AI system also improved the detection of patients who were positive for COVID-19 via RT-PCR who presented with normal CT scans, correctly identifying 17 of 25 patients, whereas radiologists classified all of these patients as COVID-19 negative. When CT scans and associated clinical history are available, the proposed AI system can help to rapidly diagnose COVID-19 patients.
Title: accuracy of conventional and machine learning enhanced chest radiography for the assessment of covid-19 pneumonia: intra-individual comparison with ct
Journal: J Clin Med
Published: 2020-11-12 (Journal Article, Peer reviewed (PubMed))
Condition: COVID-19;Pneumonia
Task: 3. Monitoring/Severity assessment | Modality: Multimodal

Abstract: To evaluate diagnostic accuracy of conventional radiography (CXR) and machine learning enhanced CXR (mlCXR) for the detection and quantification of disease-extent in COVID-19 patients compared to chest-CT. Real-time polymerase chain reaction (rt-PCR)-confirmed COVID-19-patients undergoing CXR from March to April 2020 together with COVID-19 negative patients as control group were retrospectively included. Two independent readers assessed CXR and mlCXR images for presence, disease extent and type (consolidation vs. ground-glass opacities (GGOs) of COVID-19-pneumonia. Further, readers had to assign confidence levels to their diagnosis. CT obtained ≤ 36 h from acquisition of CXR served as standard of reference. Inter-reader agreement, sensitivity for detection and disease extent of COVID-19-pneumonia compared to CT was calculated. McNemar test was used to test for significant differences. Sixty patients (21 females; median age 61 years, range 38-81 years) were included. Inter-reader agreement improved from good to excellent when mlCXR instead of CXR was used (k = 0.831 vs. k = 0.742). Sensitivity for pneumonia detection improved from 79.5% to 92.3%, however, on the cost of specificity 100% vs. 71.4% (p = 0.031). Overall, sensitivity for the detection of consolidation was higher than for GGO (37.5% vs. 70.4%; respectively). No differences could be found in disease extent estimation between mlCXR and CXR, even though the detection of GGO could be improved. Diagnostic confidence was better on mlCXR compared to CXR (p = 0.013). In line with the current literature, the sensitivity for detection and quantification of COVID-19-pneumonia was moderate with CXR and could be improved when mlCXR was used for image interpretation.
Title: covidlite: a depth-wise separable deep neural network with white balance and clahe for detection of covid-19
Published: 2020-06-18 (Preprint, arXiv)
Condition: COVID-19;Death;Pneumonia, Viral
Task: 2. Detection/Diagnosis | Modality: X-Ray

Abstract: 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 integrated with mobile devices for detection of COVID-19 and viral pneumonia using Chest X-rays (CXR) images. In this study, we have proposed a method named COVIDLite, which is a combination of white balance followed by Contrast Limited Adaptive Histogram Equalization (CLAHE) and depth-wise separable convolutional neural network (DSCNN). In this method, white balance followed by CLAHE is used as an image preprocessing step for enhancing the visibility of CXR images and DSCNN trained using sparse cross entropy is used for image classification with lesser parameters and significantly lighter in size, i.e., 8.4 MB without quantization. The proposed COVIDLite method resulted in improved performance in comparison to vanilla DSCNN with no pre-processing. The proposed method achieved higher accuracy of 99.58% for binary classification, whereas 96.43% for multiclass classification and out-performed various state-of-the-art methods. Our proposed method, COVIDLite achieved exceptional results on various performance metrics. With detailed model interpretations, COVIDLite can assist radiologists in detecting COVID-19 patients from CXR images and can reduce the diagnosis time significantly.
Title: robust screening of covid-19 from chest x-ray via discriminative cost-sensitive learning
Published: 2020-05-21 (Preprint, arXiv)
Condition: COVID-19;Pneumonia;Pneumonia, Viral
Task: 2. Detection/Diagnosis | Modality: X-Ray

Abstract: This paper addresses the new problem of automated screening of coronavirus disease 2019 (COVID-19) based on chest X-rays, which is urgently demanded toward fast stopping the pandemic. However, robust and accurate screening of COVID-19 from chest X-rays is still a globally recognized challenge because of two bottlenecks: 1) imaging features of COVID-19 share some similarities with other pneumonia on chest X-rays, and 2) the misdiagnosis rate of COVID-19 is very high, and the misdiagnosis cost is expensive. While a few pioneering works have made much progress, they underestimate both crucial bottlenecks. In this paper, we report our solution, discriminative cost-sensitive learning (DCSL), which should be the choice if the clinical needs the assisted screening of COVID-19 from chest X-rays. DCSL combines both advantages from fine-grained classification and cost-sensitive learning. Firstly, DCSL develops a conditional center loss that learns deep discriminative representation. Secondly, DCSL establishes score-level cost-sensitive learning that can adaptively enlarge the cost of misclassifying COVID-19 examples into other classes. DCSL is so flexible that it can apply in any deep neural network. We collected a large-scale multi-class dataset comprised of 2,239 chest X-ray examples: 239 examples from confirmed COVID-19 cases, 1,000 examples with confirmed bacterial or viral pneumonia cases, and 1,000 examples of healthy people. Extensive experiments on the three-class classification show that our algorithm remarkably outperforms state-of-the-art algorithms. It achieves an accuracy of 97.01%, a precision of 97%, a sensitivity of 97.09%, and an F1-score of 96.98%. These results endow our algorithm as an efficient tool for the fast large-scale screening of COVID-19.