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Twin Augmented Architectures for Robust Classification of COVID-19 Chest X-Ray Images

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 Added by Jayadeva
 Publication date 2021
and research's language is English




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The gold standard for COVID-19 is RT-PCR, testing facilities for which are limited and not always optimally distributed. Test results are delayed, which impacts treatment. Expert radiologists, one of whom is a co-author, are able to diagnose COVID-19 positivity from Chest X-Rays (CXR) and CT scans, that can facilitate timely treatment. Such diagnosis is particularly valuable in locations lacking radiologists with sufficient expertise and familiarity with COVID-19 patients. This paper has two contributions. One, we analyse literature on CXR based COVID-19 diagnosis. We show that popular choices of dataset selection suffer from data homogeneity, leading to misleading results. We compile and analyse a viable benchmark dataset from multiple existing heterogeneous sources. Such a benchmark is important for realistically testing models. Our second contribution relates to learning from imbalanced data. Datasets for COVID X-Ray classification face severe class imbalance, since most subjects are COVID -ve. Twin Support Vector Machines (Twin SVM) and Twin Neural Networks (Twin NN) have, in recent years, emerged as effective ways of handling skewed data. We introduce a state-of-the-art technique, termed as Twin Augmentation, for modifying popular pre-trained deep learning models. Twin Augmentation boosts the performance of a pre-trained deep neural network without requiring re-training. Experiments show, that across a multitude of classifiers, Twin Augmentation is very effective in boosting the performance of given pre-trained model for classification in imbalanced settings.



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The coronavirus outbreak became a major concern for society worldwide. Technological innovation and ingenuity are essential to fight COVID-19 pandemic and bring us one step closer to overcome it. Researchers over the world are working actively to find available alternatives in different fields, such as the Healthcare System, pharmaceutic, health prevention, among others. With the rise of artificial intelligence (AI) in the last 10 years, IA-based applications have become the prevalent solution in different areas because of its higher capability, being now adopted to help combat against COVID-19. This work provides a fast detection system of COVID-19 characteristics in X-Ray images based on deep learning (DL) techniques. This system is available as a free web deployed service for fast patient classification, alleviating the high demand for standards method for COVID-19 diagnosis. It is constituted of two deep learning models, one to differentiate between X-Ray and non-X-Ray images based on Mobile-Net architecture, and another one to identify chest X-Ray images with characteristics of COVID-19 based on the DenseNet architecture. For real-time inference, it is provided a pair of dedicated GPUs, which reduce the computational time. The whole system can filter out non-chest X-Ray images, and detect whether the X-Ray presents characteristics of COVID-19, highlighting the most sensitive regions.
The COVID-19 pandemic is causing a major outbreak in more than 150 countries around the world, having a severe impact on the health and life of many people globally. One of the crucial step in fighting COVID-19 is the ability to detect the infected patients early enough, and put them under special care. Detecting this disease from radiography and radiology images is perhaps one of the fastest ways to diagnose the patients. Some of the early studies showed specific abnormalities in the chest radiograms of patients infected with COVID-19. Inspired by earlier works, we study the application of deep learning models to detect COVID-19 patients from their chest radiography images. We first prepare a dataset of 5,000 Chest X-rays from the publicly available datasets. Images exhibiting COVID-19 disease presence were identified by board-certified radiologist. Transfer learning on a subset of 2,000 radiograms was used to train four popular convolutional neural networks, including ResNet18, ResNet50, SqueezeNet, and DenseNet-121, to identify COVID-19 disease in the analyzed chest X-ray images. We evaluated these models on the remaining 3,000 images, and most of these networks achieved a sensitivity rate of 98% ($pm$ 3%), while having a specificity rate of around 90%. Besides sensitivity and specificity rates, we also present the receiver operating characteristic (ROC) curve, precision-recall curve, average prediction, and confusion matrix of each model. We also used a technique to generate heatmaps of lung regions potentially infected by COVID-19 and show that the generated heatmaps contain most of the infected areas annotated by our board certified radiologist. While the achieved performance is very encouraging, further analysis is required on a larger set of COVID-19 images, to have a more reliable estimation of accuracy rates. The dataset, model implementations (in PyTorch), and evaluations, are all made publicly available for research community at https://github.com/shervinmin/DeepCovid.git
Coronavirus disease 2019 (COVID-19) has emerged the need for computer-aided diagnosis with automatic, accurate, and fast algorithms. Recent studies have applied Machine Learning algorithms for COVID-19 diagnosis over chest X-ray (CXR) images. However, the data scarcity in these studies prevents a reliable evaluation with the potential of overfitting and limits the performance of deep networks. Moreover, these networks can discriminate COVID-19 pneumonia usually from healthy subjects only or occasionally, from limited pneumonia types. Thus, there is a need for a robust and accurate COVID-19 detector evaluated over a large CXR dataset. To address this need, in this study, we propose a reliable COVID-19 detection network: ReCovNet, which can discriminate COVID-19 pneumonia from 14 different thoracic diseases and healthy subjects. To accomplish this, we have compiled the largest COVID-19 CXR dataset: QaTa-COV19 with 124,616 images including 4603 COVID-19 samples. The proposed ReCovNet achieved a detection performance with 98.57% sensitivity and 99.77% specificity.
AI plays an important role in COVID-19 identification. Computer vision and deep learning techniques can assist in determining COVID-19 infection with Chest X-ray Images. However, for the protection and respect of the privacy of patients, the hospitals specific medical-related data did not allow leakage and sharing without permission. Collecting such training data was a major challenge. To a certain extent, this has caused a lack of sufficient data samples when performing deep learning approaches to detect COVID-19. Federated Learning is an available way to address this issue. It can effectively address the issue of data silos and get a shared model without obtaining local data. In the work, we propose the use of federated learning for COVID-19 data training and deploy experiments to verify the effectiveness. And we also compare performances of four popular models (MobileNet, ResNet18, MoblieNet, and COVID-Net) with the federated learning framework and without the framework. This work aims to inspire more researches on federated learning about COVID-19.
Coronavirus disease 2019 (COVID-19) has rapidly become a global health concern after its first known detection in December 2019. As a result, accurate and reliable advance warning system for the early diagnosis of COVID-19 has now become a priority. The detection of COVID-19 in early stages is not a straightforward task from chest X-ray images according to expert medical doctors because the traces of the infection are visible only when the disease has progressed to a moderate or severe stage. In this study, our first aim is to evaluate the ability of recent textit{state-of-the-art} Machine Learning techniques for the early detection of COVID-19 from chest X-ray images. Both compact classifiers and deep learning approaches are considered in this study. Furthermore, we propose a recent compact classifier, Convolutional Support Estimator Network (CSEN) approach for this purpose since it is well-suited for a scarce-data classification task. Finally, this study introduces a new benchmark dataset called Early-QaTa-COV19, which consists of 1065 early-stage COVID-19 pneumonia samples (very limited or no infection signs) labelled by the medical doctors and 12 544 samples for control (normal) class. A detailed set of experiments shows that the CSEN achieves the top (over 97%) sensitivity with over 95.5% specificity. Moreover, DenseNet-121 network produces the leading performance among other deep networks with 95% sensitivity and 99.74% specificity.

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