COVID-19 detection from lung CT-Scans using a fuzzy integral-based CNN ensemble

A multistage framework for respiratory disease detection and assessing severity in chest X-ray images

Chest Radiography is a non-invasive imaging modality for diagnosing and managing chronic lung disorders, encompassing conditions such as pneumonia, tuberculosis, and COVID-19. While it is crucial for disease localization and severity assessment, existing computer-aided diagnosis (CAD) systems primarily focus on classification tasks, often overlooking these aspects. Additionally, prevalent approaches rely on class activation or saliency maps, providing only a rough localization. This research endeavors to address these limitations by proposing a comprehensive multi-stage framework. Initially, the framework identifies relevant lung areas by filtering out extraneous regions. Subsequently, an advanced fuzzy-based ensemble approach is employed to categorize images into specific classes. In the final stage, the framework identifies infected areas and quantifies the extent of infection in COVID-19 cases, assigning severity scores ranging from 0 to 3 based on the infection's severity. Specifically, COVID-19 images are classified into distinct severity levels, such as mild, moderate, severe, and critical, determined by the modified RALE scoring system. The study utilizes publicly available datasets, surpassing previous state-of-the-art works. Incorporating lung segmentation into the proposed ensemble-based classification approach enhances the overall classification process. This solution can be a valuable alternative for clinicians and radiologists, serving as a secondary reader for chest X-rays, reducing reporting turnaround times, aiding clinical decision-making, and alleviating the workload on hospital staff.

Deep learning radiomics-based prediction model of metachronous distant metastasis following curative resection for retroperitoneal leiomyosarcoma: a bicentric study

BACKGROUND

Combining conventional radiomics models with deep learning features can result in superior performance in predicting the prognosis of patients with tumors; however, this approach has never been evaluated for the prediction of metachronous distant metastasis (MDM) among patients with retroperitoneal leiomyosarcoma (RLS). Thus, the purpose of this study was to develop and validate a preoperative contrast-enhanced computed tomography (CECT)-based deep learning radiomics model for predicting the occurrence of MDM in patients with RLS undergoing complete surgical resection.

METHODS

A total of 179 patients who had undergone surgery for the treatment of histologically confirmed RLS were retrospectively recruited from two tertiary sarcoma centers. Semantic segmentation features derived from a convolutional neural network deep learning model as well as conventional hand-crafted radiomics features were extracted from preoperative three-phase CECT images to quantify the sarcoma phenotypes. A conventional radiomics signature (RS) and a deep learning radiomics signature (DLRS) that incorporated hand-crafted radiomics and deep learning features were developed to predict the risk of MDM. Additionally, a deep learning radiomics nomogram (DLRN) was established to evaluate the incremental prognostic significance of the DLRS in combination with clinico-radiological predictors.

RESULTS

The comparison of the area under the curve (AUC) values in the external validation set, as determined by the DeLong test, demonstrated that the integrated DLRN, DLRS, and RS models all exhibited superior predictive performance compared with that of the clinical model (AUC 0.786 [95% confidence interval 0.649-0.923] vs. 0.822 [0.692-0.952] vs. 0.733 [0.573-0.892] vs. 0.511 [0.359-0.662]; both P < 0.05). The decision curve analyses graphically indicated that utilizing the DLRN for risk stratification provided greater net benefits than those achieved using the DLRS, RS and clinical models. Good alignment with the calibration curve indicated that the DLRN also exhibited good performance.

CONCLUSIONS

The novel CECT-based DLRN developed in this study demonstrated promising performance in the preoperative prediction of the risk of MDM following curative resection in patients with RLS. The DLRN, which outperformed the other three models, could provide valuable information for predicting surgical efficacy and tailoring individualized treatment plans in this patient population.

TRIAL REGISTRATION

Not applicable.

A 3D lung lesion variational autoencoder

In this study, we develop a 3D beta variational autoencoder (beta-VAE) to advance lung cancer imaging analysis, countering the constraints of conventional radiomics methods. The autoencoder extracts information from public lung computed tomography (CT) datasets without additional labels. It reconstructs 3D lung nodule images with high quality (structural similarity: 0.774, peak signal-to-noise ratio: 26.1, and mean-squared error: 0.0008). The model effectively encodes lesion sizes in its latent embeddings, with a significant correlation with lesion size found after applying uniform manifold approximation and projection (UMAP) for dimensionality reduction. Additionally, the beta-VAE can synthesize new lesions of varying sizes by manipulating the latent features. The model can predict multiple clinical endpoints, including pathological N stage or KRAS mutation status, on the Stanford radiogenomics lung cancer dataset. Comparisons with other methods show that the beta-VAE performs equally well in these tasks, suggesting its potential as a pretrained model for predicting patient outcomes in medical imaging.

A Systematic Review on Deep Structured Learning for COVID-19 Screening Using Chest CT from 2020 to 2022

The emergence of the COVID-19 pandemic in Wuhan in 2019 led to the discovery of a novel coronavirus. The World Health Organization (WHO) designated it as a global pandemic on 11 March 2020 due to its rapid and widespread transmission. Its impact has had profound implications, particularly in the realm of public health. Extensive scientific endeavors have been directed towards devising effective treatment strategies and vaccines. Within the healthcare and medical imaging domain, the application of artificial intelligence (AI) has brought significant advantages. This study delves into peer-reviewed research articles spanning the years 2020 to 2022, focusing on AI-driven methodologies for the analysis and screening of COVID-19 through chest CT scan data. We assess the efficacy of deep learning algorithms in facilitating decision making processes. Our exploration encompasses various facets, including data collection, systematic contributions, emerging techniques, and encountered challenges. However, the comparison of outcomes between 2020 and 2022 proves intricate due to shifts in dataset magnitudes over time. The initiatives aimed at developing AI-powered tools for the detection, localization, and segmentation of COVID-19 cases are primarily centered on educational and training contexts. We deliberate on their merits and constraints, particularly in the context of necessitating cross-population train/test models. Our analysis encompassed a review of 231 research publications, bolstered by a meta-analysis employing search keywords (COVID-19 OR Coronavirus) AND chest CT AND (deep learning OR artificial intelligence OR medical imaging) on both the PubMed Central Repository and Web of Science platforms.

SnapEnsemFS: a snapshot ensembling-based deep feature selection model for colorectal cancer histological analysis

Colorectal cancer is the third most common type of cancer diagnosed annually, and the second leading cause of death due to cancer. Early diagnosis of this ailment is vital for preventing the tumours to spread and plan treatment to possibly eradicate the disease. However, population-wide screening is stunted by the requirement of medical professionals to analyse histological slides manually. Thus, an automated computer-aided detection (CAD) framework based on deep learning is proposed in this research that uses histological slide images for predictions. Ensemble learning is a popular strategy for fusing the salient properties of several models to make the final predictions. However, such frameworks are computationally costly since it requires the training of multiple base learners. Instead, in this study, we adopt a snapshot ensemble method, wherein, instead of the traditional method of fusing decision scores from the snapshots of a Convolutional Neural Network (CNN) model, we extract deep features from the penultimate layer of the CNN model. Since the deep features are extracted from the same CNN model but for different learning environments, there may be redundancy in the feature set. To alleviate this, the features are fed into Particle Swarm Optimization, a popular meta-heuristic, for dimensionality reduction of the feature space and better classification. Upon evaluation on a publicly available colorectal cancer histology dataset using a five-fold cross-validation scheme, the proposed method obtains a highest accuracy of 97.60% and F1-Score of 97.61%, outperforming existing state-of-the-art methods on the same dataset. Further, qualitative investigation of class activation maps provide visual explainability to medical practitioners, as well as justifies the use of the CAD framework in screening of colorectal histology. Our source codes are publicly accessible at: https://github.com/soumitri2001/SnapEnsemFS .

Ensemble Deep Learning Derived from Transfer Learning for Classification of COVID-19 Patients on Hybrid Deep-Learning-Based Lung Segmentation: A Data Augmentation and Balancing Framework

BACKGROUND AND MOTIVATION

Lung computed tomography (CT) techniques are high-resolution and are well adopted in the intensive care unit (ICU) for COVID-19 disease control classification. Most artificial intelligence (AI) systems do not undergo generalization and are typically overfitted. Such trained AI systems are not practical for clinical settings and therefore do not give accurate results when executed on unseen data sets. We hypothesize that ensemble deep learning (EDL) is superior to deep transfer learning (TL) in both non-augmented and augmented frameworks.

METHODOLOGY

The system consists of a cascade of quality control, ResNet-UNet-based hybrid deep learning for lung segmentation, and seven models using TL-based classification followed by five types of EDL's. To prove our hypothesis, five different kinds of data combinations (DC) were designed using a combination of two multicenter cohorts-Croatia (80 COVID) and Italy (72 COVID and 30 controls)-leading to 12,000 CT slices. As part of generalization, the system was tested on unseen data and statistically tested for reliability/stability.

RESULTS

Using the K5 (80:20) cross-validation protocol on the balanced and augmented dataset, the five DC datasets improved TL mean accuracy by 3.32%, 6.56%, 12.96%, 47.1%, and 2.78%, respectively. The five EDL systems showed improvements in accuracy of 2.12%, 5.78%, 6.72%, 32.05%, and 2.40%, thus validating our hypothesis. All statistical tests proved positive for reliability and stability.

CONCLUSION

EDL showed superior performance to TL systems for both (a) unbalanced and unaugmented and (b) balanced and augmented datasets for both (i) seen and (ii) unseen paradigms, validating both our hypotheses.

Deep learning techniques for detection and prediction of pandemic diseases: a systematic literature review

Deep learning (DL) is becoming a fast-growing field in the medical domain and it helps in the timely detection of any infectious disease (IDs) and is essential to the management of diseases and the prediction of future occurrences. Many scientists and scholars have implemented DL techniques for the detection and prediction of pandemics, IDs and other healthcare-related purposes, these outcomes are with various limitations and research gaps. For the purpose of achieving an accurate, efficient and less complicated DL-based system for the detection and prediction of pandemics, therefore, this study carried out a systematic literature review (SLR) on the detection and prediction of pandemics using DL techniques. The survey is anchored by four objectives and a state-of-the-art review of forty-five papers out of seven hundred and ninety papers retrieved from different scholarly databases was carried out in this study to analyze and evaluate the trend of DL techniques application areas in the detection and prediction of pandemics. This study used various tables and graphs to analyze the extracted related articles from various online scholarly repositories and the analysis showed that DL techniques have a good tool in pandemic detection and prediction. Scopus and Web of Science repositories are given attention in this current because they contain suitable scientific findings in the subject area. Finally, the state-of-the-art review presents forty-four (44) studies of various DL technique performances. The challenges identified from the literature include the low performance of the model due to computational complexities, improper labeling and the absence of a high-quality dataset among others. This survey suggests possible solutions such as the development of improved DL-based techniques or the reduction of the output layer of DL-based architecture for the detection and prediction of pandemic-prone diseases as future considerations.

COVID-19 CT ground-glass opacity segmentation based on attention mechanism threshold

The ground glass opacity (GGO) of the lung is one of the essential features of COVID-19. The GGO in computed tomography (CT) images has various features and low-intensity contrast between the GGO and edge structures. These problems pose significant challenges for segmenting the GGO. To tackle these problems, we propose a new threshold method for accurate segmentation of GGO. Specifically, we offer a framework for adjusting the threshold parameters according to the image contrast. Three functions include Attention mechanism threshold, Contour equalization, and Lung segmentation (ACL). The lung is divided into three areas using the attention mechanism threshold. Further, the segmentation parameters of the attention mechanism thresholds of the three parts are adaptively adjusted according to the image contrast. Only the segmentation regions restricted by the lung segmentation results are retained. Extensive experiments on four COVID datasets show that ACL can segment GGO images at low contrast well. Compared with the state-of-the-art methods, the similarity Dice of the ACL segmentation results is improved by 8.9%, the average symmetry surface distance ASD is reduced by 23%, and the required computational power F L O P s are only 0.09% of those of deep learning models. For GGO segmentation, ACL is more lightweight, and the accuracy is higher. Code will be released at https://github.com/Lqs-github/ACL.

Data augmentation based semi-supervised method to improve COVID-19 CT classification

The Coronavirus (COVID-19) outbreak of December 2019 has become a serious threat to people around the world, creating a health crisis that infected millions of lives, as well as destroying the global economy. Early detection and diagnosis are essential to prevent further transmission. The detection of COVID-19 computed tomography images is one of the important approaches to rapid diagnosis. Many different branches of deep learning methods have played an important role in this area, including transfer learning, contrastive learning, ensemble strategy, etc. However, these works require a large number of samples of expensive manual labels, so in order to save costs, scholars adopted semi-supervised learning that applies only a few labels to classify COVID-19 CT images. Nevertheless, the existing semi-supervised methods focus primarily on class imbalance and pseudo-label filtering rather than on pseudo-label generation. Accordingly, in this paper, we organized a semi-supervised classification framework based on data augmentation to classify the CT images of COVID-19. We revised the classic teacher-student framework and introduced the popular data augmentation method Mixup, which widened the distribution of high confidence to improve the accuracy of selected pseudo-labels and ultimately obtain a model with better performance. For the COVID-CT dataset, our method makes precision, F1 score, accuracy and specificity 21.04%, 12.95%, 17.13% and 38.29% higher than average values for other methods respectively, For the SARS-COV-2 dataset, these increases were 8.40%, 7.59%, 9.35% and 12.80% respectively. For the Harvard Dataverse dataset, growth was 17.64%, 18.89%, 19.81% and 20.20% respectively. The codes are available at https://github.com/YutingBai99/COVID-19-SSL.

A fuzzy fine-tuned model for COVID-19 diagnosis

The COVID-19 disease pandemic spread rapidly worldwide and caused extensive human death and financial losses. Therefore, finding accurate, accessible, and inexpensive methods for diagnosing the disease has challenged researchers. To automate the process of diagnosing COVID-19 disease through images, several strategies based on deep learning, such as transfer learning and ensemble learning, have been presented. However, these techniques cannot deal with noises and their propagation in different layers. In addition, many of the datasets already being used are imbalanced, and most techniques have used binary classification, COVID-19, from normal cases. To address these issues, we use the blind/referenceless image spatial quality evaluator to filter out inappropriate data in the dataset. In order to increase the volume and diversity of the data, we merge two datasets. This combination of two datasets allows multi-class classification between the three states of normal, COVID-19, and types of pneumonia, including bacterial and viral types. A weighted multi-class cross-entropy is used to reduce the effect of data imbalance. In addition, a fuzzy fine-tuned Xception model is applied to reduce the noise propagation in different layers. Quantitative analysis shows that our proposed model achieves 96.60% accuracy on the merged test set, which is more accurate than previously mentioned state-of-the-art methods.

Predicting the Severity of COVID-19 from Lung CT Images Using Novel Deep Learning

Purpose

Coronavirus 2019 (COVID-19) had major social, medical, and economic impacts globally. The study aims to develop a deep-learning model that can predict the severity of COVID-19 in patients based on CT images of their lungs.

Methods

COVID-19 causes lung infections, and qRT-PCR is an essential tool used to detect virus infection. However, qRT-PCR is inadequate for detecting the severity of the disease and the extent to which it affects the lung. In this paper, we aim to determine the severity level of COVID-19 by studying lung CT scans of people diagnosed with the virus.

Results

We used images from King Abdullah University Hospital in Jordan; we collected our dataset from 875 cases with 2205 CT images. A radiologist classified the images into four levels of severity: normal, mild, moderate, and severe. We used various deep-learning algorithms to predict the severity of lung diseases. The results show that the best deep-learning algorithm used is Resnet101, with an accuracy score of 99.5% and a data loss rate of 0.03%.

Conclusion

The proposed model assisted in diagnosing and treating COVID-19 patients and helped improve patient outcomes.

Improving COVID-19 CT classification of CNNs by learning parameter-efficient representation

The COVID-19 pandemic continues to spread rapidly over the world and causes a tremendous crisis in global human health and the economy. Its early detection and diagnosis are crucial for controlling the further spread. Many deep learning-based methods have been proposed to assist clinicians in automatic COVID-19 diagnosis based on computed tomography imaging. However, challenges still remain, including low data diversity in existing datasets, and unsatisfied detection resulting from insufficient accuracy and sensitivity of deep learning models. To enhance the data diversity, we design augmentation techniques of incremental levels and apply them to the largest open-access benchmark dataset, COVIDx CT-2A. Meanwhile, similarity regularization (SR) derived from contrastive learning is proposed in this study to enable CNNs to learn more parameter-efficient representations, thus improve the accuracy and sensitivity of CNNs. The results on seven commonly used CNNs demonstrate that CNN performance can be improved stably through applying the designed augmentation and SR techniques. In particular, DenseNet121 with SR achieves an average test accuracy of 99.44% in three trials for three-category classification, including normal, non-COVID-19 pneumonia, and COVID-19 pneumonia. The achieved precision, sensitivity, and specificity for the COVID-19 pneumonia category are 98.40%, 99.59%, and 99.50%, respectively. These statistics suggest that our method has surpassed the existing state-of-the-art methods on the COVIDx CT-2A dataset. Source code is available at https://github.com/YujiaKCL/COVID-CT-Similarity-Regularization.

McS-Net: Multi-class Siamese network for severity of COVID-19 infection classification from lung CT scan slices

Worldwide COVID-19 is a highly infectious and rapidly spreading disease in almost all age groups. The Computed Tomography (CT) scans of lungs are found to be accurate for the timely diagnosis of COVID-19 infection. In the proposed work, a deep learning-based P-shot N-ways Siamese network along with prototypical nearest neighbor classifiers is implemented for the classification of COVID-19 infection from lung CT scan slices. For this, a Siamese network with an identical sub-network (weight sharing) is used for image classification with a limited dataset for each class. The feature vectors are obtained from the pre-trained sub-networks having weight sharing. The performance of the proposed methodology is evaluated on the benchmark MosMed dataset having categories zero (healthy control) and numerous COVID-19 infections. The proposed methodology is evaluated on (a) chest CT scans provided by medical hospitals in Moscow, Russia for 1110 patients, and (b) case study of low-dose CT scans of 42 patients provided by Avtaran healthcare in India. The deep learning-based Siamese network (15-shot 5-ways) obtained an accuracy of 98.07%, the sensitivity of 95.66%, specificity of 98.83%, and F1-score of 95.10%. The proposed work outperforms the COVID-19 infection severity classification with limited scans availability for numerous infection categories.

COVID-19 chest X-ray detection through blending ensemble of CNN snapshots

The novel COVID-19 pandemic, has effectively turned out to be one of the deadliest events in modern history, with unprecedented loss of human life, major economic and financial setbacks and has set the entire world back quite a few decades. However, detection of the COVID-19 virus has become increasingly difficult due to the mutating nature of the virus, and the rise in asymptomatic cases. To counteract this and contribute to the research efforts for a more accurate screening of COVID-19, we have planned this work. Here, we have proposed an ensemble methodology for deep learning models to solve the task of COVID-19 detection from chest X-rays (CXRs) to assist Computer-Aided Detection (CADe) for medical practitioners. We leverage the strategy of transfer learning for Convolutional Neural Networks (CNNs), widely adopted in recent literature, and further propose an efficient ensemble network for their combination. The DenseNet-201 architecture has been trained only once to generate multiple snapshots, offering diverse information about the extracted features from CXRs. We follow the strategy of decision-level fusion to combine the decision scores using the blending algorithm through a Random Forest (RF) meta-learner. Experimental results confirm the efficacy of the proposed ensemble method, as shown through impressive results upon two open access COVID-19 CXR datasets — the largest COVID-X dataset, as well as a smaller scale dataset. On the large COVID-X dataset, the proposed model has achieved an accuracy score of 94.55% and on the smaller dataset by Chowdhury et al., the proposed model has achieved a 98.13% accuracy score.

An Ensemble of CNN Models for Parkinson’s Disease Detection Using DaTscan Images

Parkinson’s Disease (PD) is a progressive central nervous system disorder that is caused due to the neural degeneration mainly in the substantia nigra in the brain. It is responsible for the decline of various motor functions due to the loss of dopamine-producing neurons. Tremors in hands is usually the initial symptom, followed by rigidity, bradykinesia, postural instability, and impaired balance. Proper diagnosis and preventive treatment can help patients improve their quality of life. We have proposed an ensemble of Deep Learning (DL) models to predict Parkinson’s using DaTscan images. Initially, we have used four DL models, namely, VGG16, ResNet50, Inception-V3, and Xception, to classify Parkinson’s disease. In the next stage, we have applied a Fuzzy Fusion logic-based ensemble approach to enhance the overall result of the classification model. The proposed model is assessed on a publicly available database provided by the Parkinson’s Progression Markers Initiative (PPMI). The achieved recognition accuracy, Precision, Sensitivity, Specificity, F1-score from the proposed model are 98.45%, 98.84%, 98.84%, 97.67%, and 98.84%, respectively which are higher than the individual model. We have also developed a Graphical User Interface (GUI)-based software tool for public use that instantly detects all classes using Magnetic Resonance Imaging (MRI) with reasonable accuracy. The proposed method offers better performance compared to other state-of-the-art methods in detecting PD. The developed GUI-based software tool can play a significant role in detecting the disease in real-time.

An automated diagnosis and classification of COVID-19 from chest CT images using a transfer learning-based convolutional neural network

Researchers have developed more intelligent, highly responsive, and efficient detection methods owing to the COVID-19 demands for more widespread diagnosis. The work done deals with developing an AI-based framework that can help radiologists and other healthcare professionals diagnose COVID-19 cases at a high level of accuracy. However, in the absence of publicly available CT datasets, the development of such AI tools can prove challenging. Therefore, an algorithm for performing automatic and accurate COVID-19 classification using Convolutional Neural Network (CNN), pre-trained model, and Sparrow search algorithm (SSA) on CT lung images was proposed. The pre-trained CNN models used are SeresNext50, SeresNext101, SeNet154, MobileNet, MobileNetV2, MobileNetV3Small, and MobileNetV3Large. In addition, the SSA will be used to optimize the different CNN and transfer learning(TL) hyperparameters to find the best configuration for the pre-trained model used and enhance its performance. Two datasets are used in the experiments. There are two classes in the first dataset, while three in the second. The authors combined two publicly available COVID-19 datasets as the first dataset, namely the COVID-19 Lung CT Scans and COVID-19 CT Scan Dataset. In total, 14,486 images were included in this study. The authors analyzed the Large COVID-19 CT scan slice dataset in the second dataset, which utilized 17,104 images. Compared to other pre-trained models on both classes datasets, MobileNetV3Large pre-trained is the best model. As far as the three-classes dataset is concerned, a model trained on SeNet154 is the best available. Results show that, when compared to other CNN models like LeNet-5 CNN, COVID faster R–CNN, Light CNN, Fuzzy + CNN, Dynamic CNN, CNN and Optimized CNN, the proposed Framework achieves the best accuracy of 99.74% (two classes) and 98% (three classes).

COVID-19 detection from CT scans using a two-stage framework

Coronavirus disease 2019 (COVID-19) is a contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It may cause serious ailments in infected individuals and complications may lead to death. X-rays and Computed Tomography (CT) scans can be used for the diagnosis of the disease. In this context, various methods have been proposed for the detection of COVID-19 from radiological images. In this work, we propose an end-to-end framework consisting of deep feature extraction followed by feature selection (FS) for the detection of COVID-19 from CT scan images. For feature extraction, we utilize three deep learning based Convolutional Neural Networks (CNNs). For FS, we use a meta-heuristic optimization algorithm, Harmony Search (HS), combined with a local search method, Adaptive β -Hill Climbing (A β HC) for better performance. We evaluate the proposed approach on the SARS-COV-2 CT-Scan Dataset consisting of 2482 CT scan images and an updated version of the previous dataset containing 2926 CT scan images. For comparison, we use a few state-of-the-art optimization algorithms. The best accuracy scores obtained by the present approach are 97.30% and 98.87% respectively on the said datasets, which are better than many of the algorithms used for comparison. The performances are also at par with some recent works which use the same datasets. The codes for the FS algorithms are available at: https://github.com/khalid0007/Metaheuristic-Algorithms.

Internet of Medical Things-Based COVID-19 Detection in CT Images Fused with Fuzzy Ensemble and Transfer Learning Models

One of the most difficult research areas in today's healthcare industry to combat the coronavirus pandemic is accurate COVID-19 detection. Because of its low infection miss rate and high sensitivity, chest computed tomography (CT) imaging has been recommended as a viable technique for COVID-19 diagnosis in a number of recent clinical investigations. This article presents an Internet of Medical Things (IoMT)-based platform for improving and speeding up COVID-19 identification. Clinical devices are connected to network resources in the suggested IoMT platform using cloud computing. The method enables patients and healthcare experts to work together in real time to diagnose and treat COVID-19, potentially saving time and effort for both patients and physicians. In this paper, we introduce a technique for classifying chest CT scan images into COVID, pneumonia, and normal classes that use a Sugeno fuzzy integral ensemble across three transfer learning models, namely SqueezeNet, DenseNet-201, and MobileNetV2. The suggested fuzzy ensemble techniques outperform each individual transfer learning methodology as well as trainable ensemble strategies in terms of accuracy. The suggested MobileNetV2 fused with Sugeno fuzzy integral ensemble model has a 99.15% accuracy rate. In the present research, this framework was utilized to identify COVID-19, but it may also be implemented and used for medical imaging analyses of other disorders.