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Zhang F, Han H, Li M, Tian T, Zhang G, Yang Z, Guo F, Li M, Wang Y, Wang J, Liu Y. Revolutionizing diagnosis of pulmonary Mycobacterium tuberculosis based on CT: a systematic review of imaging analysis through deep learning. Front Microbiol 2025; 15:1510026. [PMID: 39845042 PMCID: PMC11750854 DOI: 10.3389/fmicb.2024.1510026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2024] [Accepted: 12/23/2024] [Indexed: 01/24/2025] Open
Abstract
Introduction The mortality rate associated with Mycobacterium tuberculosis (MTB) has seen a significant rise in regions heavily affected by the disease over the past few decades. The traditional methods for diagnosing and differentiating tuberculosis (TB) remain thorny issues, particularly in areas with a high TB epidemic and inadequate resources. Processing numerous images can be time-consuming and tedious. Therefore, there is a need for automatic segmentation and classification technologies based on lung computed tomography (CT) scans to expedite and enhance the diagnosis of TB, enabling the rapid and secure identification of the condition. Deep learning (DL) offers a promising solution for automatically segmenting and classifying lung CT scans, expediting and enhancing TB diagnosis. Methods This review evaluates the diagnostic accuracy of DL modalities for diagnosing pulmonary tuberculosis (PTB) after searching the PubMed and Web of Science databases using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Results Seven articles were found and included in the review. While DL has been widely used and achieved great success in CT-based PTB diagnosis, there are still challenges to be addressed and opportunities to be explored, including data scarcity, model generalization, interpretability, and ethical concerns. Addressing these challenges requires data augmentation, interpretable models, moral frameworks, and clinical validation. Conclusion Further research should focus on developing robust and generalizable DL models, enhancing model interpretability, establishing ethical guidelines, and conducting clinical validation studies. DL holds great promise for transforming PTB diagnosis and improving patient outcomes.
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Affiliation(s)
- Fei Zhang
- Department of Family Medicine, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China
| | - Hui Han
- Science and Technology Research Center of China Customs, Beijing, China
| | - Minglin Li
- Department of Family Medicine, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China
| | - Tian Tian
- Department of Family Medicine, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China
| | - Guilei Zhang
- Department of Family Medicine, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China
| | - Zhenrong Yang
- Department of Pulmonary and Critical Care Medicine, Anshan Central Hospital, Anshan, Liaoning, China
| | - Feng Guo
- Department of Emergency Medicine, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China
| | - Maomao Li
- Department of General Practice, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Yuting Wang
- Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China
| | - Jiahe Wang
- Department of Family Medicine, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China
| | - Ying Liu
- Department of Nephrology, Shengjing Hospital of China Medical University, Shenyang, China
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Zhang S, He C, Wan Z, Shi N, Wang B, Liu X, Hou D. Diagnosis of pulmonary tuberculosis with 3D neural network based on multi-scale attention mechanism. Med Biol Eng Comput 2024; 62:1589-1600. [PMID: 38319503 DOI: 10.1007/s11517-024-03022-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Accepted: 01/03/2024] [Indexed: 02/07/2024]
Abstract
This paper presents a novel multi-scale attention residual network (MAResNet) for diagnosing patients with pulmonary tuberculosis (PTB) by computed tomography (CT) images. First, a three-dimensional (3D) network structure is applied in MAResNet based on the continuity and correlation of nodal features on different slices of CT images. Secondly, MAResNet incorporates the residual module and Convolutional Block Attention Module (CBAM) to reuse the shallow features of CT images and focus on key features to enhance the feature distinguishability of images. In addition, multi-scale inputs can increase the global receptive field of the network, extract the location information of PTB, and capture the local details of nodules. The expression ability of both high-level and low-level semantic information in the network can also be enhanced. The proposed MAResNet shows excellent results, with overall 94% accuracy in PTB classification. MAResNet based on 3D CT images can assist doctors make more accurate diagnosis of PTB and alleviate the burden of manual screening. In the experiment, a called Grad-CAM was employed to enhance the class activation mapping (CAM) technique for analyzing the model's output, which can identify lesions in important parts of the lungs and make transparent decisions.
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Affiliation(s)
- Shidong Zhang
- Key Laboratory of Digital Medical Engineering of Hebei Province, College of Electronic and Information Engineering, Hebei University, Baoding, 071002, China
| | - Cong He
- Key Laboratory of Digital Medical Engineering of Hebei Province, College of Electronic and Information Engineering, Hebei University, Baoding, 071002, China.
| | - Zhenzhen Wan
- Key Laboratory of Digital Medical Engineering of Hebei Province, College of Electronic and Information Engineering, Hebei University, Baoding, 071002, China
| | - Ning Shi
- Key Laboratory of Digital Medical Engineering of Hebei Province, College of Electronic and Information Engineering, Hebei University, Baoding, 071002, China
| | - Bing Wang
- Department of Radiology, Beijing Chest Hospital, Capital Medical University, Beijing, 101149, China.
| | - Xiuling Liu
- Key Laboratory of Digital Medical Engineering of Hebei Province, College of Electronic and Information Engineering, Hebei University, Baoding, 071002, China
| | - Dailun Hou
- Department of Radiology, Beijing Chest Hospital, Capital Medical University, Beijing, 101149, China.
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Malik H, Anees T. Multi-modal deep learning methods for classification of chest diseases using different medical imaging and cough sounds. PLoS One 2024; 19:e0296352. [PMID: 38470893 DOI: 10.1371/journal.pone.0296352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 12/11/2023] [Indexed: 03/14/2024] Open
Abstract
Chest disease refers to a wide range of conditions affecting the lungs, such as COVID-19, lung cancer (LC), consolidation lung (COL), and many more. When diagnosing chest disorders medical professionals may be thrown off by the overlapping symptoms (such as fever, cough, sore throat, etc.). Additionally, researchers and medical professionals make use of chest X-rays (CXR), cough sounds, and computed tomography (CT) scans to diagnose chest disorders. The present study aims to classify the nine different conditions of chest disorders, including COVID-19, LC, COL, atelectasis (ATE), tuberculosis (TB), pneumothorax (PNEUTH), edema (EDE), pneumonia (PNEU). Thus, we suggested four novel convolutional neural network (CNN) models that train distinct image-level representations for nine different chest disease classifications by extracting features from images. Furthermore, the proposed CNN employed several new approaches such as a max-pooling layer, batch normalization layers (BANL), dropout, rank-based average pooling (RBAP), and multiple-way data generation (MWDG). The scalogram method is utilized to transform the sounds of coughing into a visual representation. Before beginning to train the model that has been developed, the SMOTE approach is used to calibrate the CXR and CT scans as well as the cough sound images (CSI) of nine different chest disorders. The CXR, CT scan, and CSI used for training and evaluating the proposed model come from 24 publicly available benchmark chest illness datasets. The classification performance of the proposed model is compared with that of seven baseline models, namely Vgg-19, ResNet-101, ResNet-50, DenseNet-121, EfficientNetB0, DenseNet-201, and Inception-V3, in addition to state-of-the-art (SOTA) classifiers. The effectiveness of the proposed model is further demonstrated by the results of the ablation experiments. The proposed model was successful in achieving an accuracy of 99.01%, making it superior to both the baseline models and the SOTA classifiers. As a result, the proposed approach is capable of offering significant support to radiologists and other medical professionals.
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Affiliation(s)
- Hassaan Malik
- Department of Computer Science, School of Systems and Technology, University of Management and Technology, Lahore, Pakistan
| | - Tayyaba Anees
- Department of Software Engineering, School of Systems and Technology, University of Management and Technology, Lahore, Pakistan
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Acharya V, Choi D, Yener B, Beamer G. Prediction of Tuberculosis From Lung Tissue Images of Diversity Outbred Mice Using Jump Knowledge Based Cell Graph Neural Network. IEEE ACCESS : PRACTICAL INNOVATIONS, OPEN SOLUTIONS 2024; 12:17164-17194. [PMID: 38515959 PMCID: PMC10956573 DOI: 10.1109/access.2024.3359989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
Tuberculosis (TB), primarily affecting the lungs, is caused by the bacterium Mycobacterium tuberculosis and poses a significant health risk. Detecting acid-fast bacilli (AFB) in stained samples is critical for TB diagnosis. Whole Slide (WS) Imaging allows for digitally examining these stained samples. However, current deep-learning approaches to analyzing large-sized whole slide images (WSIs) often employ patch-wise analysis, potentially missing the complex spatial patterns observed in the granuloma essential for accurate TB classification. To address this limitation, we propose an approach that models cell characteristics and interactions as a graph, capturing both cell-level information and the overall tissue micro-architecture. This method differs from the strategies in related cell graph-based works that rely on edge thresholds based on sparsity/density in cell graph construction, emphasizing a biologically informed threshold determination instead. We introduce a cell graph-based jumping knowledge neural network (CG-JKNN) that operates on the cell graphs where the edge thresholds are selected based on the length of the mycobacteria's cords and the activated macrophage nucleus's size to reflect the actual biological interactions observed in the tissue. The primary process involves training a Convolutional Neural Network (CNN) to segment AFBs and macrophage nuclei, followed by converting large (42831*41159 pixels) lung histology images into cell graphs where an activated macrophage nucleus/AFB represents each node within the graph and their interactions are denoted as edges. To enhance the interpretability of our model, we employ Integrated Gradients and Shapely Additive Explanations (SHAP). Our analysis incorporated a combination of 33 graph metrics and 20 cell morphology features. In terms of traditional machine learning models, Extreme Gradient Boosting (XGBoost) was the best performer, achieving an F1 score of 0.9813 and an Area under the Precision-Recall Curve (AUPRC) of 0.9848 on the test set. Among graph-based models, our CG-JKNN was the top performer, attaining an F1 score of 0.9549 and an AUPRC of 0.9846 on the held-out test set. The integration of graph-based and morphological features proved highly effective, with CG-JKNN and XGBoost showing promising results in classifying instances into AFB and activated macrophage nucleus. The features identified as significant by our models closely align with the criteria used by pathologists in practice, highlighting the clinical applicability of our approach. Future work will explore knowledge distillation techniques and graph-level classification into distinct TB progression categories.
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Affiliation(s)
| | - Diana Choi
- Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA 02155, USA
| | - BüLENT Yener
- Rensselaer Polytechnic Institute, Troy, NY 12180, USA
| | - Gillian Beamer
- Research Pathology, Aiforia Technologies, Cambridge, MA 02142, USA
- Texas Biomedical Research Institute, San Antonio, TX 78227, USA
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Gao Y, Zhang Y, Hu C, He P, Fu J, Lin F, Liu K, Fu X, Liu R, Sun J, Chen F, Yang W, Zhou Y. Distinguishing infectivity in patients with pulmonary tuberculosis using deep learning. Front Public Health 2023; 11:1247141. [PMID: 38089031 PMCID: PMC10711219 DOI: 10.3389/fpubh.2023.1247141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Accepted: 11/07/2023] [Indexed: 12/18/2023] Open
Abstract
Introduction This study aimed to develop and assess a deep-learning model based on CT images for distinguishing infectivity in patients with pulmonary tuberculosis (PTB). Methods We labeled all 925 patients from four centers with weak and strong infectivity based on multiple sputum smears within a month for our deep-learning model named TBINet's training. We compared TBINet's performance in identifying infectious patients to that of the conventional 3D ResNet model. For model explainability, we used gradient-weighted class activation mapping (Grad-CAM) technology to identify the site of lesion activation in the CT images. Results The TBINet model demonstrated superior performance with an area under the curve (AUC) of 0.819 and 0.753 on the validation and external test sets, respectively, compared to existing deep learning methods. Furthermore, using Grad-CAM, we observed that CT images with higher levels of consolidation, voids, upper lobe involvement, and enlarged lymph nodes were more likely to come from patients with highly infectious forms of PTB. Conclusion Our study proves the feasibility of using CT images to identify the infectivity of PTB patients based on the deep learning method.
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Affiliation(s)
- Yi Gao
- Department of Infectious Disease and Hepatology Unit, Nanfang Hospital, Southern Medical University, Guangzhou, China
- Department of Infectious Disease, Hainan General Hospital, Hainan Medical University, Haikou, China
- Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Yiwen Zhang
- School of Biomedical Engineering, Southern Medical University, Guangzhou, China
| | - Chengguang Hu
- Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Pengyuan He
- Department of Infectious Disease, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China
| | - Jian Fu
- Department of Infectious Disease, Hainan General Hospital, Hainan Medical University, Haikou, China
| | - Feng Lin
- Department of Infectious Disease, Hainan General Hospital, Hainan Medical University, Haikou, China
| | - Kehui Liu
- Department of Radiology, Haikou Municipal People's Hospital and Central South University Xiangya Medical College Affiliated Hospital, Haikou, China
| | - Xianxian Fu
- Clinical Lab, Haikou Municipal People's Hospital and Central South University Xiangya Medical College Affiliated Hospital, Haikou, China
| | - Rui Liu
- Department of Infectious Disease, The Second Affiliated Hospital, Hainan Medical University, Haikou, China
| | - Jiarun Sun
- Department of Infectious Disease and Hepatology Unit, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Feng Chen
- Department of Radiology, Hainan General Hospital, Hainan Medical University, Haikou, China
| | - Wei Yang
- School of Biomedical Engineering, Southern Medical University, Guangzhou, China
| | - Yuanping Zhou
- Department of Infectious Disease and Hepatology Unit, Nanfang Hospital, Southern Medical University, Guangzhou, China
- Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China
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Ahoor A, Arif F, Sajid MZ, Qureshi I, Abbas F, Jabbar S, Abbas Q. MixNet-LD: An Automated Classification System for Multiple Lung Diseases Using Modified MixNet Model. Diagnostics (Basel) 2023; 13:3195. [PMID: 37892016 PMCID: PMC10606171 DOI: 10.3390/diagnostics13203195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 10/03/2023] [Accepted: 10/04/2023] [Indexed: 10/29/2023] Open
Abstract
The lungs are critical components of the respiratory system because they allow for the exchange of oxygen and carbon dioxide within our bodies. However, a variety of conditions can affect the lungs, resulting in serious health consequences. Lung disease treatment aims to control its severity, which is usually irrevocable. The fundamental objective of this endeavor is to build a consistent and automated approach for establishing the intensity of lung illness. This paper describes MixNet-LD, a unique automated approach aimed at identifying and categorizing the severity of lung illnesses using an upgraded pre-trained MixNet model. One of the first steps in developing the MixNet-LD system was to build a pre-processing strategy that uses Grad-Cam to decrease noise, highlight irregularities, and eventually improve the classification performance of lung illnesses. Data augmentation strategies were used to rectify the dataset's unbalanced distribution of classes and prevent overfitting. Furthermore, dense blocks were used to improve classification outcomes across the four severity categories of lung disorders. In practice, the MixNet-LD model achieves cutting-edge performance while maintaining model size and manageable complexity. The proposed approach was tested using a variety of datasets gathered from credible internet sources as well as a novel private dataset known as Pak-Lungs. A pre-trained model was used on the dataset to obtain important characteristics from lung disease images. The pictures were then categorized into categories such as normal, COVID-19, pneumonia, tuberculosis, and lung cancer using a linear layer of the SVM classifier with a linear activation function. The MixNet-LD system underwent testing in four distinct tests and achieved a remarkable accuracy of 98.5% on the difficult lung disease dataset. The acquired findings and comparisons demonstrate the MixNet-LD system's improved performance and learning capabilities. These findings show that the proposed approach may effectively increase the accuracy of classification models in medicinal image investigations. This research helps to develop new strategies for effective medical image processing in clinical settings.
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Affiliation(s)
- Ayesha Ahoor
- Department of Computer Software Engineering, MCS, National University of Science and Technology, Islamabad 44000, Pakistan; (A.A.); (F.A.); (M.Z.S.)
| | - Fahim Arif
- Department of Computer Software Engineering, MCS, National University of Science and Technology, Islamabad 44000, Pakistan; (A.A.); (F.A.); (M.Z.S.)
| | - Muhammad Zaheer Sajid
- Department of Computer Software Engineering, MCS, National University of Science and Technology, Islamabad 44000, Pakistan; (A.A.); (F.A.); (M.Z.S.)
| | - Imran Qureshi
- College of Computer and Information Sciences, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 11432, Saudi Arabia; (S.J.); (Q.A.)
| | - Fakhar Abbas
- Centre for Trusted Internet and Community, National University of Singapore (NUS), Singapore 119228, Singapore;
| | - Sohail Jabbar
- College of Computer and Information Sciences, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 11432, Saudi Arabia; (S.J.); (Q.A.)
| | - Qaisar Abbas
- College of Computer and Information Sciences, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 11432, Saudi Arabia; (S.J.); (Q.A.)
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Malik H, Anees T, Al-Shamaylehs AS, Alharthi SZ, Khalil W, Akhunzada A. Deep Learning-Based Classification of Chest Diseases Using X-rays, CT Scans, and Cough Sound Images. Diagnostics (Basel) 2023; 13:2772. [PMID: 37685310 PMCID: PMC10486427 DOI: 10.3390/diagnostics13172772] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 08/14/2023] [Accepted: 08/21/2023] [Indexed: 09/10/2023] Open
Abstract
Chest disease refers to a variety of lung disorders, including lung cancer (LC), COVID-19, pneumonia (PNEU), tuberculosis (TB), and numerous other respiratory disorders. The symptoms (i.e., fever, cough, sore throat, etc.) of these chest diseases are similar, which might mislead radiologists and health experts when classifying chest diseases. Chest X-rays (CXR), cough sounds, and computed tomography (CT) scans are utilized by researchers and doctors to identify chest diseases such as LC, COVID-19, PNEU, and TB. The objective of the work is to identify nine different types of chest diseases, including COVID-19, edema (EDE), LC, PNEU, pneumothorax (PNEUTH), normal, atelectasis (ATE), and consolidation lung (COL). Therefore, we designed a novel deep learning (DL)-based chest disease detection network (DCDD_Net) that uses a CXR, CT scans, and cough sound images for the identification of nine different types of chest diseases. The scalogram method is used to convert the cough sounds into an image. Before training the proposed DCDD_Net model, the borderline (BL) SMOTE is applied to balance the CXR, CT scans, and cough sound images of nine chest diseases. The proposed DCDD_Net model is trained and evaluated on 20 publicly available benchmark chest disease datasets of CXR, CT scan, and cough sound images. The classification performance of the DCDD_Net is compared with four baseline models, i.e., InceptionResNet-V2, EfficientNet-B0, DenseNet-201, and Xception, as well as state-of-the-art (SOTA) classifiers. The DCDD_Net achieved an accuracy of 96.67%, a precision of 96.82%, a recall of 95.76%, an F1-score of 95.61%, and an area under the curve (AUC) of 99.43%. The results reveal that DCDD_Net outperformed the other four baseline models in terms of many performance evaluation metrics. Thus, the proposed DCDD_Net model can provide significant assistance to radiologists and medical experts. Additionally, the proposed model was also shown to be resilient by statistical evaluations of the datasets using McNemar and ANOVA tests.
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Affiliation(s)
- Hassaan Malik
- School of Systems and Technology, University of Management and Technology, Lahore 54770, Pakistan; (H.M.); (T.A.)
| | - Tayyaba Anees
- School of Systems and Technology, University of Management and Technology, Lahore 54770, Pakistan; (H.M.); (T.A.)
| | - Ahmad Sami Al-Shamaylehs
- Department of Networks and Cybersecurity, Faculty of Information Technology, Al-Ahliyya Amman University, Amman 19328, Jordan;
| | - Salman Z. Alharthi
- Department of Information System, College of Computers and Information Systems, Al-Lith Campus, Umm AL-Qura University, P.O. Box 7745, AL-Lith 21955, Saudi Arabia
| | - Wajeeha Khalil
- Department of Computer Science and Information Technology, University of Engineering and Technology Peshawar, Peshawar 25000, Pakistan;
| | - Adnan Akhunzada
- College of Computing & IT, University of Doha for Science and Technology, Doha P.O. Box 24449, Qatar;
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Rehman A, Khan A, Fatima G, Naz S, Razzak I. Review on chest pathogies detection systems using deep learning techniques. Artif Intell Rev 2023; 56:1-47. [PMID: 37362896 PMCID: PMC10027283 DOI: 10.1007/s10462-023-10457-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
Abstract
Chest radiography is the standard and most affordable way to diagnose, analyze, and examine different thoracic and chest diseases. Typically, the radiograph is examined by an expert radiologist or physician to decide about a particular anomaly, if exists. Moreover, computer-aided methods are used to assist radiologists and make the analysis process accurate, fast, and more automated. A tremendous improvement in automatic chest pathologies detection and analysis can be observed with the emergence of deep learning. The survey aims to review, technically evaluate, and synthesize the different computer-aided chest pathologies detection systems. The state-of-the-art of single and multi-pathologies detection systems, which are published in the last five years, are thoroughly discussed. The taxonomy of image acquisition, dataset preprocessing, feature extraction, and deep learning models are presented. The mathematical concepts related to feature extraction model architectures are discussed. Moreover, the different articles are compared based on their contributions, datasets, methods used, and the results achieved. The article ends with the main findings, current trends, challenges, and future recommendations.
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Affiliation(s)
- Arshia Rehman
- COMSATS University Islamabad, Abbottabad-Campus, Abbottabad, Pakistan
| | - Ahmad Khan
- COMSATS University Islamabad, Abbottabad-Campus, Abbottabad, Pakistan
| | - Gohar Fatima
- The Islamia University of Bahawalpur, Bahawal Nagar Campus, Bahawal Nagar, Pakistan
| | - Saeeda Naz
- Govt Girls Post Graduate College No.1, Abbottabad, Pakistan
| | - Imran Razzak
- School of Computer Science and Engineering, University of New South Wales, Sydney, Australia
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9
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A deep learning-based framework for automatic detection of drug resistance in tuberculosis patients. EGYPTIAN INFORMATICS JOURNAL 2023. [DOI: 10.1016/j.eij.2023.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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A deep learning architecture for multi-class lung diseases classification using chest X-ray (CXR) images. ALEXANDRIA ENGINEERING JOURNAL 2023; 64:923-935. [PMCID: PMC9626367 DOI: 10.1016/j.aej.2022.10.053] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 10/10/2022] [Accepted: 10/21/2022] [Indexed: 05/27/2023]
Abstract
In 2019, the world experienced the rapid outbreak of the Covid-19 pandemic creating an alarming situation worldwide. The virus targets the respiratory system causing pneumonia with other symptoms such as fatigue, dry cough, and fever which can be mistakenly diagnosed as pneumonia, lung cancer, or TB. Thus, the early diagnosis of COVID-19 is critical since the disease can provoke patients’ mortality. Chest X-ray (CXR) is commonly employed in healthcare sector where both quick and precise diagnosis can be supplied. Deep learning algorithms have proved extraordinary capabilities in terms of lung diseases detection and classification. They facilitate and expedite the diagnosis process and save time for the medical practitioners. In this paper, a deep learning (DL) architecture for multi-class classification of Pneumonia, Lung Cancer, tuberculosis (TB), Lung Opacity, and most recently COVID-19 is proposed. Tremendous CXR images of 3615 COVID-19, 6012 Lung opacity, 5870 Pneumonia, 20,000 lung cancer, 1400 tuberculosis, and 10,192 normal images were resized, normalized, and randomly split to fit the DL requirements. In terms of classification, we utilized a pre-trained model, VGG19 followed by three blocks of convolutional neural network (CNN) as a feature extraction and fully connected network at the classification stage. The experimental results revealed that our proposed VGG19 + CNN outperformed other existing work with 96.48 % accuracy, 93.75 % recall, 97.56 % precision, 95.62 % F1 score, and 99.82 % area under the curve (AUC). The proposed model delivered superior performance allowing healthcare practitioners to diagnose and treat patients more quickly and efficiently.
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Koul A, Bawa RK, Kumar Y. Artificial Intelligence Techniques to Predict the Airway Disorders Illness: A Systematic Review. ARCHIVES OF COMPUTATIONAL METHODS IN ENGINEERING : STATE OF THE ART REVIEWS 2022; 30:831-864. [PMID: 36189431 PMCID: PMC9516534 DOI: 10.1007/s11831-022-09818-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 09/04/2022] [Indexed: 06/16/2023]
Abstract
Airway disease is a major healthcare issue that causes at least 3 million fatalities every year. It is also considered one of the foremost causes of death all around the globe by 2030. Numerous studies have been undertaken to demonstrate the latest advances in artificial intelligence algorithms to assist in identifying and classifying these diseases. This comprehensive review aims to summarise the state-of-the-art machine and deep learning-based systems for detecting airway disorders, envisage the trends of the recent work in this domain, and analyze the difficulties and potential future paths. This systematic literature review includes the study of one hundred fifty-five articles on airway diseases such as cystic fibrosis, emphysema, lung cancer, Mesothelioma, covid-19, pneumoconiosis, asthma, pulmonary edema, tuberculosis, pulmonary embolism as well as highlights the automated learning techniques to predict them. The study concludes with a discussion and challenges about expanding the efficiency and machine and deep learning-assisted airway disease detection applications.
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Affiliation(s)
- Apeksha Koul
- Department of Computer Science and Engineering, Punjabi University, Patiala, Punjab India
| | - Rajesh K. Bawa
- Department of Computer Science, Punjabi University, Patiala, Punjab India
| | - Yogesh Kumar
- Department of Computer Science and Engineering, School of Technology, Pandit Deendayal Energy University, Gandhinagar, Gujarat India
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12
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Intelligent tuberculosis activity assessment system based on an ensemble of neural networks. Comput Biol Med 2022; 147:105800. [PMID: 35809407 DOI: 10.1016/j.compbiomed.2022.105800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 05/11/2022] [Accepted: 06/26/2022] [Indexed: 11/20/2022]
Abstract
This article proposes a novel approach to assess the degree of activity of pulmonary tuberculosis by active tuberculoma foci. It includes the development of a new method for processing lung CT images using an ensemble of deep convolutional neural networks using such special algorithms: an optimized algorithm for preliminary segmentation and selection of informative scans, a new algorithm for refining segmented masks to improve the final accuracy, an efficient fuzzy inference system for more weighted activity assessment. The approach also includes the use of medical classification of disease activity based on densitometric measures of tuberculomas. The selection and markup of the training sample images were performed manually by qualified pulmonologists from a base of approximately 9,000 CT lung scans of patients who had been enrolled in the dispensary for 15 years. The first basic step of the proposed approach is the developed algorithm for preprocessing CT lung scans. It consists in segmentation of intrapulmonary regions, which contain vessels, bronchi, lung walls to detect complex cases of ingrown tuberculomas. To minimize computational cost, the proposed approach includes a new method for selecting informative lung scans, i.e., those that potentially contain tuberculomas. The main processing step is binary segmentation of tuberculomas, which is proposed to be performed optimally by a certain ensemble of neural networks. Optimization of the ensemble size and its composition is achieved by using an algorithm for calculating individual contributions. A modification of this algorithm using new effective heuristic metrics has been proposed which improves the performance of the algorithm for this problem. A special algorithm was developed for post-processing of tuberculoma masks obtained during the segmentation step. The goal of this step is to refine the calculated mask for the physical placement of the tuberculoma. The algorithm consists in cleaning the mask from noisy formations on the scan, as well as expanding the mask area to maximize the capture of the tuberculoma location area. A simplified fuzzy inference system was developed to provide a more accurate final calculation of the degree of disease activity, which reflects data from current medical studies. The accuracy of the system was also tested on a test sample of independent patients, showing more than 96% correct calculations of disease activity, confirming the effectiveness and feasibility of introducing the system into clinical practice.
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Kumar Y, Koul A, Singla R, Ijaz MF. Artificial intelligence in disease diagnosis: a systematic literature review, synthesizing framework and future research agenda. JOURNAL OF AMBIENT INTELLIGENCE AND HUMANIZED COMPUTING 2022; 14:8459-8486. [PMID: 35039756 PMCID: PMC8754556 DOI: 10.1007/s12652-021-03612-z] [Citation(s) in RCA: 201] [Impact Index Per Article: 67.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Accepted: 11/18/2021] [Indexed: 05/03/2023]
Abstract
Artificial intelligence can assist providers in a variety of patient care and intelligent health systems. Artificial intelligence techniques ranging from machine learning to deep learning are prevalent in healthcare for disease diagnosis, drug discovery, and patient risk identification. Numerous medical data sources are required to perfectly diagnose diseases using artificial intelligence techniques, such as ultrasound, magnetic resonance imaging, mammography, genomics, computed tomography scan, etc. Furthermore, artificial intelligence primarily enhanced the infirmary experience and sped up preparing patients to continue their rehabilitation at home. This article covers the comprehensive survey based on artificial intelligence techniques to diagnose numerous diseases such as Alzheimer, cancer, diabetes, chronic heart disease, tuberculosis, stroke and cerebrovascular, hypertension, skin, and liver disease. We conducted an extensive survey including the used medical imaging dataset and their feature extraction and classification process for predictions. Preferred reporting items for systematic reviews and Meta-Analysis guidelines are used to select the articles published up to October 2020 on the Web of Science, Scopus, Google Scholar, PubMed, Excerpta Medical Database, and Psychology Information for early prediction of distinct kinds of diseases using artificial intelligence-based techniques. Based on the study of different articles on disease diagnosis, the results are also compared using various quality parameters such as prediction rate, accuracy, sensitivity, specificity, the area under curve precision, recall, and F1-score.
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Affiliation(s)
- Yogesh Kumar
- Department of Computer Engineering, Indus Institute of Technology and Engineering, Indus University, Ahmedabad, 382115 India
| | | | - Ruchi Singla
- Department of Research, Innovations, Sponsored Projects and Entrepreneurship, CGC Landran, Mohali, India
| | - Muhammad Fazal Ijaz
- Department of Intelligent Mechatronics Engineering, Sejong University, Seoul, 05006 South Korea
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Du Q, Liang S, Guo J, Yi Z, Li W, Wang C, Xu X. Automatic Diagnose of Drug-Resistance Tuberculosis from CT Images Based on Deep Neural Networks. ARTIF INTELL 2022. [DOI: 10.1007/978-3-031-20500-2_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Wang SH, Satapathy SC, Zhou Q, Zhang X, Zhang YD. Secondary Pulmonary Tuberculosis Identification Via pseudo-Zernike Moment and Deep Stacked Sparse Autoencoder. JOURNAL OF GRID COMPUTING 2021; 20:1. [PMID: 34931118 PMCID: PMC8674408 DOI: 10.1007/s10723-021-09596-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 11/28/2021] [Indexed: 05/26/2023]
Abstract
Secondary pulmonary tuberculosis (SPT) is one of the top ten causes of death from a single infectious agent. To recognize SPT more accurately, this paper proposes a novel artificial intelligence model, which uses Pseudo Zernike moment (PZM) as the feature extractor and deep stacked sparse autoencoder (DSSAE) as the classifier. In addition, 18-way data augmentation is employed to avoid overfitting. This model is abbreviated as PZM-DSSAE. The ten runs of 10-fold cross-validation show this model achieves a sensitivity of 93.33% ± 1.47%, a specificity of 93.13% ± 0.95%, a precision of 93.15% ± 0.89%, an accuracy of 93.23% ± 0.81%, and an F1 score of 93.23% ± 0.83%. The area-under-curve reaches 0.9739. This PZM-DSSAE is superior to 5 state-of-the-art approaches.
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Affiliation(s)
- Shui-Hua Wang
- School of Mathematics and Actuarial Science, University of Leicester, Leicester, LE1 7RH UK
| | | | - Qinghua Zhou
- School of Informatics, University of Leicester, Leicester, LE1 7RH UK
| | - Xin Zhang
- Department of Medical Imaging, The Fourth People’s Hospital of Huai’an, Huai’an, 223002 Jiangsu Province China
| | - Yu-Dong Zhang
- School of Informatics, University of Leicester, Leicester, LE1 7RH UK
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Senthil Kumar J, Balamurugan SAA, Sasikala S. A Novel Tuberculosis Prediction Model by Extracting Radiological Features Present in Chest X-ray Images Using Modified Discrete Grey Wolf Optimizer Based Segmentation. JOURNAL OF MEDICAL IMAGING AND HEALTH INFORMATICS 2021. [DOI: 10.1166/jmihi.2021.3837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
In 2018, an invariant numbers ranging from 10 million people suffered from Tuberculosis (TB) approximately that has remained quite stable in recent years, based on the WHO 2019 survey report. This infection rate differs invariable among countries, from less than 5 to more than 500 new
infections per 1,00,000 people each year, with a global average of around 130. Around 1.2 million HIV negative deaths existed in 2018. If this prevailing disease were diagnosed earlier, the death rate would have been under control, however sophisticated testing techniques tend to be cost prohibitive
of wider acceptance. Some of the most important methods for TB diagnosis include thoracic X-ray image interpretation through image processing by the identification of various structures on thoracic X-rays and anomaly assessment is an important stage in computer-aided diagnosis systems. Chest
form and size may contain indications for serious disorders such as pneumothorax, pneumoconiosis, tuberculosis and emphysema. Substantial work might have contributed to simplify diagnosis through implementing various statistical strategies to medical images, minimizing overtime and dramatically
lowering overhead costs. In addition, recent advances in deep learning have provided magnificent results in the detection of images in different fields, but their use in diagnose TB remains limited. Thus, this work focuses on the development of a novel approach in disease detection. The concepts
presented in this work are placed into practice and linked to current literature. We also proposed an automatic approach in conventional poster anterior chest X-rays for TB identification and diagnosis. We use the chest X-ray image with modified discrete grey wolf optimizer for segmentation
techniques to eradicate abnormal areas and shape abnormality. We extract various features from the X-ray image with a shear let extraction that allows the image to be classified as normal or abnormal, based on a deep learning classifier, via the improved residual VGG net CNN with big data.
Using Shenzhen Hospital Chest X-ray data set we test the efficiency of our system. The suggested technique has competitive results with comparatively shorter training period and greater precision depending on Masientropy based discrete gray wolf optimizer segmentation with an improved residual
VGG net CNN. All the simulations are carried out in a mat lab environment.
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Affiliation(s)
- J. Senthil Kumar
- Department of Computer Science, Kalaignar Karunanidhi Institute of Technology, Pallapalayam, Kannampalayam 641402, Tamil Nadu, India
| | | | - S. Sasikala
- Department of Computer Science and Engineering, Velammal College of Engineering and Technology, Madurai 625009, Tamil Nadu, India
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Gao X, Braden B. Artificial intelligence in endoscopy: The challenges and future directions. Artif Intell Gastrointest Endosc 2021; 2:117-126. [DOI: 10.37126/aige.v2.i4.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2021] [Revised: 06/20/2021] [Accepted: 07/15/2021] [Indexed: 02/06/2023] Open
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Polat H, Özerdem MS, Ekici F, Akpolat V. Automatic detection and localization of COVID-19 pneumonia using axial computed tomography images and deep convolutional neural networks. INTERNATIONAL JOURNAL OF IMAGING SYSTEMS AND TECHNOLOGY 2021; 31:509-524. [PMID: 33821092 PMCID: PMC8013431 DOI: 10.1002/ima.22558] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 01/09/2021] [Accepted: 01/27/2021] [Indexed: 05/13/2023]
Abstract
COVID-19 was first reported as an unknown group of pneumonia in Wuhan City, Hubei province of China in late December of 2019. The rapid increase in the number of cases diagnosed with COVID-19 and the lack of experienced radiologists can cause diagnostic errors in the interpretation of the images along with the exceptional workload occurring in this process. Therefore, the urgent development of automated diagnostic systems that can scan radiological images quickly and accurately is important in combating the pandemic. With this motivation, a deep convolutional neural network (CNN)-based model that can automatically detect patterns related to lesions caused by COVID-19 from chest computed tomography (CT) images is proposed in this study. In this context, the image ground-truth regarding the COVID-19 lesions scanned by the radiologist was evaluated as the main criteria of the segmentation process. A total of 16 040 CT image segments were obtained by applying segmentation to the raw 102 CT images. Then, 10 420 CT image segments related to healthy lung regions were labeled as COVID-negative, and 5620 CT image segments, in which the findings related to the lesions were detected in various forms, were labeled as COVID-positive. With the proposed CNN architecture, 93.26% diagnostic accuracy performance was achieved. The sensitivity and specificity performance metrics for the proposed automatic diagnosis model were 93.27% and 93.24%, respectively. Additionally, it has been shown that by scanning the small regions of the lungs, COVID-19 pneumonia can be localized automatically with high resolution and the lesion densities can be successfully evaluated quantitatively.
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Affiliation(s)
- Hasan Polat
- Department of Electrical and EnergyBingol UniversityBingölTurkey
| | - Mehmet Siraç Özerdem
- Department of Electrical and Electronics EngineeringDicle UniversityDiyarbakırTurkey
| | - Faysal Ekici
- Department of RadiologyDicle UniversityDiyarbakırTurkey
| | - Veysi Akpolat
- Department of BiophysicsDicle UniversityDiyarbakırTurkey
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A Survey of Deep Learning for Lung Disease Detection on Medical Images: State-of-the-Art, Taxonomy, Issues and Future Directions. J Imaging 2020; 6:jimaging6120131. [PMID: 34460528 PMCID: PMC8321202 DOI: 10.3390/jimaging6120131] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Revised: 11/25/2020] [Accepted: 11/25/2020] [Indexed: 12/24/2022] Open
Abstract
The recent developments of deep learning support the identification and classification of lung diseases in medical images. Hence, numerous work on the detection of lung disease using deep learning can be found in the literature. This paper presents a survey of deep learning for lung disease detection in medical images. There has only been one survey paper published in the last five years regarding deep learning directed at lung diseases detection. However, their survey is lacking in the presentation of taxonomy and analysis of the trend of recent work. The objectives of this paper are to present a taxonomy of the state-of-the-art deep learning based lung disease detection systems, visualise the trends of recent work on the domain and identify the remaining issues and potential future directions in this domain. Ninety-eight articles published from 2016 to 2020 were considered in this survey. The taxonomy consists of seven attributes that are common in the surveyed articles: image types, features, data augmentation, types of deep learning algorithms, transfer learning, the ensemble of classifiers and types of lung diseases. The presented taxonomy could be used by other researchers to plan their research contributions and activities. The potential future direction suggested could further improve the efficiency and increase the number of deep learning aided lung disease detection applications.
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Albahli S, Albattah W. Deep Transfer Learning for COVID-19 Prediction: Case Study for Limited Data Problems. Curr Med Imaging 2020; 17:973-980. [PMID: 33231160 PMCID: PMC8653418 DOI: 10.2174/1573405616666201123120417] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2020] [Revised: 09/24/2020] [Accepted: 10/06/2020] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Automatic prediction of COVID-19 using deep convolution neural networks based pre-trained transfer models and Chest X-ray images. METHODS This research employs the advantages of computer vision and medical image analysis to develop an automated model that has the clinical potential for early detection of the disease. Using Deep Learning models, the research aims at evaluating the effectiveness and accuracy of different convolutional neural networks models in the automatic diagnosis of COVID-19 from X-ray images as compared to diagnosis performed by experts in the medical community. RESULTS Due to the fact that the dataset available for COVID-19 is still limited, the best model to use is the InceptionNetV3. Performance results show that the InceptionNetV3 model yielded the highest accuracy of 98.63% (with data augmentation) and 98.90% (without data augmentation) among the three models designed. However, as the dataset gets bigger, the Inception ResNetV2 and NASNetlarge will do a better job of classification. All the performed networks tend to over-fit when data augmentation is not used, this is due to the small amount of data used for training and validation. CONCLUSION A deep transfer learning is proposed to detecting the COVID-19 automatically from chest X-ray by training it with X-ray images gotten from both COVID-19 patients and people with normal chest X-rays. The study is aimed at helping doctors in making decisions in their clinical practice due its high performance and effectiveness, the study also gives an insight to how transfer learning was used to automatically detect the COVID-19.
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Affiliation(s)
- Saleh Albahli
- Department of Information Technology, College of Computer, Qassim University, Buraydah, Saudi Arabia
| | - Waleed Albattah
- Department of Information Technology, College of Computer, Qassim University, Buraydah, Saudi Arabia
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Khadidos A, Khadidos AO, Kannan S, Natarajan Y, Mohanty SN, Tsaramirsis G. Analysis of COVID-19 Infections on a CT Image Using DeepSense Model. Front Public Health 2020; 8:599550. [PMID: 33330341 PMCID: PMC7714903 DOI: 10.3389/fpubh.2020.599550] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Accepted: 10/16/2020] [Indexed: 11/17/2022] Open
Abstract
In this paper, a data mining model on a hybrid deep learning framework is designed to diagnose the medical conditions of patients infected with the coronavirus disease 2019 (COVID-19) virus. The hybrid deep learning model is designed as a combination of convolutional neural network (CNN) and recurrent neural network (RNN) and named as DeepSense method. It is designed as a series of layers to extract and classify the related features of COVID-19 infections from the lungs. The computerized tomography image is used as an input data, and hence, the classifier is designed to ease the process of classification on learning the multidimensional input data using the Expert Hidden layers. The validation of the model is conducted against the medical image datasets to predict the infections using deep learning classifiers. The results show that the DeepSense classifier offers accuracy in an improved manner than the conventional deep and machine learning classifiers. The proposed method is validated against three different datasets, where the training data are compared with 70%, 80%, and 90% training data. It specifically provides the quality of the diagnostic method adopted for the prediction of COVID-19 infections in a patient.
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Affiliation(s)
- Adil Khadidos
- Department of Information Technology, Faculty of Computing and Information Technology, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Alaa O Khadidos
- Department of Information Systems, Faculty of Computing and Information Technology, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Srihari Kannan
- Department of Computer Science and Engineering, SNS College of Engineering, Coimbatore, India
| | - Yuvaraj Natarajan
- Research and Development, Information Communication Technology Academy, Chennai, India
| | - Sachi Nandan Mohanty
- Department of Computer Science and Engineering, Institute of Chartered Financial Analysts of India Foundation of Higher Education, Hyderabad, India
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Shankar K, Perumal E. A novel hand-crafted with deep learning features based fusion model for COVID-19 diagnosis and classification using chest X-ray images. COMPLEX INTELL SYST 2020; 7:1277-1293. [PMID: 34777955 PMCID: PMC7659408 DOI: 10.1007/s40747-020-00216-6] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 10/06/2020] [Indexed: 11/25/2022]
Abstract
COVID-19 pandemic is increasing in an exponential rate, with restricted accessibility of rapid test kits. So, the design and implementation of COVID-19 testing kits remain an open research problem. Several findings attained using radio-imaging approaches recommend that the images comprise important data related to coronaviruses. The application of recently developed artificial intelligence (AI) techniques, integrated with radiological imaging, is helpful in the precise diagnosis and classification of the disease. In this view, the current research paper presents a novel fusion model hand-crafted with deep learning features called FM-HCF-DLF model for diagnosis and classification of COVID-19. The proposed FM-HCF-DLF model comprises three major processes, namely Gaussian filtering-based preprocessing, FM for feature extraction and classification. FM model incorporates the fusion of handcrafted features with the help of local binary patterns (LBP) and deep learning (DL) features and it also utilizes convolutional neural network (CNN)-based Inception v3 technique. To further improve the performance of Inception v3 model, the learning rate scheduler using Adam optimizer is applied. At last, multilayer perceptron (MLP) is employed to carry out the classification process. The proposed FM-HCF-DLF model was experimentally validated using chest X-ray dataset. The experimental outcomes inferred that the proposed model yielded superior performance with maximum sensitivity of 93.61%, specificity of 94.56%, precision of 94.85%, accuracy of 94.08%, F score of 93.2% and kappa value of 93.5%.
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Affiliation(s)
- K Shankar
- Department of Computer Applications, Alagappa University, Karaikudi, India
| | - Eswaran Perumal
- Department of Computer Applications, Alagappa University, Karaikudi, India
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