scholarly journals Cascaded deep learning classifiers for computer-aided diagnosis of COVID-19 and pneumonia diseases in X-ray scans

2020 ◽  
Author(s):  
Mohamed Esmail Karar ◽  
Ezz El-Din Hemdan ◽  
Marwa A. Shouman
Keyword(s):  
Neural Network ◽  
Deep Learning ◽  
Computer Aided Diagnosis ◽  
Detection Accuracy ◽  
Cad Systems ◽  
X Ray ◽  
Learning Framework ◽  
Learning Classifiers ◽  
Computer Aided ◽  
Aided Diagnosis

Abstract Computer-aided diagnosis (CAD) systems are considered a powerful tool for physicians to support identification of the novel Coronavirus Disease 2019 (COVID-19) using medical imaging modalities. Therefore, this article proposes a new framework of cascaded deep learning classifiers to enhance the performance of these CAD systems for highly suspected COVID-19 and pneumonia diseases in X-ray images. Our proposed deep learning framework constitutes two major advancements as follows. First, complicated multi-label classification of X-ray images have been simplified using a series of binary classifiers for each tested case of the health status. That mimics the clinical situation to diagnose potential diseases for a patient. Second, the cascaded architecture of COVID-19 and pneumonia classifiers is flexible to use different fine-tuned deep learning models simultaneously, achieving the best performance of confirming infected cases. This study includes eleven pre-trained convolutional neural network models, such as Visual Geometry Group Network (VGG) and Residual Neural Network (ResNet). They have been successfully tested and evaluated on public X-ray image dataset for normal and three diseased cases. The results of proposed cascaded classifiers showed that VGG16, ResNet50V2, and Dense Neural Network (DenseNet169) models achieved the best detection accuracy of COVID-19, viral (Non-COVID-19) pneumonia, and bacterial pneumonia images, respectively. Furthermore, the performance of our cascaded deep learning classifiers is superior to other multi-label classification methods of COVID-19 and pneumonia diseases in previous studies. Therefore, the proposed deep learning framework presents a good option to be applied in the clinical routine to assist the diagnostic procedures of COVID-19 infection.

Computer-aided Diagnosis with a Convolutional Neural Network Algorithm for Automated Detection of Urinary Tract Stones on Plain X-ray

2021 ◽  
Author(s):  
Masaki Kobayashi ◽  
Junichiro Ishioka ◽  
Yoh Matsuoka ◽  
Yuichi Fukuda ◽  
Yusuke Kohno ◽  
...  
Keyword(s):  
Neural Network ◽  
Deep Learning ◽  
Urinary Tract ◽  
Convolutional Neural Network ◽  
Computer Aided Diagnosis ◽  
Cad Model ◽  
X Ray ◽  
Computer Aided ◽  
Urinary Tract Stones ◽  
Aided Diagnosis

Abstract Background: Recent increased use of medical images induces further burden of their interpretation for physicians. A plain X-ray is a low-cost examination that has low-dose radiation exposure and high availability, although diagnosing urolithiasis using this method is not always easy. Since the advent of a convolutional neural network via deep learning in the 2000s, computer-aided diagnosis (CAD) has had a great impact on automatic image analysis in the urological field. The objective of our study was to develop a CAD system with deep learning architecture to detect urinary tract stones on a plain X-ray and to evaluate the model’s accuracy. Methods: We collected plain X-ray images of 1017 patients with a radio-opaque urinary tract stone. X-ray images (n=827 and 190) were used as the training and test data, respectively. We used a 17-layer Residual Network as a convolutional neural network architecture for patch-wise training. The training data were repeatedly used until the best model accuracy was achieved within 300 runs. The F score, which is a harmonic mean of the sensitivity and positive predictive value (PPV) and represents the balance of the accuracy, was measured to evaluate the model’s accuracy. Results: Using deep learning, we developed a CAD model that needed 110 ms to provide an answer for each X-ray image. The best F score was 0.752, and the sensitivity and PPV were 0.872 and 0.662, respectively. When limited to a proximal ureter stone, the sensitivity and PPV were 0.925 and 0.876, respectively, and they were the lowest at mid-ureter. Conclusion: CAD of a plain X-ray may be a promising method to detect radio-opaque urinary tract stones with satisfactory sensitivity although the PPV could still be improved. The CAD model detects urinary tract stones quickly and automatically and has the potential to become a helpful screening modality especially for primary care physicians for diagnosing urolithiasis. Further study using a higher volume of data would improve the diagnostic performance of CAD models to detect urinary tract stones on a plain X-ray.

scholarly journals Computer-aided diagnosis with a convolutional neural network algorithm for automated detection of urinary tract stones on plain X-ray

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Masaki Kobayashi ◽  
Junichiro Ishioka ◽  
Yoh Matsuoka ◽  
Yuichi Fukuda ◽  
Yusuke Kohno ◽  
...  
Keyword(s):  
Neural Network ◽  
Deep Learning ◽  
Urinary Tract ◽  
Convolutional Neural Network ◽  
Computer Aided Diagnosis ◽  
Cad Model ◽  
X Ray ◽  
Computer Aided ◽  
Urinary Tract Stones ◽  
Aided Diagnosis

Abstract Background Recent increased use of medical images induces further burden of their interpretation for physicians. A plain X-ray is a low-cost examination that has low-dose radiation exposure and high availability, although diagnosing urolithiasis using this method is not always easy. Since the advent of a convolutional neural network via deep learning in the 2000s, computer-aided diagnosis (CAD) has had a great impact on automatic image analysis in the urological field. The objective of our study was to develop a CAD system with deep learning architecture to detect urinary tract stones on a plain X-ray and to evaluate the model’s accuracy. Methods We collected plain X-ray images of 1017 patients with a radio-opaque upper urinary tract stone. X-ray images (n = 827 and 190) were used as the training and test data, respectively. We used a 17-layer Residual Network as a convolutional neural network architecture for patch-wise training. The training data were repeatedly used until the best model accuracy was achieved within 300 runs. The F score, which is a harmonic mean of the sensitivity and positive predictive value (PPV) and represents the balance of the accuracy, was measured to evaluate the model’s accuracy. Results Using deep learning, we developed a CAD model that needed 110 ms to provide an answer for each X-ray image. The best F score was 0.752, and the sensitivity and PPV were 0.872 and 0.662, respectively. When limited to a proximal ureter stone, the sensitivity and PPV were 0.925 and 0.876, respectively, and they were the lowest at mid-ureter. Conclusion CAD of a plain X-ray may be a promising method to detect radio-opaque urinary tract stones with satisfactory sensitivity although the PPV could still be improved. The CAD model detects urinary tract stones quickly and automatically and has the potential to become a helpful screening modality especially for primary care physicians for diagnosing urolithiasis. Further study using a higher volume of data would improve the diagnostic performance of CAD models to detect urinary tract stones on a plain X-ray.

scholarly journals Computer-Aided Diagnosis Systems in Diagnosing Malignant Thyroid Nodules on Ultrasonography: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 9 (4) ◽  
pp. 186-193
Author(s):  
Lei Xu ◽  
Junling Gao ◽  
Quan Wang ◽  
Jichao Yin ◽  
Pengfei Yu ◽  
...  
Keyword(s):  
Machine Learning ◽  
Systematic Review ◽  
Deep Learning ◽  
Diagnostic Performance ◽  
Thyroid Nodules ◽  
Computer Aided Diagnosis ◽  
Cad Systems ◽  
Cad System ◽  
Computer Aided ◽  
Aided Diagnosis

Background: Computer-aided diagnosis (CAD) systems are being applied to the ultrasonographic diagnosis of malignant thyroid nodules, but it remains controversial whether the systems add any accuracy for radiologists. Objective: To determine the accuracy of CAD systems in diagnosing malignant thyroid nodules. Methods: PubMed, EMBASE, and the Cochrane Library were searched for studies on the diagnostic performance of CAD systems. The diagnostic performance was assessed by pooled sensitivity and specificity, and their accuracy was compared with that of radiologists. The present systematic review was registered in PROSPERO (CRD42019134460). Results: Nineteen studies with 4,781 thyroid nodules were included. Both the classic machine learning- and the deep learning-based CAD system had good performance in diagnosing malignant thyroid nodules (classic machine learning: sensitivity 0.86 [95% CI 0.79–0.92], specificity 0.85 [95% CI 0.77–0.91], diagnostic odds ratio (DOR) 37.41 [95% CI 24.91–56.20]; deep learning: sensitivity 0.89 [95% CI 0.81–0.93], specificity 0.84 [95% CI 0.75–0.90], DOR 40.87 [95% CI 18.13–92.13]). The diagnostic performance of the deep learning-based CAD system was comparable to that of the radiologists (sensitivity 0.87 [95% CI 0.78–0.93] vs. 0.87 [95% CI 0.85–0.89], specificity 0.85 [95% CI 0.76–0.91] vs. 0.87 [95% CI 0.81–0.91], DOR 40.12 [95% CI 15.58–103.33] vs. DOR 44.88 [95% CI 30.71–65.57]). Conclusions: The CAD systems demonstrated good performance in diagnosing malignant thyroid nodules. However, experienced radiologists may still have an advantage over CAD systems during real-time diagnosis.

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