scholarly journals An Integrated Framework with Machine Learning and Radiomics for Accurate and Rapid Early Diagnosis of COVID-19 from Chest X-ray

2021 ◽  
pp. 115152
Author(s):  
Mahbubunnabi Tamal ◽  
Maha Alshammari ◽  
Meernah Alabdullah ◽  
Rana Hourani ◽  
Hossain Abu Alola ◽  
...  
2020 ◽  
Author(s):  
Mahbubunnabi Tamal ◽  
Maha Alshammari ◽  
Meernah Alabdullah ◽  
Rana Hourani ◽  
Hossain Abu Alola ◽  
...  

ABSTRACTEarly diagnosis of COVID-19 is considered the first key action to prevent spread of the virus. Currently, reverse transcription-polymerase chain reaction (RT-PCR) is considered as a gold standard point-of-care diagnostic tool. However, several limitations of RT-PCR have been identified, e.g., low sensitivity, cost, long delay in getting results and the need of a professional technician to collect samples. On the other hand, chest X-ray (CXR) is routinely used as a cost-effective diagnostic test for diagnosis and monitoring different respiratory abnormalities and is currently being used as a discriminating tool for COVID-19. However, visual assessment of CXR is not able to distinguish COVID-19 from other lung conditions. Several machine learning algorithms have been proposed to detect COVID-19 directly from CXR images with reasonably good accuracy on a data set that was randomly split into two subsets for training and test. Since these methods require a huge number of images for training, data augmentation with geometric transformation was applied to increase the number of images. It is highly likely that the images of the same patients are present in both the training and test sets resulting in higher accuracies in detection of COVID-19. It is, therefore, vital to assess the performance of COVID-19 detection algorithm on an independent data set with different degrees of the disease before being employed for clinical settings. On the other hand, machine learning techniques that depend on handcrafted features extraction and selection approaches can be trained with smaller data set. The features can also be analyzed separately for various lung conditions. Radiomics features are such kind of handcrafted features that represent heterogeneous appearance of the lung on CXR quantitatively and can be used to distinguish COVID-19 from other lung conditions. Based on this hypothesis, a machine learning based technique is proposed here that is trained on a set of suitable radiomics features (71 features) to detect COVID-19. It is found that Support Vector Machine (SVM) and Ensemble Bagging Model Trees (EBM) trained on these 71 radiomics features can distinguish between COVID-19 and other diseases with an overall sensitivity of 99.6% and 87.8% and specificity of 85% and 97% respectively. Though the performance is comparable for both methods, EBM is more robust across severity levels. Severity, in this case, was scored between 0 to 4 by two experienced radiologists for each lung segment of each CXR image represents the degree of severity of the disease. For the case of 0 severity, sensitivity and specificity of the EBM method are 91.7% and 100% respectively indicating that there are certain radiomics pattern that are not visibly distinguishable. Since the proposed method does not require any manual intervention (e.g., sample collection etc.), it can be integrated with any standard X-ray reporting system to be used as an efficient, cost-effective and rapid early diagnosis device. It can also be deployed in places where quick results of the COVID-19 test are required, e.g., airports, seaports, hospitals, health clinics, etc.


Nature ◽  
2021 ◽  
Author(s):  
Stefanie Warnat-Herresthal ◽  
◽  
Hartmut Schultze ◽  
Krishnaprasad Lingadahalli Shastry ◽  
Sathyanarayanan Manamohan ◽  
...  

AbstractFast and reliable detection of patients with severe and heterogeneous illnesses is a major goal of precision medicine1,2. Patients with leukaemia can be identified using machine learning on the basis of their blood transcriptomes3. However, there is an increasing divide between what is technically possible and what is allowed, because of privacy legislation4,5. Here, to facilitate the integration of any medical data from any data owner worldwide without violating privacy laws, we introduce Swarm Learning—a decentralized machine-learning approach that unites edge computing, blockchain-based peer-to-peer networking and coordination while maintaining confidentiality without the need for a central coordinator, thereby going beyond federated learning. To illustrate the feasibility of using Swarm Learning to develop disease classifiers using distributed data, we chose four use cases of heterogeneous diseases (COVID-19, tuberculosis, leukaemia and lung pathologies). With more than 16,400 blood transcriptomes derived from 127 clinical studies with non-uniform distributions of cases and controls and substantial study biases, as well as more than 95,000 chest X-ray images, we show that Swarm Learning classifiers outperform those developed at individual sites. In addition, Swarm Learning completely fulfils local confidentiality regulations by design. We believe that this approach will notably accelerate the introduction of precision medicine.


2021 ◽  
pp. 3-18
Author(s):  
Abdel Rahman M. Attia ◽  
Sally M. ElGhamrawy

Covid-19 ◽  
2021 ◽  
pp. 241-278
Author(s):  
Parag Verma ◽  
Ankur Dumka ◽  
Alaknanda Ashok ◽  
Amit Dumka ◽  
Anuj Bhardwaj

2020 ◽  
Vol 25 (6) ◽  
pp. 553-565 ◽  
Author(s):  
Boran Sekeroglu ◽  
Ilker Ozsahin

The detection of severe acute respiratory syndrome coronavirus 2 (SARS CoV-2), which is responsible for coronavirus disease 2019 (COVID-19), using chest X-ray images has life-saving importance for both patients and doctors. In addition, in countries that are unable to purchase laboratory kits for testing, this becomes even more vital. In this study, we aimed to present the use of deep learning for the high-accuracy detection of COVID-19 using chest X-ray images. Publicly available X-ray images (1583 healthy, 4292 pneumonia, and 225 confirmed COVID-19) were used in the experiments, which involved the training of deep learning and machine learning classifiers. Thirty-eight experiments were performed using convolutional neural networks, 10 experiments were performed using five machine learning models, and 14 experiments were performed using the state-of-the-art pre-trained networks for transfer learning. Images and statistical data were considered separately in the experiments to evaluate the performances of models, and eightfold cross-validation was used. A mean sensitivity of 93.84%, mean specificity of 99.18%, mean accuracy of 98.50%, and mean receiver operating characteristics–area under the curve scores of 96.51% are achieved. A convolutional neural network without pre-processing and with minimized layers is capable of detecting COVID-19 in a limited number of, and in imbalanced, chest X-ray images.


2021 ◽  
Author(s):  
Jeniffer Luz ◽  
Scenio De Araujo ◽  
Caio Abreu ◽  
Juvenal Silva Neto ◽  
Carlos Gulo

Since the beginning of the COVID-19 outbreak, the scientific communityhas been making efforts in several areas, either by seekingvaccines or improving the early diagnosis of the disease to contributeto the fight against the SARS-CoV-2 virus. The use of X-rayimaging exams becomes an ally in early diagnosis and has been thesubject of research by the medical image processing and analysiscommunity. Although the diagnosis of diseases by image is a consolidatedresearch theme, the proposed approach aims to: a) applystate-of-the-art machine learning techniques in X-ray images forthe COVID-19 diagnosis; b) identify COVID-19 features in imagingexamination; c) to develop an Artificial Intelligence model toreduce the disease diagnosis time; in addition to demonstrating thepotential of the Artificial Intelligence area as an incentive for theformation of critical mass and encouraging research in machinelearning and processing and analysis of medical images in the Stateof Mato Grosso, in Brazil. Initial results were obtained from experimentscarried out with the SVM (Support Vector Machine) classifier,induced on a publicly available image dataset from Kaggle repository.Six attributes suggested by Haralick, calculated on the graylevel co-occurrence matrix, were used to represent the images. Theprediction model was able to achieve 82.5% accuracy in recognizingthe disease. The next stage of the studies includes the study of deeplearning models.


eLife ◽  
2021 ◽  
Vol 10 ◽  
Author(s):  
Emirena Garrafa ◽  
Marika Vezzoli ◽  
Marco Ravanelli ◽  
Davide Farina ◽  
Andrea Borghesi ◽  
...  

An early-warning model to predict in-hospital mortality on admission of COVID-19 patients at an emergency department (ED) was developed and validate using a Machine-Learning model. In total, 2782 patients were enrolled between March 2020 and December 2020, including 2106 patients (first wave) and 676 patients (second wave) in the COVID-19 outbreak in Italy. The first-wave patients were divided into two groups with 1474 patients used to train the model, and 632 to validate it. The 676 patients in the second wave were used to test the model. Age, 17 blood analytes and Brescia chest X-ray score were the variables processed using a Random Forests classification algorithm to build and validate the model. ROC analysis was used to assess the model performances. A web-based death-risk calculator was implemented and integrated within the Laboratory Information System of the hospital. The final score was constructed by age (the most powerful predictor), blood analytes (the strongest predictors were lactate dehydrogenase, D-dimer, Neutrophil/Lymphocyte ratio, C-reactive protein, Lymphocyte %, Ferritin std and Monocyte %), and Brescia chest X-ray score. The areas under the receiver operating characteristic curve obtained for the three groups (training, validating and testing) were 0.98, 0.83 and 0.78, respectively. The model predicts in-hospital mortality on the basis of data that can be obtained in a short time, directly at the ED on admission. It functions as a web-based calculator, providing a risk score which is easy to interpret. It can be used in the triage process to support the decision on patient allocation.


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