scholarly journals Diagnostic Approach for Accurate Diagnosis of COVID-19 Employing Deep Learning and Transfer Learning Techniques through Chest X-ray Images Clinical Data in E-Healthcare

Sensors ◽  
2021 ◽  
Vol 21 (24) ◽  
pp. 8219
Author(s):  
Amin Ul Haq ◽  
Jian Ping Li ◽  
Sultan Ahmad ◽  
Shakir Khan ◽  
Mohammed Ali Alshara ◽  
...  

COVID-19 is a transferable disease that is also a leading cause of death for a large number of people worldwide. This disease, caused by SARS-CoV-2, spreads very rapidly and quickly affects the respiratory system of the human being. Therefore, it is necessary to diagnosis this disease at the early stage for proper treatment, recovery, and controlling the spread. The automatic diagnosis system is significantly necessary for COVID-19 detection. To diagnose COVID-19 from chest X-ray images, employing artificial intelligence techniques based methods are more effective and could correctly diagnosis it. The existing diagnosis methods of COVID-19 have the problem of lack of accuracy to diagnosis. To handle this problem we have proposed an efficient and accurate diagnosis model for COVID-19. In the proposed method, a two-dimensional Convolutional Neural Network (2DCNN) is designed for COVID-19 recognition employing chest X-ray images. Transfer learning (TL) pre-trained ResNet-50 model weight is transferred to the 2DCNN model to enhanced the training process of the 2DCNN model and fine-tuning with chest X-ray images data for final multi-classification to diagnose COVID-19. In addition, the data augmentation technique transformation (rotation) is used to increase the data set size for effective training of the R2DCNNMC model. The experimental results demonstrated that the proposed (R2DCNNMC) model obtained high accuracy and obtained 98.12% classification accuracy on CRD data set, and 99.45% classification accuracy on CXI data set as compared to baseline methods. This approach has a high performance and could be used for COVID-19 diagnosis in E-Healthcare systems.

Author(s):  
Saleh Albahli ◽  
Waleed Albattah

Objective: Automatic prediction of COVID-19 using deep convolution neural networks based pre-trained transfer models and Chest X-ray images. Method: 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. Result: 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 Xrays. 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.


2021 ◽  
Vol 29 (1) ◽  
pp. 19-36
Author(s):  
Çağín Polat ◽  
Onur Karaman ◽  
Ceren Karaman ◽  
Güney Korkmaz ◽  
Mehmet Can Balcı ◽  
...  

BACKGROUND: Chest X-ray imaging has been proved as a powerful diagnostic method to detect and diagnose COVID-19 cases due to its easy accessibility, lower cost and rapid imaging time. OBJECTIVE: This study aims to improve efficacy of screening COVID-19 infected patients using chest X-ray images with the help of a developed deep convolutional neural network model (CNN) entitled nCoV-NET. METHODS: To train and to evaluate the performance of the developed model, three datasets were collected from resources of “ChestX-ray14”, “COVID-19 image data collection”, and “Chest X-ray collection from Indiana University,” respectively. Overall, 299 COVID-19 pneumonia cases and 1,522 non-COVID 19 cases are involved in this study. To overcome the probable bias due to the unbalanced cases in two classes of the datasets, ResNet, DenseNet, and VGG architectures were re-trained in the fine-tuning stage of the process to distinguish COVID-19 classes using a transfer learning method. Lastly, the optimized final nCoV-NET model was applied to the testing dataset to verify the performance of the proposed model. RESULTS: Although the performance parameters of all re-trained architectures were determined close to each other, the final nCOV-NET model optimized by using DenseNet-161 architecture in the transfer learning stage exhibits the highest performance for classification of COVID-19 cases with the accuracy of 97.1 %. The Activation Mapping method was used to create activation maps that highlights the crucial areas of the radiograph to improve causality and intelligibility. CONCLUSION: This study demonstrated that the proposed CNN model called nCoV-NET can be utilized for reliably detecting COVID-19 cases using chest X-ray images to accelerate the triaging and save critical time for disease control as well as assisting the radiologist to validate their initial diagnosis.


Sensors ◽  
2021 ◽  
Vol 21 (17) ◽  
pp. 5813
Author(s):  
Muhammad Umair ◽  
Muhammad Shahbaz Khan ◽  
Fawad Ahmed ◽  
Fatmah Baothman ◽  
Fehaid Alqahtani ◽  
...  

The COVID-19 outbreak began in December 2019 and has dreadfully affected our lives since then. More than three million lives have been engulfed by this newest member of the corona virus family. With the emergence of continuously mutating variants of this virus, it is still indispensable to successfully diagnose the virus at early stages. Although the primary technique for the diagnosis is the PCR test, the non-contact methods utilizing the chest radiographs and CT scans are always preferred. Artificial intelligence, in this regard, plays an essential role in the early and accurate detection of COVID-19 using pulmonary images. In this research, a transfer learning technique with fine tuning was utilized for the detection and classification of COVID-19. Four pre-trained models i.e., VGG16, DenseNet-121, ResNet-50, and MobileNet were used. The aforementioned deep neural networks were trained using the dataset (available on Kaggle) of 7232 (COVID-19 and normal) chest X-ray images. An indigenous dataset of 450 chest X-ray images of Pakistani patients was collected and used for testing and prediction purposes. Various important parameters, e.g., recall, specificity, F1-score, precision, loss graphs, and confusion matrices were calculated to validate the accuracy of the models. The achieved accuracies of VGG16, ResNet-50, DenseNet-121, and MobileNet are 83.27%, 92.48%, 96.49%, and 96.48%, respectively. In order to display feature maps that depict the decomposition process of an input image into various filters, a visualization of the intermediate activations is performed. Finally, the Grad-CAM technique was applied to create class-specific heatmap images in order to highlight the features extracted in the X-ray images. Various optimizers were used for error minimization purposes. DenseNet-121 outperformed the other three models in terms of both accuracy and prediction.


2020 ◽  
Vol 10 (4) ◽  
pp. 213 ◽  
Author(s):  
Ki-Sun Lee ◽  
Jae Young Kim ◽  
Eun-tae Jeon ◽  
Won Suk Choi ◽  
Nan Hee Kim ◽  
...  

According to recent studies, patients with COVID-19 have different feature characteristics on chest X-ray (CXR) than those with other lung diseases. This study aimed at evaluating the layer depths and degree of fine-tuning on transfer learning with a deep convolutional neural network (CNN)-based COVID-19 screening in CXR to identify efficient transfer learning strategies. The CXR images used in this study were collected from publicly available repositories, and the collected images were classified into three classes: COVID-19, pneumonia, and normal. To evaluate the effect of layer depths of the same CNN architecture, CNNs called VGG-16 and VGG-19 were used as backbone networks. Then, each backbone network was trained with different degrees of fine-tuning and comparatively evaluated. The experimental results showed the highest AUC value to be 0.950 concerning COVID-19 classification in the experimental group of a fine-tuned with only 2/5 blocks of the VGG16 backbone network. In conclusion, in the classification of medical images with a limited number of data, a deeper layer depth may not guarantee better results. In addition, even if the same pre-trained CNN architecture is used, an appropriate degree of fine-tuning can help to build an efficient deep learning model.


2021 ◽  
Vol 38 (3) ◽  
pp. 619-627
Author(s):  
Kazim Firildak ◽  
Muhammed Fatih Talu

Pneumonia, featured by inflammation of the air sacs in one or both lungs, is usually detected by examining chest X-ray images. This paper probes into the classification models that can distinguish between normal and pneumonia images. As is known, trained networks like AlexNet and GoogleNet are deep network architectures, which are widely adopted to solve many classification problems. They have been adapted to the target datasets, and employed to classify new data generated through transfer learning. However, the classical architectures are not accurate enough for the diagnosis of pneumonia. Therefore, this paper designs a capsule network with high discrimination capability, and trains the network on Kaggle’s online pneumonia dataset, which contains chest X-ray images of many adults and children. The original dataset consists of 1,583 normal images, and 4,273 pneumonia images. Then, two data augmentation approaches were applied to the dataset, and their effects on classification accuracy were compared in details. The model parameters were optimized through five different experiments. The results show that the highest classification accuracy (93.91% even on small images) was achieved by the capsule network, coupled with data augmentation by generative adversarial network (GAN), using optimized parameters. This network outperformed the classical strategies.


PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e10309
Author(s):  
Shreeja Kikkisetti ◽  
Jocelyn Zhu ◽  
Beiyi Shen ◽  
Haifang Li ◽  
Tim Q. Duong

Portable chest X-ray (pCXR) has become an indispensable tool in the management of Coronavirus Disease 2019 (COVID-19) lung infection. This study employed deep-learning convolutional neural networks to classify COVID-19 lung infections on pCXR from normal and related lung infections to potentially enable more timely and accurate diagnosis. This retrospect study employed deep-learning convolutional neural network (CNN) with transfer learning to classify based on pCXRs COVID-19 pneumonia (N = 455) on pCXR from normal (N = 532), bacterial pneumonia (N = 492), and non-COVID viral pneumonia (N = 552). The data was randomly split into 75% training and 25% testing, randomly. A five-fold cross-validation was used for the testing set separately. Performance was evaluated using receiver-operating curve analysis. Comparison was made with CNN operated on the whole pCXR and segmented lungs. CNN accurately classified COVID-19 pCXR from those of normal, bacterial pneumonia, and non-COVID-19 viral pneumonia patients in a multiclass model. The overall sensitivity, specificity, accuracy, and AUC were 0.79, 0.93, and 0.79, 0.85 respectively (whole pCXR), and were 0.91, 0.93, 0.88, and 0.89 (CXR of segmented lung). The performance was generally better using segmented lungs. Heatmaps showed that CNN accurately localized areas of hazy appearance, ground glass opacity and/or consolidation on the pCXR. Deep-learning convolutional neural network with transfer learning accurately classifies COVID-19 on portable chest X-ray against normal, bacterial pneumonia or non-COVID viral pneumonia. This approach has the potential to help radiologists and frontline physicians by providing more timely and accurate diagnosis.


Author(s):  
Mohammed Y. Kamil

COVID-19 disease has rapidly spread all over the world at the beginning of this year. The hospitals' reports have told that low sensitivity of RT-PCR tests in the infection early stage. At which point, a rapid and accurate diagnostic technique, is needed to detect the Covid-19. CT has been demonstrated to be a successful tool in the diagnosis of disease. A deep learning framework can be developed to aid in evaluating CT exams to provide diagnosis, thus saving time for disease control. In this work, a deep learning model was modified to Covid-19 detection via features extraction from chest X-ray and CT images. Initially, many transfer-learning models have applied and comparison it, then a VGG-19 model was tuned to get the best results that can be adopted in the disease diagnosis. Diagnostic performance was assessed for all models used via the dataset that included 1000 images. The VGG-19 model achieved the highest accuracy of 99%, sensitivity of 97.4%, and specificity of 99.4%. The deep learning and image processing demonstrated high performance in early Covid-19 detection. It shows to be an auxiliary detection way for clinical doctors and thus contribute to the control of the pandemic.


Author(s):  
Mohammad Khalid Pandit ◽  
Shoaib Amin Banday

Purpose Novel coronavirus is fast spreading pathogen worldwide and is threatening billions of lives. SARS n-CoV2 is known to affect the lungs of the COVID-19 positive patients. Chest x-rays are the most widely used imaging technique for clinical diagnosis due to fast imaging time and low cost. The purpose of this study is to use deep learning technique for automatic detection of COVID-19 using chest x-rays. Design/methodology/approach The authors used a data set containing confirmed COVID-19 positive, common bacterial pneumonia and healthy cases (no infection). A collection of 1,428 x-ray images is used in this study. The authors used a pre-trained VGG-16 model for the classification task. Transfer learning with fine-tuning was used in this study to effectively train the network on a relatively small chest x-ray data set. Initial experiments show that the model achieves promising results and can be greatly used to expedite COVID-19 detection. Findings The authors achieved an accuracy of 96% and 92.5% in two and three output class cases, respectively. Based on these findings, the medical community can access using x-ray images as possible diagnostic tool for faster COVID-19 detection to complement the already testing and diagnosis methods. Originality/value The proposed method can be used as initial screening which can help health-care professionals to better treat the COVID patients by timely detecting and screening the presence of disease.


2020 ◽  
Author(s):  
Leonardo Rodrigues ◽  
Larissa Rodrigues ◽  
Danilo Da Silva ◽  
João Fernando Mari

Coronavirus Disease 2019 (COVID-19) pandemic rapidly spread globally, impacting the lives of billions of people. The effective screening of infected patients is a critical step to struggle with COVID-19, and treating the patients avoiding this quickly disease spread. The need for automated and scalable methods has increased due to the unavailability of accurate automated toolkits. Recent researches using chest X-ray images suggest they include relevant information about the COVID-19 virus. Hence, applying machine learning techniques combined with radiological imaging promises to identify this disease accurately. It is straightforward to collect these images once it is spreadly shared and analyzed in the world. This paper presents a method for automatic COVID-19 detection using chest Xray images through four convolutional neural networks, namely: AlexNet, VGG-11, SqueezeNet, and DenseNet-121. This method had been providing accurate diagnostics for positive or negative COVID-19 classification. We validate our experiments using a ten-fold cross-validation procedure over the training and test sets. Our findings include the shallow fine-tuning and data augmentation strategies that can assist in dealing with the low number of positive COVID-19 images publicly available. The accuracy for all CNNs is higher than 97.00%, and the SqueezeNet model achieved the best result with 99.20%.


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