scholarly journals Finding COVID-19 from Chest X-rays using Deep Learning on a Small Dataset

Author(s):  
Lawrence Hall ◽  
Dmitry Goldgof ◽  
Rahul Paul ◽  
Gregory M. Goldgof

<p>Testing for COVID-19 has been unable to keep up with the demand. Further, the false negative rate is projected to be as high as 30% and test results can take some time to obtain. X-ray machines are widely available and provide images for diagnosis quickly. This paper explores how useful chest X-ray images can be in diagnosing COVID-19 disease. We have obtained 122 chest X-rays of COVID-19 and over 4,000 chest X-rays of viral and bacterial pneumonia. A pre-trained deep convolutional neural network has been tuned on 102 COVID-19 cases and 102 other pneumonia cases in a 10-fold cross validation. The results were all 102 COVID-19 cases were correctly classified and there were 8 false positives resulting in an AUC of 0.997. On a test set of 20 unseen COVID-19 cases all were correctly classified and more than 95% of 4,171 other pneumonia examples were correctly classified. This study has flaws, most critically a lack of information about where in the disease process the COVID-19 cases were and the small data set size. More COVID-19 case images will enable a better answer to the question of how useful chest X-rays can be for diagnosing COVID-19 (so please send them). </p>

Author(s):  
Lawrence Hall ◽  
Dmitry Goldgof ◽  
Rahul Paul ◽  
Gregory M. Goldgof

<p>Testing for COVID-19 has been unable to keep up with the demand. Further, the false negative rate is projected to be as high as 30% and test results can take some time to obtain. X-ray machines are widely available and provide images for diagnosis quickly. This paper explores how useful chest X-ray images can be in diagnosing COVID-19 disease. We have obtained 135 chest X-rays of COVID-19 and 320 chest X-rays of viral and bacterial pneumonia. </p><p> A pre-trained deep convolutional neural network, Resnet50 was tuned on 102 COVID-19 cases and 102 other pneumonia cases in a 10-fold cross validation. The results were </p><p> an overall accuracy of 89.2% with a COVID-19 true positive rate of 0.8039 and an AUC of 0.95. Pre-trained Resnet50 and VGG16 plus our own small CNN were tuned or trained on a balanced set of COVID-19 and pneumonia chest X-rays. An ensemble of the three types of CNN classifiers was applied to a test set of 33 unseen COVID-19 and 218 pneumonia cases. The overall accuracy was 91.24% with the true positive rate for COVID-19 of 0.7879 with 6.88% false positives for a true negative rate of 0.9312 and AUC of 0.94. </p><p> This preliminary study has flaws, most critically a lack of information about where in the disease process the COVID-19 cases were and the small data set size. More COVID-19 case images at good resolution will enable a better answer to the question of how useful chest X-rays can be for diagnosing COVID-19.</p>


2020 ◽  
Author(s):  
Amit Kumar Jaiswal ◽  
Prayag Tiwari ◽  
Vipin Kumar Rathi ◽  
Jia Qian ◽  
Hari Mohan Pandey ◽  
...  

The trending global pandemic of COVID-19 is the fastest ever impact which caused people worldwide by severe acute respiratory syndrome~(SARS)-driven coronavirus. However, several countries suffer from the shortage of test kits and high false negative rate in PCR test. Enhancing the chest X-ray or CT detection rate becomes critical. The patient triage is of utmost importance and the use of machine learning can drive the diagnosis of chest X-ray or CT image by identifying COVID-19 cases. To tackle this problem, we propose~COVIDPEN~-~a transfer learning approach on Pruned EfficientNet-based model for the detection of COVID-19 cases. The proposed model is further interpolated by post-hoc analysis for the explainability of the predictions. The effectiveness of our proposed model is demonstrated on two systematic datasets of chest radiographs and computed tomography scans. Experimental results with several baseline comparisons show that our method is on par and confers clinically explicable instances, which are meant for healthcare providers.


Author(s):  
Lawrence Hall ◽  
Dmitry Goldgof ◽  
Rahul Paul ◽  
Gregory M. Goldgof

<p>Testing for COVID-19 has been unable to keep up with the demand. Further, the false negative rate is projected to be as high as 30% and test results can take some time to obtain. X-ray machines are widely available and provide images for diagnosis quickly. This paper explores how useful chest X-ray images can be in diagnosing COVID-19 disease. We have obtained 122 chest X-rays of COVID-19 and over 4,000 chest X-rays of viral and bacterial pneumonia. Unfortunately, we missed the fact that the chest X-rays of viral and bacterial pneumonia came from children under 5 years old. So, this work shows that you can tell kids with pneumonia from COVID-19 adult cases which is not anyone's goal. However, data from adult chest X-rays of other causes of lung disease is needed to see if you can tell adult diseases apart.<br></p>


Author(s):  
Lawrence Hall ◽  
Dmitry Goldgof ◽  
Rahul Paul ◽  
Gregory M. Goldgof

<p>Testing for COVID-19 has been unable to keep up with the demand. Further, the false negative rate is projected to be as high as 30% and test results can take some time to obtain. X-ray machines are widely available and provide images for diagnosis quickly. This paper explores how useful chest X-ray images can be in diagnosing COVID-19 disease. We have obtained 135 chest X-rays of COVID-19 and 320 chest X-rays of viral and bacterial pneumonia. </p><p> A pre-trained deep convolutional neural network, Resnet50 was tuned on 102 COVID-19 cases and 102 other pneumonia cases in a 10-fold cross validation. The results were </p><p> an overall accuracy of 89.2% with a COVID-19 true positive rate of 0.8039 and an AUC of 0.95. Pre-trained Resnet50 and VGG16 plus our own small CNN were tuned or trained on a balanced set of COVID-19 and pneumonia chest X-rays. An ensemble of the three types of CNN classifiers was applied to a test set of 33 unseen COVID-19 and 218 pneumonia cases. The overall accuracy was 91.24% with the true positive rate for COVID-19 of 0.7879 with 6.88% false positives for a true negative rate of 0.9312 and AUC of 0.94. </p><p> This preliminary study has flaws, most critically a lack of information about where in the disease process the COVID-19 cases were and the small data set size. More COVID-19 case images at good resolution will enable a better answer to the question of how useful chest X-rays can be for diagnosing COVID-19.</p>


Technologies ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 98
Author(s):  
Gabriel Ackall ◽  
Mohammed Elmzoudi ◽  
Richard Yuan ◽  
Cuixian Chen

COVID-19 has spread rapidly across the world since late 2019. As of December, 2021, there are over 250 million documented COVID-19 cases and over 5 million deaths worldwide, which have caused businesses, schools, and government operations to shut down. The most common method of detecting COVID-19 is the RT-PCR swab test, which suffers from a high false-negative rate and a very slow turnaround for results, often up to two weeks. Because of this, specialists often manually review X-ray images of the lungs to detect the presence of COVID-19 with up to 97% accuracy. Neural network algorithms greatly accelerate this review process, analyzing hundreds of X-rays in seconds. Using the Cohen COVID-19 X-ray Database and the NIH ChestX-ray8 Database, we trained and constructed the xRGM-NET convolutional neural network (CNN) to detect COVID-19 in X-ray scans of the lungs. To further aid medical professionals in the manual review of X-rays, we implemented the CNN activation mapping technique Score-CAM, which generates a heat map over an X-ray to illustrate which areas in the scan are most influential over the ultimate diagnosis. xRGM-NET achieved an overall classification accuracy of 97% with a sensitivity of 94% and specificity of 97%. Lightweight models like xRGM-NET can serve to improve the efficiency and accuracy of COVID-19 detection in developing countries or rural areas. In this paper, we report on our model and methods that were developed as part of a STEM enrichment summer program for high school students. We hope that our model and methods will allow other researchers to create lightweight and accurate models as more COVID-19 X-ray scans become available.


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.


Author(s):  
Debaditya Shome ◽  
T. Kar ◽  
Sachi Nandan Mohanty ◽  
Prayag Tiwari ◽  
Khan Muhammad ◽  
...  

In the recent pandemic, accurate and rapid testing of patients remained a critical task in the diagnosis and control of COVID-19 disease spread in the healthcare industry. Because of the sudden increase in cases, most countries have faced scarcity and a low rate of testing. Chest X-rays have been shown in the literature to be a potential source of testing for COVID-19 patients, but manually checking X-ray reports is time-consuming and error-prone. Considering these limitations and the advancements in data science, we proposed a Vision Transformer-based deep learning pipeline for COVID-19 detection from chest X-ray-based imaging. Due to the lack of large data sets, we collected data from three open-source data sets of chest X-ray images and aggregated them to form a 30 K image data set, which is the largest publicly available collection of chest X-ray images in this domain to our knowledge. Our proposed transformer model effectively differentiates COVID-19 from normal chest X-rays with an accuracy of 98% along with an AUC score of 99% in the binary classification task. It distinguishes COVID-19, normal, and pneumonia patient’s X-rays with an accuracy of 92% and AUC score of 98% in the Multi-class classification task. For evaluation on our data set, we fine-tuned some of the widely used models in literature, namely, EfficientNetB0, InceptionV3, Resnet50, MobileNetV3, Xception, and DenseNet-121, as baselines. Our proposed transformer model outperformed them in terms of all metrics. In addition, a Grad-CAM based visualization is created which makes our approach interpretable by radiologists and can be used to monitor the progression of the disease in the affected lungs, assisting healthcare.


Author(s):  
Omeshwar Singh ◽  
Anuradha Sen ◽  
Sumeet Singh Charak ◽  
Shakeel Ahmad

Background: Wrists injuries are one of the common presentations to emergency departments and orthopaedic clinics. The scaphoid bone is the most commonly injured of the carpal bones accounting for 50-80% of carpal injuries and predominantly occurs in young healthy individuals. Scaphoid fractures are the most problematic to diagnose in a clinical setting because it can take up to 6 weeks for scaphoid fractures to become conclusive on plain X-ray films. Aim of the study was to retrospective study was carried out to study the role of early CT scan in diagnosis of occult scaphoid fractures.Methods: A total of 123 patients presented with an acute wrist injury with subsequent signs of scaphoid injury in the absence of a diagnostic fracture on plain X-ray within the time period from June 2014 to May 2016 in a tertiary care centre.Results: This study shows that 31% of normal X-rays were pathological on CT scan and out of these; scaphoid fractures (74% of pathologies) represent a large number of patients with fractures that were missed by initial plain films.Conclusions: This study shows an extremely high false-negative rate for plain X-rays and advocate CT at the first attendance to fracture clinic if there is suspicion of scaphoid injury. An earlier diagnosis leads to appropriate management and reduces restrictions to the patient in terms of prolonged immobilization and repeated clinical reviews.


Author(s):  
Jonathan Stubblefield ◽  
Mitchell Hervert ◽  
Jason Causey ◽  
Jake Qualls ◽  
Wei Dong ◽  
...  

AbstractOne of the challenges with urgent evaluation of patients with acute respiratory distress syndrome (ARDS) in the emergency room (ER) is distinguishing between cardiac vs infectious etiologies for their pulmonary findings. We evaluated ER patient classification for cardiac and infection causes with clinical data and chest X-ray image data. We show that a deep-learning model trained with an external image data set can be used to extract image features and improve the classification accuracy of a data set that does not contain enough image data to train a deep-learning model. We also conducted clinical feature importance analysis and identified the most important clinical features for ER patient classification. This model can be upgraded to include a SARS-CoV-2 specific classification with COVID-19 patients data. The current model is publicly available with an interface at the web link: http://nbttranslationalresearch.org/.Data statementThe clinical data and chest x-ray image data for this study were collected and prepared by the residents and researchers of the Joint Translational Research Lab of Arkansas State University (A-State) and St. Bernards Medical Center (SBMC) Internal Medicine Residency Program. As data collection is on-going for the project stage-II of clinical testing, raw data is not currently available for data sharing to the public.EthicsThis study was approved by the St. Bernards Medical Center’s Institutional Review Board (IRB).


Author(s):  
Ishtiaque Ahmed ◽  
◽  
Manan Darda ◽  
Neha Tikyani ◽  
Rachit Agrawal ◽  
...  

The COVID-19 pandemic has caused large-scale outbreaks in more than 150 countries worldwide, causing massive damage to the livelihood of many people. The capacity to identify contaminated patients early and get unique treatment is quite possibly the primary stride in the battle against COVID-19. One of the quickest ways to diagnose patients is to use radiography and radiology images to detect the disease. Early studies have shown that chest X-rays of patients infected with COVID-19 have unique abnormalities. To identify COVID-19 patients from chest X-ray images, we used various deep learning models based on previous studies. We first compiled a data set of 2,815 chest radiographs from public sources. The model produces reliable and stable results with an accuracy of 91.6%, a Positive Predictive Value of 80%, a Negative Predictive Value of 100%, specificity of 87.50%, and Sensitivity of 100%. It is observed that the CNN-based architecture can diagnose COVID19 disease. The parameters’ outcomes can be further improved by increasing the dataset size and by developing the CNN-based architecture for training the model.


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