School of Computer Engineering and Science, Shanghai University, Shanghai, China; Shanghai Institute for Advanced Communication and Data Science, Shanghai University, Shanghai, China.
School of Computer Engineering and Science, Shanghai University, Shanghai, China.
Med Image Anal. 2021 Feb;68:101913. doi: 10.1016/j.media.2020.101913. Epub 2020 Nov 26.
The efficient diagnosis of COVID-19 plays a key role in preventing the spread of this disease. The computer-aided diagnosis with deep learning methods can perform automatic detection of COVID-19 using CT scans. However, large scale annotation of CT scans is impossible because of limited time and heavy burden on the healthcare system. To meet the challenge, we propose a weakly-supervised deep active learning framework called COVID-AL to diagnose COVID-19 with CT scans and patient-level labels. The COVID-AL consists of the lung region segmentation with a 2D U-Net and the diagnosis of COVID-19 with a novel hybrid active learning strategy, which simultaneously considers sample diversity and predicted loss. With a tailor-designed 3D residual network, the proposed COVID-AL can diagnose COVID-19 efficiently and it is validated on a large CT scan dataset collected from the CC-CCII. The experimental results demonstrate that the proposed COVID-AL outperforms the state-of-the-art active learning approaches in the diagnosis of COVID-19. With only 30% of the labeled data, the COVID-AL achieves over 95% accuracy of the deep learning method using the whole dataset. The qualitative and quantitative analysis proves the effectiveness and efficiency of the proposed COVID-AL framework.
COVID-19 的有效诊断在预防该疾病传播方面起着关键作用。使用深度学习方法的计算机辅助诊断可以使用 CT 扫描对 COVID-19 进行自动检测。然而,由于时间有限且医疗系统负担过重,对 CT 扫描进行大规模标注是不可能的。为了应对这一挑战,我们提出了一种称为 COVID-AL 的弱监督深度学习主动学习框架,用于使用 CT 扫描和患者级别标签诊断 COVID-19。COVID-AL 包括使用 2D U-Net 进行肺部区域分割和使用新型混合主动学习策略进行 COVID-19 诊断,该策略同时考虑了样本多样性和预测损失。通过专门设计的 3D 残差网络,所提出的 COVID-AL 可以有效地诊断 COVID-19,并且在从 CC-CCII 收集的大型 CT 扫描数据集上进行了验证。实验结果表明,所提出的 COVID-AL 在 COVID-19 的诊断方面优于最先进的主动学习方法。使用仅 30%的标记数据,COVID-AL 可以在使用整个数据集的深度学习方法中达到超过 95%的准确率。定性和定量分析证明了所提出的 COVID-AL 框架的有效性和效率。