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基于深度学习的 CT 图像准确鉴别 COVID-19 与病毒性和细菌性肺炎。

Accurately Discriminating COVID-19 from Viral and Bacterial Pneumonia According to CT Images Via Deep Learning.

机构信息

School of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, 510006, China.

Department of Radiology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.

出版信息

Interdiscip Sci. 2021 Jun;13(2):273-285. doi: 10.1007/s12539-021-00420-z. Epub 2021 Feb 27.

DOI:10.1007/s12539-021-00420-z
PMID:33641077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7914048/
Abstract

Computed tomography (CT) is one of the most efficient diagnostic methods for rapid diagnosis of the widespread COVID-19. However, reading CT films brings a lot of concentration and time for doctors. Therefore, it is necessary to develop an automatic CT image diagnosis system to assist doctors in diagnosis. Previous studies devoted to COVID-19 in the past months focused mostly on discriminating COVID-19 infected patients from healthy persons and/or bacterial pneumonia patients, and have ignored typical viral pneumonia since it is hard to collect samples for viral pneumonia that is less frequent in adults. In addition, it is much more challenging to discriminate COVID-19 from typical viral pneumonia as COVID-19 is also a kind of virus. In this study, we have collected CT images of 262, 100, 219, and 78 persons for COVID-19, bacterial pneumonia, typical viral pneumonia, and healthy controls, respectively. To the best of our knowledge, this was the first study of quaternary classification to include also typical viral pneumonia. To effectively capture the subtle differences in CT images, we have constructed a new model by combining the ResNet50 backbone with SE blocks that was recently developed for fine image analysis. Our model was shown to outperform commonly used baseline models, achieving an overall accuracy of 0.94 with AUC of 0.96, recall of 0.94, precision of 0.95, and F1-score of 0.94. The model is available in https://github.com/Zhengfudan/COVID-19-Diagnosis-and-Pneumonia-Classification .

摘要

计算机断层扫描(CT)是快速诊断广泛传播的 COVID-19 的最有效诊断方法之一。然而,阅读 CT 胶片需要医生集中大量注意力和时间。因此,有必要开发一种自动 CT 图像诊断系统来协助医生进行诊断。过去几个月,针对 COVID-19 的先前研究主要集中在区分 COVID-19 感染患者与健康人和/或细菌性肺炎患者,而忽略了典型的病毒性肺炎,因为难以采集病毒性肺炎的样本,而且病毒性肺炎在成年人中较少见。此外,由于 COVID-19 也是一种病毒,因此将 COVID-19 与典型的病毒性肺炎区分开来更加具有挑战性。在这项研究中,我们分别收集了 262、100、219 和 78 例 COVID-19、细菌性肺炎、典型病毒性肺炎和健康对照者的 CT 图像。据我们所知,这是首次将典型病毒性肺炎纳入四分法分类的研究。为了有效捕捉 CT 图像中的细微差异,我们构建了一个新模型,该模型结合了最近开发的用于精细图像分析的 ResNet50 骨干和 SE 块。我们的模型表现优于常用的基线模型,总体准确率为 0.94,AUC 为 0.96,召回率为 0.94,精确率为 0.95,F1 得分为 0.94。该模型可在 https://github.com/Zhengfudan/COVID-19-Diagnosis-and-Pneumonia-Classification 获得。

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