IEEE J Biomed Health Inform. 2021 Jun;25(6):1881-1891. doi: 10.1109/JBHI.2021.3072076. Epub 2021 Jun 3.
In the present epidemic of the coronavirus disease 2019 (COVID-19), radiological imaging modalities, such as X-ray and computed tomography (CT), have been identified as effective diagnostic tools. However, the subjective assessment of radiographic examination is a time-consuming task and demands expert radiologists. Recent advancements in artificial intelligence have enhanced the diagnostic power of computer-aided diagnosis (CAD) tools and assisted medical specialists in making efficient diagnostic decisions. In this work, we propose an optimal multilevel deep-aggregated boosted network to recognize COVID-19 infection from heterogeneous radiographic data, including X-ray and CT images. Our method leverages multilevel deep-aggregated features and multistage training via a mutually beneficial approach to maximize the overall CAD performance. To improve the interpretation of CAD predictions, these multilevel deep features are visualized as additional outputs that can assist radiologists in validating the CAD results. A total of six publicly available datasets were fused to build a single large-scale heterogeneous radiographic collection that was used to analyze the performance of the proposed technique and other baseline methods. To preserve generality of our method, we selected different patient data for training, validation, and testing, and consequently, the data of same patient were not included in training, validation, and testing subsets. In addition, fivefold cross-validation was performed in all the experiments for a fair evaluation. Our method exhibits promising performance values of 95.38%, 95.57%, 92.53%, 98.14%, 93.16%, and 98.55% in terms of average accuracy, F-measure, specificity, sensitivity, precision, and area under the curve, respectively and outperforms various state-of-the-art methods.
在当前的 2019 年冠状病毒病(COVID-19)疫情中,放射影像学方法(如 X 射线和计算机断层扫描(CT))已被确定为有效的诊断工具。然而,放射学检查的主观评估是一项耗时的任务,需要专家放射科医生。人工智能的最新进展提高了计算机辅助诊断(CAD)工具的诊断能力,并帮助医学专家做出高效的诊断决策。在这项工作中,我们提出了一种最优的多层次深度聚合增强网络,用于从包括 X 射线和 CT 图像在内的异质放射数据中识别 COVID-19 感染。我们的方法利用多层次深度聚合特征和通过互利的多阶段训练来最大化整体 CAD 性能。为了提高 CAD 预测的解释性,这些多层次深度特征被可视化作为附加输出,可帮助放射科医生验证 CAD 结果。我们融合了六个公开可用的数据集,构建了一个单一的大型异质放射学数据集,用于分析所提出的技术和其他基线方法的性能。为了保持方法的通用性,我们选择了不同的患者数据进行训练、验证和测试,因此,同一患者的数据不包括在训练、验证和测试子集中。此外,所有实验均进行了五重交叉验证,以进行公平评估。我们的方法在平均准确率、F1 分数、特异性、灵敏度、精度和曲线下面积方面分别表现出 95.38%、95.57%、92.53%、98.14%、93.16%和 98.55%的有希望的性能值,并且优于各种最先进的方法。