An Automated Approach for Timely Diagnosis and Prognosis of Coronavirus Disease

Since the outbreak of Coronavirus Disease 2019 (COVID-19), most of the impacted patients have been diagnosed with high fever, dry cough, and soar throat leading to severe pneumonia. Hence, to date, the diagnosis of COVID-19 from lung imaging is proved to be a major evidence for early diagnosis of the disease. Although nucleic acid detection using real-time reverse-transcriptase polymerase chain reaction (rRT-PCR) remains a gold standard for the detection of COVID-19, the proposed approach focuses on the automated diagnosis and prognosis of the disease from a non-contrast chest computed tomography (CT) scan for timely diagnosis and triage of the patient. The prognosis covers the quantification and assessment of the disease to help hospitals with the management and planning of crucial resources, such as medical staff, ventilators and intensive care units (ICUs) capacity. The approach utilises deep learning techniques for automated quantification of severity of COVID-19 disease via measuring the area of multiple rounded ground-glass opacities (GGO) and consolidations in the periphery (CP) of the lungs and accumulating them to form a severity score. The severity of the disease can be correlated with the medicines prescribed during the triage to assess the effectiveness of the treatment. The proposed approach shows promising results where the classification model achieved 93% accuracy on hold-out data.

[1]  Dinggang Shen,et al.  Review of Artificial Intelligence Techniques in Imaging Data Acquisition, Segmentation, and Diagnosis for COVID-19 , 2020, IEEE Reviews in Biomedical Engineering.

[2]  Yoshua Bengio,et al.  How transferable are features in deep neural networks? , 2014, NIPS.

[3]  Bo Liu,et al.  Spectrum of Chest CT Findings in a Familial Cluster of COVID-19 Infection , 2020, Radiology. Cardiothoracic imaging.

[4]  Jimmy Ba,et al.  Adam: A Method for Stochastic Optimization , 2014, ICLR.

[5]  Ling Shao,et al.  Inf-Net: Automatic COVID-19 Lung Infection Segmentation From CT Images , 2020, IEEE Transactions on Medical Imaging.

[6]  Michael Arens,et al.  Analysis of Explainers of Black Box Deep Neural Networks for Computer Vision: A Survey , 2019, Mach. Learn. Knowl. Extr..

[7]  Lian-lian Wu,et al.  Deep learning-based model for detecting 2019 novel coronavirus pneumonia on high-resolution computed tomography: a prospective study , 2020, medRxiv.

[8]  Abhishek Das,et al.  Grad-CAM: Visual Explanations from Deep Networks via Gradient-Based Localization , 2016, 2017 IEEE International Conference on Computer Vision (ICCV).

[9]  Yoshua Bengio,et al.  Understanding the difficulty of training deep feedforward neural networks , 2010, AISTATS.

[10]  Development and Evaluation of an AI System for COVID-19 Diagnosis , 2020 .

[11]  P. Xie,et al.  COVID-CT-Dataset: A CT Scan Dataset about COVID-19 , 2020, ArXiv.

[12]  Gerald Friedland,et al.  Efficient Saliency Maps for Explainable AI , 2019, ArXiv.

[13]  Bogdan Gabrys,et al.  A Meta-Reinforcement Learning Approach to Optimize Parameters and Hyper-parameters Simultaneously , 2019, PRICAI.

[14]  Z. Tong,et al.  Combination of RT‐qPCR testing and clinical features for diagnosis of COVID‐19 facilitates management of SARS‐CoV‐2 outbreak , 2020, Journal of medical virology.

[15]  J. Sung,et al.  The Spectrum of Severe Acute Respiratory SyndromeAssociated Coronavirus Infection , 2004, Annals of Internal Medicine.

[16]  Mojtaba Mousavi,et al.  Application of CAD systems for the automatic detection of lung nodules , 2019, Informatics in Medicine Unlocked.

[17]  F. Hsiao,et al.  Acute Respiratory Infection and Use of Nonsteroidal Anti-Inflammatory Drugs on Risk of Acute Myocardial Infarction: A Nationwide Case-Crossover Study , 2017, The Journal of infectious diseases.

[18]  Guigang Zhang,et al.  Deep Learning , 2016, Int. J. Semantic Comput..

[19]  Sushmita Mitra,et al.  Deep Learning for Screening COVID-19 using Chest X-Ray Images , 2020, 2020 IEEE Symposium Series on Computational Intelligence (SSCI).

[20]  Bolei Zhou,et al.  Learning Deep Features for Discriminative Localization , 2015, 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[21]  A. Mitchell,et al.  An assessment of the safety of pediatric ibuprofen. A practitioner-based randomized clinical trial. , 1995, JAMA.

[22]  X. He,et al.  Sample-Efficient Deep Learning for COVID-19 Diagnosis Based on CT Scans , 2020, medRxiv.

[23]  Hayit Greenspan,et al.  Rapid AI Development Cycle for the Coronavirus (COVID-19) Pandemic: Initial Results for Automated Detection & Patient Monitoring using Deep Learning CT Image Analysis , 2020, ArXiv.

[24]  Bingliang Zeng,et al.  Diagnosis of the Coronavirus disease (COVID-19): rRT-PCR or CT? , 2020, European Journal of Radiology.

[25]  G. Gao,et al.  A Novel Coronavirus from Patients with Pneumonia in China, 2019 , 2020, The New England journal of medicine.

[26]  Ting Yu,et al.  Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study , 2020, The Lancet.

[27]  Mert R. Sabuncu,et al.  Unsupervised deep learning for Bayesian brain MRI segmentation , 2019, MICCAI.

[28]  Hayit Greenspan,et al.  Improving the Segmentation of Anatomical Structures in Chest Radiographs Using U-Net with an ImageNet Pre-trained Encoder , 2018, RAMBO+BIA+TIA@MICCAI.

[29]  Xiaohu Li,et al.  COVID-19 Infection Presenting with CT Halo Sign , 2020, Radiology. Cardiothoracic imaging.

[30]  Qingzeng Song,et al.  Using Deep Learning for Classification of Lung Nodules on Computed Tomography Images , 2017, Journal of healthcare engineering.

[31]  Jun Zhou,et al.  Chest CT findings of COVID-19 pneumonia by duration of symptoms , 2020, European Journal of Radiology.

[32]  Yaozong Gao,et al.  Adaptive Feature Selection Guided Deep Forest for COVID-19 Classification With Chest CT , 2020, IEEE Journal of Biomedical and Health Informatics.

[33]  Sergey Ioffe,et al.  Rethinking the Inception Architecture for Computer Vision , 2015, 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[34]  Yicheng Fang,et al.  Sensitivity of Chest CT for COVID-19: Comparison to RT-PCR , 2020, Radiology.

[35]  Nourhan Zayed,et al.  Automatic Classification of Normal and Cancer Lung CT Images Using Multiscale AM-FM Features , 2015, Int. J. Biomed. Imaging.

[36]  Ronald M. Summers,et al.  ChestX-ray: Hospital-Scale Chest X-ray Database and Benchmarks on Weakly Supervised Classification and Localization of Common Thorax Diseases , 2019, Deep Learning and Convolutional Neural Networks for Medical Imaging and Clinical Informatics.

[37]  Yan Wang,et al.  Evolution of CT findings in patients with mild COVID-19 pneumonia , 2020, European Radiology.

[38]  Ronald M. Summers,et al.  Learning to Read Chest X-Rays: Recurrent Neural Cascade Model for Automated Image Annotation , 2016, 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[39]  Nima Tajbakhsh,et al.  UNet++: A Nested U-Net Architecture for Medical Image Segmentation , 2018, DLMIA/ML-CDS@MICCAI.

[40]  Bo Xu,et al.  A deep learning algorithm using CT images to screen for Corona virus disease (COVID-19) , 2020, European Radiology.

[41]  Q. Tao,et al.  Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases , 2020, Radiology.

[42]  Ran Yang,et al.  Chest CT Severity Score: An Imaging Tool for Assessing Severe COVID-19 , 2020, Radiology. Cardiothoracic imaging.

[43]  Bogdan Gabrys,et al.  Towards Meta-learning of Deep Architectures for Efficient Domain Adaptation , 2019, PRICAI.

[44]  L. Xia,et al.  Coronavirus Disease 2019 (COVID-19): Role of Chest CT in Diagnosis and Management. , 2020, AJR. American journal of roentgenology.

[45]  X. Tang,et al.  Clinical and immunological assessment of asymptomatic SARS-CoV-2 infections , 2020, Nature Medicine.

[46]  A. Tahamtan,et al.  Real-time RT-PCR in COVID-19 detection: issues affecting the results , 2020, Expert review of molecular diagnostics.

[47]  Jianhua Yao,et al.  Early triage of critically ill COVID-19 patients using deep learning , 2020, Nature Communications.

[48]  Bryan Voss,et al.  Efficacy and Safety of Ibuprofen and Acetaminophen in Children and Adults: A Meta-Analysis and Qualitative Review , 2010, The Annals of pharmacotherapy.

[49]  Michael S. Bernstein,et al.  ImageNet Large Scale Visual Recognition Challenge , 2014, International Journal of Computer Vision.

[50]  Jian Sun,et al.  Deep Residual Learning for Image Recognition , 2015, 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[51]  J. Vinetz,et al.  Dexamethasone in the management of covid -19 , 2020, BMJ.