MULTI-DEEP: A novel CAD system for coronavirus (COVID-19) diagnosis from CT images using multiple convolution neural networks

Coronavirus (COVID-19) was first observed in Wuhan, China, and quickly propagated worldwide. It is considered the supreme crisis of the present era and one of the most crucial hazards threatening worldwide health. Therefore, the early detection of COVID-19 is essential. The common way to detect COVID-19 is the reverse transcription-polymerase chain reaction (RT-PCR) test, although it has several drawbacks. Computed tomography (CT) scans can enable the early detection of suspected patients, however, the overlap between patterns of COVID-19 and other types of pneumonia makes it difficult for radiologists to diagnose COVID-19 accurately. On the other hand, deep learning (DL) techniques and especially the convolutional neural network (CNN) can classify COVID-19 and non-COVID-19 cases. In addition, DL techniques that use CT images can deliver an accurate diagnosis faster than the RT-PCR test, which consequently saves time for disease control and provides an efficient computer-aided diagnosis (CAD) system. The shortage of publicly available datasets of CT images, makes the CAD system’s design a challenging task. The CAD systems in the literature are based on either individual CNN or two-fused CNNs; one used for segmentation and the other for classification and diagnosis. In this article, a novel CAD system is proposed for diagnosing COVID-19 based on the fusion of multiple CNNs. First, an end-to-end classification is performed. Afterward, the deep features are extracted from each network individually and classified using a support vector machine (SVM) classifier. Next, principal component analysis is applied to each deep feature set, extracted from each network. Such feature sets are then used to train an SVM classifier individually. Afterward, a selected number of principal components from each deep feature set are fused and compared with the fusion of the deep features extracted from each CNN. The results show that the proposed system is effective and capable of detecting COVID-19 and distinguishing it from non-COVID-19 cases with an accuracy of 94.7%, AUC of 0.98 (98%), sensitivity 95.6%, and specificity of 93.7%. Moreover, the results show that the system is efficient, as fusing a selected number of principal components has reduced the computational cost of the final model by almost 32%.

[1]  U. Rajendra Acharya,et al.  Application of deep learning technique to manage COVID-19 in routine clinical practice using CT images: Results of 10 convolutional neural networks , 2020, Computers in Biology and Medicine.

[2]  Geoffrey E. Hinton,et al.  ImageNet classification with deep convolutional neural networks , 2012, Commun. ACM.

[3]  Yoshua Bengio,et al.  Gradient-based learning applied to document recognition , 1998, Proc. IEEE.

[4]  E. Dong,et al.  An interactive web-based dashboard to track COVID-19 in real time , 2020, The Lancet Infectious Diseases.

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

[6]  K. Cao,et al.  Artificial Intelligence Distinguishes COVID-19 from Community Acquired Pneumonia on Chest CT , 2020, Radiology.

[7]  Z. Memish,et al.  Diagnosis of SARS-CoV-2 infection based on CT scan vs RT-PCR: reflecting on experience from MERS-CoV , 2020, Journal of Hospital Infection.

[8]  Noureddine Zerhouni,et al.  Deep Learning in the Biomedical Applications: Recent and Future Status , 2019, Applied Sciences.

[9]  Jun Liu,et al.  Chest CT for Typical 2019-nCoV Pneumonia: Relationship to Negative RT-PCR Testing , 2020, Radiology.

[10]  Guang-Zhong Yang,et al.  Deep Learning for Health Informatics , 2017, IEEE Journal of Biomedical and Health Informatics.

[11]  Zhonghua Sun,et al.  Clinical characteristics and chest CT imaging features of critically ill COVID-19 patients , 2020, European Radiology.

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

[13]  Trevor Darrell,et al.  Rich Feature Hierarchies for Accurate Object Detection and Semantic Segmentation , 2013, 2014 IEEE Conference on Computer Vision and Pattern Recognition.

[14]  Wenyu Liu,et al.  Deep Learning-based Detection for COVID-19 from Chest CT using Weak Label , 2020, medRxiv.

[15]  D. Utsunomiya,et al.  Ultra-high-resolution computed tomography can demonstrate alveolar collapse in novel coronavirus (COVID-19) pneumonia , 2020, Japanese Journal of Radiology.

[16]  Xiangyu Zhang,et al.  ShuffleNet: An Extremely Efficient Convolutional Neural Network for Mobile Devices , 2017, 2018 IEEE/CVF Conference on Computer Vision and Pattern Recognition.

[17]  Yuedong Yang,et al.  Deep Learning Enables Accurate Diagnosis of Novel Coronavirus (COVID-19) With CT Images , 2020, IEEE/ACM Transactions on Computational Biology and Bioinformatics.

[18]  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.

[19]  Kayhan Zrar Ghafoor,et al.  A Novel AI-enabled Framework to Diagnose Coronavirus COVID-19 using Smartphone Embedded Sensors: Design Study , 2020, 2020 IEEE 21st International Conference on Information Reuse and Integration for Data Science (IRI).

[20]  Hyunsook Hong,et al.  Diagnostic Performance of CT and Reverse Transcriptase-Polymerase Chain Reaction for Coronavirus Disease 2019: A Meta-Analysis , 2020, Radiology.

[21]  Hiroshi Fujita,et al.  AI-based computer-aided diagnosis (AI-CAD): the latest review to read first , 2020, Radiological Physics and Technology.

[22]  Dasheng Li,et al.  False-Negative Results of Real-Time Reverse-Transcriptase Polymerase Chain Reaction for Severe Acute Respiratory Syndrome Coronavirus 2: Role of Deep-Learning-Based CT Diagnosis and Insights from Two Cases , 2020, Korean journal of radiology.

[23]  Giacomo Grasselli,et al.  Critical Care Utilization for the COVID-19 Outbreak in Lombardy, Italy: Early Experience and Forecast During an Emergency Response. , 2020, JAMA.

[24]  Manjit Kaur,et al.  Automated Deep Transfer Learning-Based Approach for Detection of COVID-19 Infection in Chest X-rays , 2020, IRBM.

[25]  Xiaowei Xu,et al.  A Deep Learning System to Screen Novel Coronavirus Disease 2019 Pneumonia , 2020, Engineering.

[26]  David T. Huang,et al.  Extracorporeal liver support in patients with liver failure: a systematic review and meta-analysis of randomized trials , 2019, Intensive Care Medicine.

[27]  Omneya Attallah,et al.  Deep Learning Techniques for Automatic Detection of Embryonic Neurodevelopmental Disorders , 2020, Diagnostics.

[28]  Steve Webb,et al.  COVID-19: a novel coronavirus and a novel challenge for critical care , 2020, Intensive Care Medicine.

[29]  Zhibo Wen,et al.  Diagnostic performance between CT and initial real-time RT-PCR for clinically suspected 2019 coronavirus disease (COVID-19) patients outside Wuhan, China , 2020, Respiratory Medicine.

[30]  C. Reusken,et al.  Comparison of commercial RT-PCR diagnostic kits for COVID-19 , 2020, bioRxiv.

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

[32]  Ronald M. Summers,et al.  Deep Learning in Medical Imaging: Overview and Future Promise of an Exciting New Technique , 2016 .

[33]  Y. Bar-Yam,et al.  Combining PCR and CT testing for COVID , 2020, medRxiv.

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

[35]  Chest CT versus RT-PCR for Diagnostic Accuracy of COVID-19 Detection: A Meta-Analysis , 2020 .

[36]  Omneya Attallah,et al.  Breast Cancer Diagnosis Using an Efficient CAD System Based on Multiple Classifiers , 2019, Diagnostics.

[37]  Ming-Tsang Wu,et al.  A systematic review on recent trends in transmission, diagnosis, prevention and imaging features of COVID-19 , 2020, Process Biochemistry.

[38]  Stephen Marshall,et al.  Breast cancer detection using deep convolutional neural networks and support vector machines , 2019, PeerJ.

[39]  Heshui Shi,et al.  Evolution of CT Manifestations in a Patient Recovered from 2019 Novel Coronavirus (2019-nCoV) Pneumonia in Wuhan, China , 2020, Radiology.

[40]  C. Reusken,et al.  Comparison of seven commercial RT-PCR diagnostic kits for COVID-19 , 2020, Journal of Clinical Virology.

[41]  Haibo Xu,et al.  AI-assisted CT imaging analysis for COVID-19 screening: Building and deploying a medical AI system in four weeks , 2020, medRxiv.

[42]  J. Gitaka,et al.  COVID-19: Are Africa’s diagnostic challenges blunting response effectiveness? , 2020, AAS open research.

[43]  A. Amyar,et al.  Multi-task Deep Learning Based CT Imaging Analysis For COVID-19: Classification and Segmentation , 2020, medRxiv.

[44]  Lindsay I. Smith,et al.  A tutorial on Principal Components Analysis , 2002 .

[45]  Dumitru Erhan,et al.  Going deeper with convolutions , 2014, 2015 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[46]  I. Kanno,et al.  Michel M. Ter-Pogossian (1925–1996): a pioneer of positron emission tomography weighted in fast imaging and Oxygen-15 application , 2019, Radiological Physics and Technology.

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

[48]  K. Cao,et al.  Using Artificial Intelligence to Detect COVID-19 and Community-acquired Pneumonia Based on Pulmonary CT: Evaluation of the Diagnostic Accuracy , 2020 .

[49]  Aly A. Valliani,et al.  Deep Learning and Neurology: A Systematic Review , 2019, Neurology and Therapy.

[50]  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.

[51]  Weiliang Tang,et al.  Chest CT for detecting COVID-19: a systematic review and meta-analysis of diagnostic accuracy , 2020, European Radiology.