Abstract

We are concerned with the challenge of coronavirus disease (COVID-19) detection in chest X-ray and Computed Tomography (CT) scans, and the classification and segmentation of related infection manifestations. Even though it is arguably not an established diagnostic tool, using machine learning-based analysis of COVID-19 medical scans has shown the potential to provide a preliminary digital second opinion. This can help in managing the current pandemic, and thus has been attracting significant research attention. In this research, we propose a multi-task pipeline that takes advantage of the growing advances in deep neural network models. In the first stage, we fine-tuned an Inception-v3 deep model for COVID-19 recognition using multi-modal learning, that is, using X-ray and CT scans. In addition to outperforming other deep models on the same task in the recent literature, with an attained accuracy of 99.4%, we also present comparative analysis for multi-modal learning against learning from X-ray scans alone. The second and the third stages of the proposed pipeline complement one another in dealing with different types of infection manifestations. The former features a convolutional neural network architecture for recognizing three types of manifestations, while the latter transfers learning from another knowledge domain, namely, pulmonary nodule segmentation in CT scans, to produce binary masks for segmenting the regions corresponding to these manifestations. Our proposed pipeline also features specialized streams in which multiple deep models are trained separately to segment specific types of infection manifestations, and we show the significant impact that this framework has on various performance metrics. We evaluate the proposed models on widely adopted datasets, and we demonstrate an increase of approximately 2.5% and 4.5% for dice coefficient and mean intersection-over-union (mIoU), respectively, while achieving 60% reduction in computational time, compared to the recent literature.

Highlights

  • The Severe Acute Respiratory Syndrome CoronaVirus 2 (SARS-CoV-2) [1] is a strain of Severe Acute Respiratory Syndrome-related CoronaVirus (SARS-CoV or SARSr-CoV)

  • We proposed a multi-task pipeline for the recognition of COVID-19, and the classification and segmentation of related infection manifestations in medical scans

  • We evaluated the performance of this model on two tasks, namely, the two-class problem of COVID19/non-COVID-19 recognition, and the four-class problem of recognizing COVID-19 scans from other scans that correspond to normal, viral pneumonia, and bacterial pneumonia cases

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Summary

Introduction

The Severe Acute Respiratory Syndrome CoronaVirus 2 (SARS-CoV-2) [1] is a strain of Severe Acute Respiratory Syndrome-related CoronaVirus (SARS-CoV or SARSr-CoV) The latter is a species of coronaviruses, which are a group Ribonucleic Acid (RNA) viruses. Transmission was confirmed in January 2020 [4], and the World Health Organization (WHO) declared a pandemic on the 11th of March 2020. Over three million confirmed cases to date, hundreds of thousands of deaths, and a severe socioeconomic impact in hundreds of countries that are hit by the virus [5,6] have induced significant efforts from governmental, public, and private sectors worldwide to manage the pandemic. One principal aspect of pandemic management and future epidemic prevention is the development of effective, efficient, and scale-able diagnostic tools

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