Abstract

Since the first case of coronavirus disease 2019 (COVID-19) was discovered in December 2019, COVID-19 swiftly spread over the world. By the end of March 2021, more than 136 million patients have been infected. Since the second and third waves of the COVID-19 outbreak are in full swing, investigating effective and timely solutions for patients’ check-ups and treatment is important. Although the SARS-CoV-2 virus-specific reverse transcription polymerase chain reaction test is recommended for the diagnosis of COVID-19, the test results are prone to be false negative in the early course of COVID-19 infection. To enhance the screening efficiency and accessibility, chest images captured via X-ray or computed tomography (CT) provide valuable information when evaluating patients with suspected COVID-19 infection. With advanced artificial intelligence (AI) techniques, AI-driven models training with lung scans emerge as quick diagnostic and screening tools for detecting COVID-19 infection in patients. In this article, we provide a comprehensive review of state-of-the-art AI-empowered methods for computational examination of COVID-19 patients with lung scans. In this regard, we searched for papers and preprints on bioRxiv, medRxiv, and arXiv published for the period from January 1, 2020, to March 31, 2021, using the keywords of COVID, lung scans, and AI. After the quality screening, 96 studies are included in this review. The reviewed studies were grouped into three categories based on their target application scenarios: automatic detection of coronavirus disease, infection segmentation, and severity assessment and prognosis prediction. The latest AI solutions to process and analyze chest images for COVID-19 treatment and their advantages and limitations are presented. In addition to reviewing the rapidly developing techniques, we also summarize publicly accessible lung scan image sets. The article ends with discussions of the challenges in current research and potential directions in designing effective computational solutions to fight against the COVID-19 pandemic in the future.

Highlights

  • COVID-19, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was noted to be infectious to humans in December 2019 in Wuhan, China

  • Though most works on COVID-19 focus on ROI segmentation and chest image diagnosis, severity assessment and prognosis prediction are of significance

  • artificial intelligence (AI) and machine learning have been applied in the fight against the COVID-19 pandemic

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Summary

INTRODUCTION

COVID-19, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was noted to be infectious to humans in December 2019 in Wuhan, China. Clinical studies have discovered that most COVID-19 patients, even in the early course of infection or without showing any clinical symptoms, possess common features in their lung scans (Hao and Li, 2020; Long et al, 2020; Salehi et al, 2020; Wong et al, 2020; Zhou et al, 2020a) These patterns in lung images are believed to be a complement to the RT-PCR test and form an alternative important diagnostic tool for the detection of COVID-19. We review the state-of-the-art AI diagnostic models designed to examine lung scans for COVID19 patients To this end, we searched for papers and preprints on bioRxiv, medRxiv, and arXiv published for the period from. The specific scope and updated, in-depth review of technology distinguish this article from previous works

SEGMENTATION OF REGION OF INTEREST IN LUNG SCANS
Performance Metrics
Methodologies
COVID-19 DETECTION AND DIAGNOSIS
Method
COVID-19 SEVERITY ASSESSMENT AND PROGNOSIS PREDICTION
COVID-19 Prognosis Prediction
PUBLIC COVID-19 CHEST SCAN IMAGE SETS
COVID-19 Chest X-Ray Datasets
COVID-19 Computed Tomography Scan Sets
SUMMARY AND DISCUSSIONS ON FUTURE WORKS
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