Abstract

The ongoing pandemic of coronavirus disease 2019 (COVID-19) has led to global health and healthcare crisis, apart from the tremendous socioeconomic effects. One of the significant challenges in this crisis is to identify and monitor the COVID-19 patients quickly and efficiently to facilitate timely decisions for their treatment, monitoring, and management. Research efforts are on to develop less time-consuming methods to replace or to supplement RT-PCR-based methods. The present study is aimed at creating efficient deep learning models, trained with chest X-ray images, for rapid screening of COVID-19 patients. We used publicly available PA chest X-ray images of adult COVID-19 patients for the development of Artificial Intelligence (AI)-based classification models for COVID-19 and other major infectious diseases. To increase the dataset size and develop generalized models, we performed 25 different types of augmentations on the original images. Furthermore, we utilized the transfer learning approach for the training and testing of the classification models. The combination of two best-performing models (each trained on 286 images, rotated through 120° or 140° angle) displayed the highest prediction accuracy for normal, COVID-19, non-COVID-19, pneumonia, and tuberculosis images. AI-based classification models trained through the transfer learning approach can efficiently classify the chest X-ray images representing studied diseases. Our method is more efficient than previously published methods. It is one step ahead towards the implementation of AI-based methods for classification problems in biomedical imaging related to COVID-19.

Highlights

  • Coronavirus disease 2019 (COVID-19) is an infectious disease triggered by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) [1]

  • The detection of COVID-19 from chest X-ray and its differentiation from lung diseases with identical opacities is a puzzling task that relies on the availability of expert radiologists

  • The confirmatory diagnosis of COVID-19 is mainly dependent on clinical symptoms, epidemiological history, nucleic acid detection, immune identification technology, etc

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Summary

Introduction

Coronavirus disease 2019 (COVID-19) is an infectious disease triggered by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) [1]. The disease was initially identified in December 2019 in Wuhan, China, and has since spread globally [2, 3]. A patient with pneumonia of mysterious cause was first reported to the WHO Country Office in China on 31 December 2019 [4]. The disease has spread all over the globe in enormous numbers and is declared a pandemic. As of 16 September 2020, there were 29356292 confirmed COVID-19 cases in various countries, territories, or areas, and 930260 people had lost their lives [5], and the numbers are still rising. The detection of COVID-19 from chest X-ray and its differentiation from lung diseases with identical opacities is a puzzling task that relies on the availability of expert radiologists

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