Abstract

Pneumonia screening is one of the most crucial steps in the pneumonia diagnosing system, which can improve the work efficiency of the radiologists and prevent delayed treatments. In this paper, we propose a deep regression framework for automatic pneumonia screening, which jointly learns the multi-channel images and multi-modal information (i.e., clinical chief complaints, age, and gender) to simulate the clinical pneumonia screening process. We demonstrate the advantages of the framework in three ways. First, visual features from multi-channel images (Lung Window Images, High Attenuation Images, Low Attenuation Images) can provide more visual features than single image channel, and improve the ability of screening pneumonia with severe diseases. Second, the proposed framework treats chest CT scans as short video frames and analyzes them by using Recurrent Convolutional Neural Network, which can automatically extract multiple image features from multi-channel image slices. Third, chief complaints and demographic information can provide valuable prior knowledge enhancing the features from images and further promote performance. The proposed framework has been extensively validated in 900 clinical cases. Compared to the baseline, the proposed framework improves the accuracy by 2.3% and significantly improves the sensitivity by 3.1%. To the best of our knowledge, we are the first to screen pneumonia using multi-channel images, multi-modal demographic and clinical information based on the large scale clinical raw dataset.

Highlights

  • Pneumonia is a prevalent thoracic disease that affects many people

  • Wang et al.: Deep Regression via Multi-Channel Multi-Modal Learning for Pneumonia Screening researches [4], [9], we further demonstrate the effect of each image window during the deep learning process

  • EFFECT OF DEMOGRAPHIC INFORMATION we further discuss the effect of demographic information

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Summary

Introduction

Pneumonia is a prevalent thoracic disease that affects many people. Radiologists need to consider multi-modal information to screen pneumonia cases from massive clinical data. This task relies on experts’ manual operations, which is time-consuming and inhibits fully automatic assessment. Developing a fast, robust, and accurate Computer-Aided Diagnosis (CAD) system to perform automated screening of pneumonia is meaningful and vital. Works related to pneumonia screening, detection, monitoring, and diagnosing [1]–[6] can be classified into three categories, including chest X-Ray based methods, chest CT based methods, and multi-modal based methods. Our study is related to the second and third categories

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