Abstract

(1) Background: COVID-19 has been global epidemic. This work aims to extract 3D infection from COVID-19 CT images; (2) Methods: Firstly, COVID-19 CT images are processed with lung region extraction and data enhancement. In this strategy, gradient changes of voxels in different directions respond to geometric characteristics. Due to the complexity of tubular tissues in lung region, they are clustered to the lung parenchyma center based on their filtered possibility. Thus, infection is improved after data enhancement. Then, deep weighted UNet is established to refining 3D infection texture, and weighted loss function is introduced. It changes cost calculation of different samples, causing target samples to dominate convergence direction. Finally, the trained network effectively extracts 3D infection from CT images by adjusting driving strategy of different samples. (3) Results: Using Accuracy, Precision, Recall and Coincidence rate, 20 subjects from a private dataset and eight subjects from Kaggle Competition COVID-19 CT dataset tested this method in hold-out validation framework. This work achieved good performance both in the private dataset (99.94–00.02%, 60.42–11.25%, 70.79–09.35% and 63.15–08.35%) and public dataset (99.73–00.12%, 77.02–06.06%, 41.23–08.61% and 52.50–08.18%). We also applied some extra indicators to test data augmentation and different models. The statistical tests have verified the significant difference of different models. (4) Conclusions: This study provides a COVID-19 infection segmentation technology, which provides an important prerequisite for the quantitative analysis of COVID-19 CT images.

Highlights

  • COVID-19 is currently the most serious infectious lung disease [1,2]

  • (4) Conclusions: This study provides a COVID-19 infection segmentation technology, which provides an important prerequisite for the quantitative analysis of COVID-19

  • This work proposed a method for extracting infection from COVID-19 CT images

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Summary

Introduction

Clinical imaging examination is a common and critical process. Clinical medical technology has a set of quantitative indicators for preliminary screening [6,7,8,9], it is very dependent on collection and quantification of image information, which limits promotion of this technology [10,11]. Reconstruction of COVID-19 infection can provide a digital model and quantitative analysis basis for diagnosis and treatment of COVID-19. It helps to build a more objective evaluation system and provides theoretical guidance for staff in related fields [12,13,14]

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